ACHPN exam with correct answers
Hiv/aids hospice criteria - Correct Answers -CD4 count < 25
Viral load > 100,000
Weight loss more than 10% in 3 months
Pps 50or less
Treatment of OIH - Correct Answers -Stop opioids and start ketamine
Hospice criteria COPD - Correct Answers -Fev1 after bronchodilator less than 30%
O2 sat less than 88% on RA
Dyspnea at rest
No response to bronchodilator
What bronchodilator to treat mild to severe copd - Correct Answers -SABA albuterol or
levalbuterol
Functional scales used are - Correct Answers -Kps pps and ecog
Duodenal obstruction assessment - Correct Answers -Splashing bowel sounds emesis
undigested food
Preperstion for fentanyl patch - Correct Answers -Clip hair no shave wash with water
only
What is the max you can drain with pleurx cath - Correct Answers -2000
What is FEV1 - Correct Answers -forced expiratory volume in one second
Beck Depression Inventory (BDI) - Correct Answers -a questionnaire useful for
determining the level of depressive symptoms that a person is reporting
Cancer Diagnosis most related to patient depression - Correct Answers -Pancreatic
To treat hiccups patient with ESRD - Correct Answers -Baclofen 5-10 mg po tid
Which of the following diagnosis is has a typical trajectory of overall decline with
repeated acute episode of illness and functional decline - Correct Answers -Congestive
heart failure
, CervicalCancer patient 24 yrs old , md thinks depressed but she is hopeful, in a support
group and educating her self about dx. What is this? - Correct Answers -Adjustment
What drug has been useful in the treatment of depression in medically ill patients? -
Correct Answers -Methylphenidate
Methylphenidate (Ritalin) - Correct Answers -Treatment of nausea and to increase
appetite. Initial dosage is 2.5 mg before lunch and dinner or just a evening dose at
2.5mg up to 20 mg daily
Maslow's Hierarchy of Needs - Correct Answers -physiological basic life system needs
safety and security
tlove and belonging
self-esteem
Painad - Correct Answers -assessment tool for pain; assesses 5 common behaviors:
breathing, vocalization, facial expression, body language, and consolability. A score of 4
or above indicates a need for pain management.
What is the most challenging to assess in a patient with progressive cva with dysarthria
and impaired executive fuction? - Correct Answers -Pain
Name three drugs to treat dementia - Correct Answers -Mild to moderate
Donepezil (aricept)
Galaantamin ( razadyne)
Severe/ moderate nameda
What test and score can support a diagnosis of dementia - Correct Answers -MMSE
( mini mental state exam)
Score below 25
Score below 15 can not adequately state pain
Stage C of heart failure
ACCF/AHA
Meds for Managment - Correct Answers -Increased shortness of breath
Edema
Chest pain with most activity
Loop diuretic and
ACEI
Describe opiate withdrawal symptoms - Correct Answers -Goose flesh, irritability,
insomnia, diarrhea, tremors
Tylenol withdrawal symptoms - Correct Answers -Nausea, abdominal pain, anorexia
Hiv/aids hospice criteria - Correct Answers -CD4 count < 25
Viral load > 100,000
Weight loss more than 10% in 3 months
Pps 50or less
Treatment of OIH - Correct Answers -Stop opioids and start ketamine
Hospice criteria COPD - Correct Answers -Fev1 after bronchodilator less than 30%
O2 sat less than 88% on RA
Dyspnea at rest
No response to bronchodilator
What bronchodilator to treat mild to severe copd - Correct Answers -SABA albuterol or
levalbuterol
Functional scales used are - Correct Answers -Kps pps and ecog
Duodenal obstruction assessment - Correct Answers -Splashing bowel sounds emesis
undigested food
Preperstion for fentanyl patch - Correct Answers -Clip hair no shave wash with water
only
What is the max you can drain with pleurx cath - Correct Answers -2000
What is FEV1 - Correct Answers -forced expiratory volume in one second
Beck Depression Inventory (BDI) - Correct Answers -a questionnaire useful for
determining the level of depressive symptoms that a person is reporting
Cancer Diagnosis most related to patient depression - Correct Answers -Pancreatic
To treat hiccups patient with ESRD - Correct Answers -Baclofen 5-10 mg po tid
Which of the following diagnosis is has a typical trajectory of overall decline with
repeated acute episode of illness and functional decline - Correct Answers -Congestive
heart failure
, CervicalCancer patient 24 yrs old , md thinks depressed but she is hopeful, in a support
group and educating her self about dx. What is this? - Correct Answers -Adjustment
What drug has been useful in the treatment of depression in medically ill patients? -
Correct Answers -Methylphenidate
Methylphenidate (Ritalin) - Correct Answers -Treatment of nausea and to increase
appetite. Initial dosage is 2.5 mg before lunch and dinner or just a evening dose at
2.5mg up to 20 mg daily
Maslow's Hierarchy of Needs - Correct Answers -physiological basic life system needs
safety and security
tlove and belonging
self-esteem
Painad - Correct Answers -assessment tool for pain; assesses 5 common behaviors:
breathing, vocalization, facial expression, body language, and consolability. A score of 4
or above indicates a need for pain management.
What is the most challenging to assess in a patient with progressive cva with dysarthria
and impaired executive fuction? - Correct Answers -Pain
Name three drugs to treat dementia - Correct Answers -Mild to moderate
Donepezil (aricept)
Galaantamin ( razadyne)
Severe/ moderate nameda
What test and score can support a diagnosis of dementia - Correct Answers -MMSE
( mini mental state exam)
Score below 25
Score below 15 can not adequately state pain
Stage C of heart failure
ACCF/AHA
Meds for Managment - Correct Answers -Increased shortness of breath
Edema
Chest pain with most activity
Loop diuretic and
ACEI
Describe opiate withdrawal symptoms - Correct Answers -Goose flesh, irritability,
insomnia, diarrhea, tremors
Tylenol withdrawal symptoms - Correct Answers -Nausea, abdominal pain, anorexia
