AC-PNP EXAM LATEST 2024-2025 WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY GRADED A+ 100% GUARANTEED
PASS!
List drug options that will cover a pseudomonas - ANSWER-Ceftazidime,
cefipime, Pipercillin/ticarcillin, Meropenem, imipenem,aztreonam,
Flouroquinolones, Aminoglycosides
Describe the differences in CSF findings between bacterial, viral, & herpes
meningitis - ANSWER-Bacterial- Decreased glucose and highly Increased WBC,
Lactate, protein: Diff- PMN
Viral- Glucose normal and lactate normal or decreased, protein and WBC mildly
increased. DIff PMN first than monos
Herpes- Glucose normal, protein and WBC increased, Diff PMN than monos,
RBC >1000 in absence of traumatic tap.
List signs & symptoms of malaria - ANSWER-Fever, CNS dysfunction, anemia,
hemoglobinuria, sweats, chills, HA, pulmonary edema, N&V, coagulopathy,
myalgia, shock, fatigue, renal failure, hepatosplenomegaly, metabolic acidosis,
tachypnea, hypoglycemia
3rd generation cephalosporins cover which organisms? - ANSWER-Gram
Positive, HENPEK, Serratia, Ceftazidime also covers pseudomonas
,Review the signs & symptoms, course, and treatment for the 2 organisms
causing toxic shock. Which is worse? - ANSWER-Early symptoms = pain is the
most common initial symptom, fever/hypothermia, confusion, soft tissue
infection, positive blood culture (60%), or rash
S. pyogenes causes hypotension- 2 of the following: renal dysfunction,
coagulopathy, ARDS, tissue necrosis, erythematous rash, skin desquamation
10-14 days after onset, high mortality, Tx with supportive care, clindamycin and
debridement;
S. aureus- fever, hypotention and rash -involvement of 3 or more organ
systems, Absence of rocky mountain spotted fever, leptospirosis, measles,
mono, or syphilis. High morbidity. Treat with supportive care, nafcillin,
(vancomycin for MRSA) and debridement
State one major pediatric theorist for each of the following: Psychosocial,
cognitive and moral development - ANSWER-Psychosocial: Erickson
Cognitive: Piaget
Moral: Kohlberg
At what age should children first be able to combine words? - ANSWER-18
months
Erikson's stage of Industry vs. inferiortiy coincides with which Piaget stage? -
ANSWER-Concrete Operations
What are the adverse effects of ginkgo biloba? - ANSWER-Bleeding events r/t
inhibition of platelet activating factor, subdural hematoma, cerebral
hemorrhage, hyphema and post-op bleeding complications, increased CBF may
result in increased ICP, may potentiate anticoagulation
What is St. John's Wort used for and what are the adverse effects? - ANSWER-
Used for mild depresssion, Generally well tolerated, Headache, GI
,disturbances, Phytophotoxic dermatitis, Reduces plasma levels of protease
inhibitors
Name two classes of medication that can be used as adjuvants to treat pain -
ANSWER-Antidepressants or anticonvulsants
Name the 5 cranial nerves important to eating - ANSWER-V Trigeminal SM, VII
facial SM, IX Glossopharyngeal SM, X Vagus M, XII Hypoglossal M
Describe Epidural Hemmorhages? - ANSWER-Epidural, between inner table of
skull and dura mater, lenticular shape, do not cross hemispheres, often follow
middle meningeal artery tear, period of lucency followed by decreased LOA,
emergent surgical evacuation if symptomatic
Describe Subdural Hemmorhages? - ANSWER-Subdural, between dura mater
and arachnoid, may be associated with a skull fracture, often bilateral and will
cross hemispheres, symptoms may be acute or insidious ICP- surgical
evacuation if symptomatic
Describe subarchnoid hemmorhage? - ANSWER-Subarachnoid, between
arachnoid and pia mater, severe headache and neck pain, surgical evacuation if
symptomatic
"Name and describe the type of migraine typical to adolescence? - ANSWER-
Common migraine without aura, throbbing or pounding headache that is
usually unilateral, may have nausea and vomiting, often relieved by sleep
Summarize signs and symptoms of depression? - ANSWER-Usually coherent
and clear thinking, history of deterioration of scoial/school activities, weight
gain/loss, lethargic/apatheticvs anxious with angry outbursts, sleep
disturbances, may have suicidal ideation
, Describe pertussis... course, diagnosis and treatment? - ANSWER-Course,
catarrhal phase, paroxysmal phase, convelescent phase. May have co-findings
of pneumonia, otits, seizures or encephalitis
Diagnosis- Lymphocytosis, Bordetella pertussis, a coccobacillus.
Treatment erythromycin
Review the signs, symptoms , and etiology of Guillain-Barre vs. Botulism -
ANSWER-Guillain-Barre' -- May follow non specific viral infection or commonly,
Campylobacter, Landry's ascending. Paralysis. CSF in notable for few white cells
and high protein. Botulism- Clostridium botulinum -A gram positive Anaerobe.
Rapid descending . Paralysis. CSF is normal. Avoid antibiotics
" - ANSWER-
What is transient tachypnea of the newborn? - ANSWER-Usually follows
uneventful deliveries . May be related to slower absorption of fetal lung fluid
resulting. Decreased pulmonary compliance and increased dead space. Usually
resolves in approximately 3 days without therapy.
Review the criteria for ARDS - ANSWER-Acute onset of symptoms following,
precipitating infection of insult, frontal chest xray biliateral infiltrates. No
clinical evidence of LA HTN, PsO2 to Fio2 ratio </= 200
What are the radiologic findings for asthma? - ANSWER-Asthma, flattened
diaphragm, narrow cardiac silhouette, hyperinflation, narrow cardiac
silhouette, peribronchial thickening, subsegmental atelectasis
Describe methods to treat hyperkalemia - ANSWER-Push K into cells- Albuterol,
Insulin/glucose, Sodium bicarbonate - Remove K- Kayexalate, dialysis; Stabilize
cardiac cell membrane- Ca chloride
CORRECT VERIFIED ANSWERS ALREADY GRADED A+ 100% GUARANTEED
PASS!
List drug options that will cover a pseudomonas - ANSWER-Ceftazidime,
cefipime, Pipercillin/ticarcillin, Meropenem, imipenem,aztreonam,
Flouroquinolones, Aminoglycosides
Describe the differences in CSF findings between bacterial, viral, & herpes
meningitis - ANSWER-Bacterial- Decreased glucose and highly Increased WBC,
Lactate, protein: Diff- PMN
Viral- Glucose normal and lactate normal or decreased, protein and WBC mildly
increased. DIff PMN first than monos
Herpes- Glucose normal, protein and WBC increased, Diff PMN than monos,
RBC >1000 in absence of traumatic tap.
List signs & symptoms of malaria - ANSWER-Fever, CNS dysfunction, anemia,
hemoglobinuria, sweats, chills, HA, pulmonary edema, N&V, coagulopathy,
myalgia, shock, fatigue, renal failure, hepatosplenomegaly, metabolic acidosis,
tachypnea, hypoglycemia
3rd generation cephalosporins cover which organisms? - ANSWER-Gram
Positive, HENPEK, Serratia, Ceftazidime also covers pseudomonas
,Review the signs & symptoms, course, and treatment for the 2 organisms
causing toxic shock. Which is worse? - ANSWER-Early symptoms = pain is the
most common initial symptom, fever/hypothermia, confusion, soft tissue
infection, positive blood culture (60%), or rash
S. pyogenes causes hypotension- 2 of the following: renal dysfunction,
coagulopathy, ARDS, tissue necrosis, erythematous rash, skin desquamation
10-14 days after onset, high mortality, Tx with supportive care, clindamycin and
debridement;
S. aureus- fever, hypotention and rash -involvement of 3 or more organ
systems, Absence of rocky mountain spotted fever, leptospirosis, measles,
mono, or syphilis. High morbidity. Treat with supportive care, nafcillin,
(vancomycin for MRSA) and debridement
State one major pediatric theorist for each of the following: Psychosocial,
cognitive and moral development - ANSWER-Psychosocial: Erickson
Cognitive: Piaget
Moral: Kohlberg
At what age should children first be able to combine words? - ANSWER-18
months
Erikson's stage of Industry vs. inferiortiy coincides with which Piaget stage? -
ANSWER-Concrete Operations
What are the adverse effects of ginkgo biloba? - ANSWER-Bleeding events r/t
inhibition of platelet activating factor, subdural hematoma, cerebral
hemorrhage, hyphema and post-op bleeding complications, increased CBF may
result in increased ICP, may potentiate anticoagulation
What is St. John's Wort used for and what are the adverse effects? - ANSWER-
Used for mild depresssion, Generally well tolerated, Headache, GI
,disturbances, Phytophotoxic dermatitis, Reduces plasma levels of protease
inhibitors
Name two classes of medication that can be used as adjuvants to treat pain -
ANSWER-Antidepressants or anticonvulsants
Name the 5 cranial nerves important to eating - ANSWER-V Trigeminal SM, VII
facial SM, IX Glossopharyngeal SM, X Vagus M, XII Hypoglossal M
Describe Epidural Hemmorhages? - ANSWER-Epidural, between inner table of
skull and dura mater, lenticular shape, do not cross hemispheres, often follow
middle meningeal artery tear, period of lucency followed by decreased LOA,
emergent surgical evacuation if symptomatic
Describe Subdural Hemmorhages? - ANSWER-Subdural, between dura mater
and arachnoid, may be associated with a skull fracture, often bilateral and will
cross hemispheres, symptoms may be acute or insidious ICP- surgical
evacuation if symptomatic
Describe subarchnoid hemmorhage? - ANSWER-Subarachnoid, between
arachnoid and pia mater, severe headache and neck pain, surgical evacuation if
symptomatic
"Name and describe the type of migraine typical to adolescence? - ANSWER-
Common migraine without aura, throbbing or pounding headache that is
usually unilateral, may have nausea and vomiting, often relieved by sleep
Summarize signs and symptoms of depression? - ANSWER-Usually coherent
and clear thinking, history of deterioration of scoial/school activities, weight
gain/loss, lethargic/apatheticvs anxious with angry outbursts, sleep
disturbances, may have suicidal ideation
, Describe pertussis... course, diagnosis and treatment? - ANSWER-Course,
catarrhal phase, paroxysmal phase, convelescent phase. May have co-findings
of pneumonia, otits, seizures or encephalitis
Diagnosis- Lymphocytosis, Bordetella pertussis, a coccobacillus.
Treatment erythromycin
Review the signs, symptoms , and etiology of Guillain-Barre vs. Botulism -
ANSWER-Guillain-Barre' -- May follow non specific viral infection or commonly,
Campylobacter, Landry's ascending. Paralysis. CSF in notable for few white cells
and high protein. Botulism- Clostridium botulinum -A gram positive Anaerobe.
Rapid descending . Paralysis. CSF is normal. Avoid antibiotics
" - ANSWER-
What is transient tachypnea of the newborn? - ANSWER-Usually follows
uneventful deliveries . May be related to slower absorption of fetal lung fluid
resulting. Decreased pulmonary compliance and increased dead space. Usually
resolves in approximately 3 days without therapy.
Review the criteria for ARDS - ANSWER-Acute onset of symptoms following,
precipitating infection of insult, frontal chest xray biliateral infiltrates. No
clinical evidence of LA HTN, PsO2 to Fio2 ratio </= 200
What are the radiologic findings for asthma? - ANSWER-Asthma, flattened
diaphragm, narrow cardiac silhouette, hyperinflation, narrow cardiac
silhouette, peribronchial thickening, subsegmental atelectasis
Describe methods to treat hyperkalemia - ANSWER-Push K into cells- Albuterol,
Insulin/glucose, Sodium bicarbonate - Remove K- Kayexalate, dialysis; Stabilize
cardiac cell membrane- Ca chloride
