AACN FINAL LATEST 2025 EXAM
QUESTIONS WITH 100%
VERIFIED SOLUTIONS- GRADED
A+
,Charcot's Triad
RUQ pain, fever, jaundice (indicates cholangitis)
Reynold's pentad
RUQ pain, fever, jaundice, AMS, hypotension (indicates worsening cholangitis)
Murphy's sign
Pain with palpation of the RUQ during inspiration, indicative of cholecystitis
Psoas sign
RLQ pain with extension of right thigh/hip indicative of appendicitis
Kehr's sign
Left shoulder pain caused by irritation of the undersurface of the diaphragm by blood leaking from a
ruptured spleen. While Kehr's sign (left shoulder pain) is commonly a symptom of splenic rupture, right
shoulder pain typically signals liver or gallbladder irritation
Cullen's sign
Ecchymosis in periumbilical area, seen with pancreatitis
Grey Turner's sign
Atraumatic ecchymosis in the flank, typically indicating hemorrhagic pancreatitis
Beck's triad
JVD, muffled heart sounds, decreased BP (indicate cardiac tamponade)
Cushing's triad
Bradycardia, bradypnea, hypertension (indicate increased ICP; normal ICP=5-15 mm Hg)
Charcot's neurologic triad
Nystagmus, staccato speech, intentional tremor (indicate MS)
Virchow's triad
Venous stasis, hypercoagulability, endothelial damage (high risk of thrombosis)
Shock Triad
Hypotension, tachycardia, tachypnea
Opioid Poisoning Triad
CNS depression (AMS, coma), respiratory depression, miosis (pinpoint pupils)
Wolf-Parkinson-White Syndrome: 3 signs
, Short PR interval, delta waves, and wide QRS complex
Behcet's disease
Recurrent oral ulcers, genital ulcers, eye inflammation
3 D's of pellagra (niacin, vit B3, deficiency)
Diarrhea, dementia, dermatitis
Serotonin Syndrome
Similar to NMS but caused by serotonin medications, and has hyperreflexive muscle activity
Symptoms= mental status changes and hyperthermia. Treatment=cyproheptadine
Neuroleptic Malignant Syndrome
Adverse reaction to antipsychotics with severe "lead pipe" rigidty, FEVER (102-104), tachycardia,
tachypnea, mental status changes
Lethal triad of trauma
Hypothermia, acidosis, coagulopathy
Neurogenic shock: 3 symptoms
Hypothermia, hypotension, bradycardia
Whipple's triad
1. Fasting hypoglycemia <50
2. Symptoms during hypoglycemia
3. Immediate relief of symptoms after the administration of IV glucose
(suggest insulinoma)
Reactive arthritis rhyme
Can't see (conjunctivitis), can't pee (urethritis or cervicitis), can't climb a tree (arthritis)
Murphy's Triad
RLQ pain, nausea/vomiting, fever (indicates appendicitis)
Acidosis vs Alkalosis
ROME:
Respiratory - Opposite
Acidosis: ph is down, pco2 is up
Alkalosis: ph is up, pco2 is down
Metabolic - Equal
Acidosis: ph is down, pco2 is down
Alkalosis: ph is up, pco2 is up
ACE Inhibitors
QUESTIONS WITH 100%
VERIFIED SOLUTIONS- GRADED
A+
,Charcot's Triad
RUQ pain, fever, jaundice (indicates cholangitis)
Reynold's pentad
RUQ pain, fever, jaundice, AMS, hypotension (indicates worsening cholangitis)
Murphy's sign
Pain with palpation of the RUQ during inspiration, indicative of cholecystitis
Psoas sign
RLQ pain with extension of right thigh/hip indicative of appendicitis
Kehr's sign
Left shoulder pain caused by irritation of the undersurface of the diaphragm by blood leaking from a
ruptured spleen. While Kehr's sign (left shoulder pain) is commonly a symptom of splenic rupture, right
shoulder pain typically signals liver or gallbladder irritation
Cullen's sign
Ecchymosis in periumbilical area, seen with pancreatitis
Grey Turner's sign
Atraumatic ecchymosis in the flank, typically indicating hemorrhagic pancreatitis
Beck's triad
JVD, muffled heart sounds, decreased BP (indicate cardiac tamponade)
Cushing's triad
Bradycardia, bradypnea, hypertension (indicate increased ICP; normal ICP=5-15 mm Hg)
Charcot's neurologic triad
Nystagmus, staccato speech, intentional tremor (indicate MS)
Virchow's triad
Venous stasis, hypercoagulability, endothelial damage (high risk of thrombosis)
Shock Triad
Hypotension, tachycardia, tachypnea
Opioid Poisoning Triad
CNS depression (AMS, coma), respiratory depression, miosis (pinpoint pupils)
Wolf-Parkinson-White Syndrome: 3 signs
, Short PR interval, delta waves, and wide QRS complex
Behcet's disease
Recurrent oral ulcers, genital ulcers, eye inflammation
3 D's of pellagra (niacin, vit B3, deficiency)
Diarrhea, dementia, dermatitis
Serotonin Syndrome
Similar to NMS but caused by serotonin medications, and has hyperreflexive muscle activity
Symptoms= mental status changes and hyperthermia. Treatment=cyproheptadine
Neuroleptic Malignant Syndrome
Adverse reaction to antipsychotics with severe "lead pipe" rigidty, FEVER (102-104), tachycardia,
tachypnea, mental status changes
Lethal triad of trauma
Hypothermia, acidosis, coagulopathy
Neurogenic shock: 3 symptoms
Hypothermia, hypotension, bradycardia
Whipple's triad
1. Fasting hypoglycemia <50
2. Symptoms during hypoglycemia
3. Immediate relief of symptoms after the administration of IV glucose
(suggest insulinoma)
Reactive arthritis rhyme
Can't see (conjunctivitis), can't pee (urethritis or cervicitis), can't climb a tree (arthritis)
Murphy's Triad
RLQ pain, nausea/vomiting, fever (indicates appendicitis)
Acidosis vs Alkalosis
ROME:
Respiratory - Opposite
Acidosis: ph is down, pco2 is up
Alkalosis: ph is up, pco2 is down
Metabolic - Equal
Acidosis: ph is down, pco2 is down
Alkalosis: ph is up, pco2 is up
ACE Inhibitors