ACNP Review- Questions and Answers
Living arrangements of the Elderly Correct Ans-25% of population >95 live in LTCF
Majority of elders live with family or spouse
75% of men and 25% of women live with their spouse
1/3 live alone
Error theory of aging Correct Ans-As the cell ages it accumulates genetic mutations until a
"killer" gene is produced resulting in cell death
Short Acting Insulin Correct Ans-Regular/Humulin R, Novolin R
30 min onset
2-3 hour peak
3-6 hour duration
US MEC Contraceptive Category 1 Correct Ans-No restriction for the use of the
contraceptive method for a woman with that condition
US MEC Contraceptive Category 2 Correct Ans-Advantages of using that method of
contraception generally outweigh the theoretical or proven risk
COC/Patch/Ring Smoking <35 years
Depo under the age of 18
,IUD under the age of 20
COC/P/R/IUD >40 years old
POP uncontrolled HTN
IUD with HIV
US MEC Contraceptive Category 3 Correct Ans-Theoretical or proven risks of method
usually outweigh the advantages - not usually recommended unless more appropriate methods
are not available or acceptable
COC/Patch/Ring <15 cigarettes/day >35 years
COC HTN with adequate control
COC Hx of Gastric bypass
US MEC Contraceptive Category 4 Correct Ans-Unacceptable health risk if the contraceptive
method is used by a woman with that condition
COC/Patch/Ring >15 cigarettes/day >35 years
COC HTN with poor control
COC Factor V Leiden
Progestin pharmologic actions Correct Ans-Ovarian and pituitary inhibition
Thickening of cervical mucous
Endometrial atrophy/transformation
,Cycle control
Estrogen pharmologic actions Correct Ans-Ovarian and pituitary inhibition
Thinning of/increase of cervical mucous
Endometrial proliferation
Cycle control
US MEC Class A tests Correct Ans-COC/Patch/Ring - BP
LNG/Cu IUD - Bimanual exam and cervical inspection
Diaphragm or Cervical cap - Bimanual exam and cervical inspection
Pregnant? Correct Ans-<7 days from start of menses
No intercourse since start of last menses
Correctly/consistently using BC
<7 days since spontaneous or induced abortion
Within 4 weeks postpartum
Fully or nearly fully breastfeeding (>85% of feeds), amenorrheic, <6 months post partum
Initiating COC/Patch/Ring Correct Ans-Start Pill/Patch/ring on first day of menses
Backup method x7 days
"Jump Start" - if intercourse since LMP, emergency contraceptive then start P/P/R with backup x
7 days
, Contraception and potentially interacting medication Correct Ans-Continue to take
contraception even if spotting
Use backup method for duration of interacting medication plus 7 days
Dependent Variable Correct Ans-The outcome variable, the thing you are measuring
Independent Variable Correct Ans-The variable you are manipulating
Level one CPT visit Correct Ans-Lowest level of care, presenting problems are minimal
Level two CPT visit Correct Ans-Requires 2 out of 3:
Problem focused history
Problem focused exam
Straight forward medical decision making
Level three CPT visit Correct Ans-Require 2 out of 3:
Expanded problem focused history
Expanded problem focused exam
Low complexity medical decision making
Level four CPT visit Correct Ans-Require 2 out of 3:
Living arrangements of the Elderly Correct Ans-25% of population >95 live in LTCF
Majority of elders live with family or spouse
75% of men and 25% of women live with their spouse
1/3 live alone
Error theory of aging Correct Ans-As the cell ages it accumulates genetic mutations until a
"killer" gene is produced resulting in cell death
Short Acting Insulin Correct Ans-Regular/Humulin R, Novolin R
30 min onset
2-3 hour peak
3-6 hour duration
US MEC Contraceptive Category 1 Correct Ans-No restriction for the use of the
contraceptive method for a woman with that condition
US MEC Contraceptive Category 2 Correct Ans-Advantages of using that method of
contraception generally outweigh the theoretical or proven risk
COC/Patch/Ring Smoking <35 years
Depo under the age of 18
,IUD under the age of 20
COC/P/R/IUD >40 years old
POP uncontrolled HTN
IUD with HIV
US MEC Contraceptive Category 3 Correct Ans-Theoretical or proven risks of method
usually outweigh the advantages - not usually recommended unless more appropriate methods
are not available or acceptable
COC/Patch/Ring <15 cigarettes/day >35 years
COC HTN with adequate control
COC Hx of Gastric bypass
US MEC Contraceptive Category 4 Correct Ans-Unacceptable health risk if the contraceptive
method is used by a woman with that condition
COC/Patch/Ring >15 cigarettes/day >35 years
COC HTN with poor control
COC Factor V Leiden
Progestin pharmologic actions Correct Ans-Ovarian and pituitary inhibition
Thickening of cervical mucous
Endometrial atrophy/transformation
,Cycle control
Estrogen pharmologic actions Correct Ans-Ovarian and pituitary inhibition
Thinning of/increase of cervical mucous
Endometrial proliferation
Cycle control
US MEC Class A tests Correct Ans-COC/Patch/Ring - BP
LNG/Cu IUD - Bimanual exam and cervical inspection
Diaphragm or Cervical cap - Bimanual exam and cervical inspection
Pregnant? Correct Ans-<7 days from start of menses
No intercourse since start of last menses
Correctly/consistently using BC
<7 days since spontaneous or induced abortion
Within 4 weeks postpartum
Fully or nearly fully breastfeeding (>85% of feeds), amenorrheic, <6 months post partum
Initiating COC/Patch/Ring Correct Ans-Start Pill/Patch/ring on first day of menses
Backup method x7 days
"Jump Start" - if intercourse since LMP, emergency contraceptive then start P/P/R with backup x
7 days
, Contraception and potentially interacting medication Correct Ans-Continue to take
contraception even if spotting
Use backup method for duration of interacting medication plus 7 days
Dependent Variable Correct Ans-The outcome variable, the thing you are measuring
Independent Variable Correct Ans-The variable you are manipulating
Level one CPT visit Correct Ans-Lowest level of care, presenting problems are minimal
Level two CPT visit Correct Ans-Requires 2 out of 3:
Problem focused history
Problem focused exam
Straight forward medical decision making
Level three CPT visit Correct Ans-Require 2 out of 3:
Expanded problem focused history
Expanded problem focused exam
Low complexity medical decision making
Level four CPT visit Correct Ans-Require 2 out of 3:
