AGACNP final1
1. A 20-yr-old lady gives with a records of recurrent, unilateral, pulsating complications with
vomiting and photophobia. She states that she sees "little squiggles for about 15 minutes "
previous to the headache but can improve the ache by using resting in a darkish room. This
presentation is maximum consistent with which of the following?
A.) migraine with charisma
B.) temporal arteritis
C.) cluster headache
D.) anxiety type headache - ANS-A.) migraine with air of secrecy
1. A 20-year-antique woman scholar involves the workplace because of multiple bouts of
abdominal pain and diarrhea for the beyond three months. On many events, she has seen
blood in her stool. She has a sister who suffers comparable signs. The patient is stated a
gastroenterologist for a colonoscopy and she or he's located to have pathology affecting her
distal colon. Which of the following histologic features is maximum possibly to be located?
A.) cobblestone mucosa
B.) transmural involvement
C.) crypt abscesses
D.) pass lesions - ANS-C.) crypt abscesses
1. A 25-year-vintage girl provides to the emergency branch with lawsuits of 4 days of
increasing dysphagia, dysuria, and a macular rash at the trunk and top extremities. Her
critical signs and symptoms are solid except for a temp of 103.1. She is ill-acting. On further
physical exam, an erythematous rash is stated on her chest covering about 10% body floor
place. There are small lesions with some forming blistering and bullae. Upon further
questioning, the most effective medicine that she is currently taking is Erythromycin for
pimples. The most likely diagnosis for this patient is:
A.) Toxic Epidermal Necrolysis
B.) Stevens-Johnson Syndrome
C.) Necrotizing Fasciitis
D.) Erythema Multiforme - ANS-B.) Stevens-Johnson Syndrome
1. A 28-year-antique male has just been recognized with sickle mobile ailment. What is/are
the symptom(s) that he maximum possibly presented with at prognosis?
A.) low returned and hip ache
B.) urinary retention
C.) diarrhea
D.) epistaxis - ANS-A.) low lower back and hip pain
,1. A 28-12 months-old affected person with a history of annoying mind injury affords with
reviews of ingesting 6L of ice water day by day with related polyuria, and tachycardia. His
preliminary labs display an Na+ 150, serum (plasma) osmolality of 305 mOsm/kg, and urine
precise gravity of <1.0.5. What could the NP think the maximum probable diagnosis could be
on this affected person?
A.) Central Diabetes Insipidus
B.) Cushing Syndrome
C.) Type I Diabetes Mellitus
D.) Addison's Disease - ANS-A.) Central Diabetes Insipidus
1. A 32 YO male provides to the emergency department with signs and symptoms
suspicious for pulmonary Hypertension. His O2 sat is 91% on RA and he is tachypneic at a
rate of 28/min. Preliminary blood work is bad including HIV. What is the following maximum
appropriate order?
A.) Order a stat echocardiogram.
B.) Initiate oxygen therapy.
C.) Refer affected person for a pulmonary comply with-up.
D.) Schedule a right heart catheterization. - ANS-B.) Initiate oxygen therapy.
1. A 35-12 months-vintage affected person presents with weight loss, orthostatic
hypotension, hyperpigmentation of the skin that has been happening for three months. Her
initial labs screen Na+ 130, K+ 5.7, and blood glucose 62mg/dL. Based on this statistics
which of the observe diagnostic take a look at would the NP most likely order next in this
patient?
A.) plasma metanephrines
B.) thyroid-stimulating hormone (TSH)
C.) dexamethasone suppression check
D.) plasma ACTH - ANS-D.) plasma ACTH
1. A 38-year-vintage man comes to the office due to current onset of abdominal pain around
his umbilicus. He has a history of Crohn disease that became diagnosed a few years ago.
He says that his pants were feeling a touch unfastened, and he is worried he may have lost
a few weight unintentionally. His temperature is 38°C (a hundred.4°F). Physical exam
well-knownshows a palpable abdominal mass inside the right lower quadrant. Which of the
subsequent is the most appropriate next step in the management of this patient?
A.) bendy sigmoidoscopy
B.) administer corticosteroids
C.) belly x-ray
D.) belly CT experiment - ANS-D.) stomach CT test
1. A forty y/o girl with PMH of HLD who lately underwent outpatient treatment for an upper
respiration infection offers for your clinic with a -day history of progressing erythematous
macular rash with purpuric facilities and blisters to the torso and extremities. As a
complicated provider, you're worried with:
, A.) Toxic Epidermal Necrolysis
B.) Necrotizing Fasciitis
C.) Cellulitis
D.) Contact Dermatitis - ANS-A.) Toxic Epidermal Necrolysis
1. A forty two-yr-old dialysis patient gives c/o of retrosternal, pleuritic chest pain associated
with shortness of breath and improves with leaning forward. EKG famous diffuse ST
elevation and PR despair. Preliminary conversation together with your collaborating health
practitioner emphasizes high possibility for which condition?
A.) volatile angina
B.) endocarditis
C.) pericarditis
D.) costochondritis - ANS-C.) pericarditis
1. A 42-year-old male with a history of IV drug use affords complaining chest pain and
difficulty respiration. Your differential diagnosis' include pericarditis and pulmonary
thrombo-embolus (PTE). What is the gold popular diagnostic take a look at indicated to
assess for PTE?
A.) spiral CT of the chest
B.) D-Dimer
C.) pulmonary angiogram
D.) bedside ultrasound - ANS-A.) spiral CT of the chest
1. A forty eight-year-old female a involves the health center due to gnawing, epigastric pain
for the past 3 months. She says that the pain takes place 2-3 hours after ingesting. It is
relieved by using antacids. Physical exam reveals slight epigastric tenderness, and the
affected person isn't always currently on any medications. Which of the subsequent is most
possibly to be associated with her underlying problem?
A.) H. Pylori contamination
B.) gastric carcinoma
C.) persistent NSAID use
D.) Crohn Disease - ANS-A.) H. Pylori infection
1. A 50-12 months-vintage male gives for a checkup. He has no complaints. His history and
physical are unremarkable. A routine CBC exhibits the following: hemoglobin 11.2g/dl, MCV
72u, WBC five. 7, hematocrit 35% and MCH 25. Based on this data, how could his anemia
be labeled?
A.) Macrocytic, hypochromic
B.) Normocytic, normochromic
C.) Microcytic, hypochromic
D.) Microcytic, normochromic - ANS-C.) Microcytic, hypochromic
1. A 20-yr-old lady gives with a records of recurrent, unilateral, pulsating complications with
vomiting and photophobia. She states that she sees "little squiggles for about 15 minutes "
previous to the headache but can improve the ache by using resting in a darkish room. This
presentation is maximum consistent with which of the following?
A.) migraine with charisma
B.) temporal arteritis
C.) cluster headache
D.) anxiety type headache - ANS-A.) migraine with air of secrecy
1. A 20-year-antique woman scholar involves the workplace because of multiple bouts of
abdominal pain and diarrhea for the beyond three months. On many events, she has seen
blood in her stool. She has a sister who suffers comparable signs. The patient is stated a
gastroenterologist for a colonoscopy and she or he's located to have pathology affecting her
distal colon. Which of the following histologic features is maximum possibly to be located?
A.) cobblestone mucosa
B.) transmural involvement
C.) crypt abscesses
D.) pass lesions - ANS-C.) crypt abscesses
1. A 25-year-vintage girl provides to the emergency branch with lawsuits of 4 days of
increasing dysphagia, dysuria, and a macular rash at the trunk and top extremities. Her
critical signs and symptoms are solid except for a temp of 103.1. She is ill-acting. On further
physical exam, an erythematous rash is stated on her chest covering about 10% body floor
place. There are small lesions with some forming blistering and bullae. Upon further
questioning, the most effective medicine that she is currently taking is Erythromycin for
pimples. The most likely diagnosis for this patient is:
A.) Toxic Epidermal Necrolysis
B.) Stevens-Johnson Syndrome
C.) Necrotizing Fasciitis
D.) Erythema Multiforme - ANS-B.) Stevens-Johnson Syndrome
1. A 28-year-antique male has just been recognized with sickle mobile ailment. What is/are
the symptom(s) that he maximum possibly presented with at prognosis?
A.) low returned and hip ache
B.) urinary retention
C.) diarrhea
D.) epistaxis - ANS-A.) low lower back and hip pain
,1. A 28-12 months-old affected person with a history of annoying mind injury affords with
reviews of ingesting 6L of ice water day by day with related polyuria, and tachycardia. His
preliminary labs display an Na+ 150, serum (plasma) osmolality of 305 mOsm/kg, and urine
precise gravity of <1.0.5. What could the NP think the maximum probable diagnosis could be
on this affected person?
A.) Central Diabetes Insipidus
B.) Cushing Syndrome
C.) Type I Diabetes Mellitus
D.) Addison's Disease - ANS-A.) Central Diabetes Insipidus
1. A 32 YO male provides to the emergency department with signs and symptoms
suspicious for pulmonary Hypertension. His O2 sat is 91% on RA and he is tachypneic at a
rate of 28/min. Preliminary blood work is bad including HIV. What is the following maximum
appropriate order?
A.) Order a stat echocardiogram.
B.) Initiate oxygen therapy.
C.) Refer affected person for a pulmonary comply with-up.
D.) Schedule a right heart catheterization. - ANS-B.) Initiate oxygen therapy.
1. A 35-12 months-vintage affected person presents with weight loss, orthostatic
hypotension, hyperpigmentation of the skin that has been happening for three months. Her
initial labs screen Na+ 130, K+ 5.7, and blood glucose 62mg/dL. Based on this statistics
which of the observe diagnostic take a look at would the NP most likely order next in this
patient?
A.) plasma metanephrines
B.) thyroid-stimulating hormone (TSH)
C.) dexamethasone suppression check
D.) plasma ACTH - ANS-D.) plasma ACTH
1. A 38-year-vintage man comes to the office due to current onset of abdominal pain around
his umbilicus. He has a history of Crohn disease that became diagnosed a few years ago.
He says that his pants were feeling a touch unfastened, and he is worried he may have lost
a few weight unintentionally. His temperature is 38°C (a hundred.4°F). Physical exam
well-knownshows a palpable abdominal mass inside the right lower quadrant. Which of the
subsequent is the most appropriate next step in the management of this patient?
A.) bendy sigmoidoscopy
B.) administer corticosteroids
C.) belly x-ray
D.) belly CT experiment - ANS-D.) stomach CT test
1. A forty y/o girl with PMH of HLD who lately underwent outpatient treatment for an upper
respiration infection offers for your clinic with a -day history of progressing erythematous
macular rash with purpuric facilities and blisters to the torso and extremities. As a
complicated provider, you're worried with:
, A.) Toxic Epidermal Necrolysis
B.) Necrotizing Fasciitis
C.) Cellulitis
D.) Contact Dermatitis - ANS-A.) Toxic Epidermal Necrolysis
1. A forty two-yr-old dialysis patient gives c/o of retrosternal, pleuritic chest pain associated
with shortness of breath and improves with leaning forward. EKG famous diffuse ST
elevation and PR despair. Preliminary conversation together with your collaborating health
practitioner emphasizes high possibility for which condition?
A.) volatile angina
B.) endocarditis
C.) pericarditis
D.) costochondritis - ANS-C.) pericarditis
1. A 42-year-old male with a history of IV drug use affords complaining chest pain and
difficulty respiration. Your differential diagnosis' include pericarditis and pulmonary
thrombo-embolus (PTE). What is the gold popular diagnostic take a look at indicated to
assess for PTE?
A.) spiral CT of the chest
B.) D-Dimer
C.) pulmonary angiogram
D.) bedside ultrasound - ANS-A.) spiral CT of the chest
1. A forty eight-year-old female a involves the health center due to gnawing, epigastric pain
for the past 3 months. She says that the pain takes place 2-3 hours after ingesting. It is
relieved by using antacids. Physical exam reveals slight epigastric tenderness, and the
affected person isn't always currently on any medications. Which of the subsequent is most
possibly to be associated with her underlying problem?
A.) H. Pylori contamination
B.) gastric carcinoma
C.) persistent NSAID use
D.) Crohn Disease - ANS-A.) H. Pylori infection
1. A 50-12 months-vintage male gives for a checkup. He has no complaints. His history and
physical are unremarkable. A routine CBC exhibits the following: hemoglobin 11.2g/dl, MCV
72u, WBC five. 7, hematocrit 35% and MCH 25. Based on this data, how could his anemia
be labeled?
A.) Macrocytic, hypochromic
B.) Normocytic, normochromic
C.) Microcytic, hypochromic
D.) Microcytic, normochromic - ANS-C.) Microcytic, hypochromic
