AGPCNP BOARD EXAM REVIEW NEWEST 2025
ACTUAL EXAM| 200 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| AGPCNP EXAM
PREP 2025 (BRAND NEW!!)
most common surgical procedure in patients 65+ - ANSWER - cataract
surgery
a patient presents with painless, clouded or dim vision with halos around
lights, no red reflex and DIPLOPIA IN A SINGLE EYE would be
suspected of - ANSWER - cataract
floaters in the eye is the most concerning symptom for: - ANSWER -
retinal detachment
the most important diagnostic indicator in the evaluation of headache is:
- ANSWER - chronology
patient describes a "vise-like", generalized headache that is more intense
about his neck and back of head. The most probable diagnosis is: -
ANSWER - tension headache
duration of tension headaches are usually: - ANSWER - no more than a
few hours
pg. 1
,2|Page
management of tension headache include: - ANSWER - OTC analgesics
and relaxation
the pathophysiology of most migraines is: - ANSWER - a result of
dilation and excessive pulsation of the external carotid artery
migraine's typically last: - ANSWER - at least 2 but no more than 72
hours
migraines without aura are classified as: - ANSWER - common migraine
migraines with aura are classified as: - ANSWER - classic migraine
migraine headaches, which affect females > males can commonly be
triggered by this inciting event in women: - ANSWER - hormonal
changes seen with onset of the menstrual cycle
a patient presents with unilateral periorbital pain with no prior history of
migraine. the most likely diagnosis is: - ANSWER - cluster headache
abortive therapy for cluster headache - ANSWER - usually includes
sumatriptan and 100% O2
for which two headache types is sumitriptan indicated: - ANSWER -
cluster and migraine
pg. 2
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patient presents with hx of diagnosed parkinson's and onset of tremors
that had previously been controlled. which medication should the NP
add: - ANSWER - an anticholinergic to help alleviate the tremor, e.g.
trihexyphenidyl (Artane)
on physical exam a patient who has a positive glabellar reflex when
repetitively tapped over the bridge of the nose is illiciting what sign?
name the sign and the commonly associated clinical condition -
ANSWER - myerson's sign (blinks in response to tap on the nose) which
is suggestive of parkinsons
the classic triad of parkinson's is represented by what clinical symptoms:
- ANSWER - tremor
rigidity
bradykinesia
contraction of the facial muscles when the facial nerve (VII) is tapped
briskly in front of the ear is termed:
what does the condition result from - ANSWER - chvostek's sign usually
resulting from low calcium
the group with the highest prevalence of cluster headaches are: -
ANSWER - middle-aged men
name the two most common types of dementia in order of prevalence: -
ANSWER - Alzheimer's disease
Vascular Dementia
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patient reports a unilateral throbbing headache that occurs episodically.
she states reports "seeing stars" and some weakness. she has no history
of migraines. the appropriate first step is: - ANSWER - all patients with
new migraines must be worked up to R/O organic causes of disease. the
provider should order:
CBC
CMP
VDRL
ESR
CT scan
the priority management of chronic migraine includes: - ANSWER - 1.
avoidance of triggers
2. relaxation / stress avoidance
3. prophylactic daily therapy if attacks occur more than 2-3 times per
month
if amitriptyline (Elavil) is being used for migraine prophylaxis, the
provider knows to monitor for: - ANSWER - prolongation of the QT
interval which is a BLACK BOX warning on all tricyclics
abortive therapy for migraines include: - ANSWER - sumatriptan 6mg
sub-q, repeated every other to max of 3 doses OR
sumatriptan 25 mg PO an onset
pg. 4