AG-ACNP Board Certification exam with Complete Solutions

AG-ACNP Board Certification exam with
Complete Solutions
compartment syndrome Correct Ans-sx: severe ischemic pain, tensely swollen, paresthesia

use Stryker tonometer - if >30 then need fasciotomy



Gram-positive bacteria Correct Ans-Staph, strep, entero, Cornebacterium




GI infections Correct Ans-flagyl (metronidazole) + Ceft or Zosyn




basal carcinoma Correct Ans-waxy, "pearly" appearance

rolled edges

telangiectatic vessels



punch/shave biopsy



migraine or cluster HAs Correct Ans-sumatriptan




normal serum osmo Correct Ans-275-285




hypo-Ca Correct Ans-+ Trousseau's sign

, + Chvostek's sign

increased DTR's

prolonged QT



metabolic alkalosis Correct Ans-give NaCL or KCl if volume down

D/c diuretics

Diamox (acetazolamide) if no need for volume



Somogyi effect Correct Ans-hypoglycemia followed by rebound hyperglycemia

tx: reduce insulin at bedtime



Dawn phenomenon Correct Ans-blood glucose increases throughout the night

tx: add/increase bedtime insulin



metformin risk Correct Ans-cause lactic acidosis

d/c 1-2 days before giving contrast



metabolic syndrome Correct Ans-large waist size

BP > 130/85

Triglycerides> 150

FBG > 100

HDL < 40-50