AC-PNP EXAM LATEST WITH ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
ALREADY GRADED A+ 100% GUARANTEED
PASS!
List drug options that will cover a pseudomonas -
.....ANSWER ...✔✔ Ceftazidime, cefipime,
Pipercillin/ticarcillin, Meropenem, imipenem,aztreonam,
Flouroquinolones, Aminoglycosides
Describe the differences in CSF findings between
bacterial, viral, & herpes meningitis - .....ANSWER
...✔✔ Bacterial- Decreased glucose and highly
Increased WBC, Lactate, protein: Diff- PMN
Viral- Glucose normal and lactate normal or decreased,
protein and WBC mildly increased. DIff PMN first than
monos
Herpes- Glucose normal, protein and WBC increased,
Diff PMN than monos, RBC >1000 in absence of
traumatic tap.
List signs & symptoms of malaria - .....ANSWER ...✔✔
Fever, CNS dysfunction, anemia, hemoglobinuria,
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sweats, chills, HA, pulmonary edema, N&V,
coagulopathy, myalgia, shock, fatigue, renal failure,
hepatosplenomegaly, metabolic acidosis, tachypnea,
hypoglycemia
3rd generation cephalosporins cover which organisms? -
.....ANSWER ...✔✔ Gram Positive, HENPEK, Serratia,
Ceftazidime also covers pseudomonas
Review the signs & symptoms, course, and treatment for
the 2 organisms causing toxic shock. Which is worse? -
.....ANSWER ...✔✔ Early symptoms = pain is the most
common initial symptom, fever/hypothermia, confusion,
soft tissue infection, positive blood culture (60%), or rash
S. pyogenes causes hypotension- 2 of the following:
renal dysfunction, coagulopathy, ARDS, tissue necrosis,
erythematous rash, skin desquamation 10-14 days after
onset, high mortality, Tx with supportive care,
clindamycin and debridement;
S. aureus- fever, hypotention and rash -involvement of 3
or more organ systems, Absence of rocky mountain
spotted fever, leptospirosis, measles, mono, or syphilis.
High morbidity. Treat with supportive care, nafcillin,
(vancomycin for MRSA) and debridement
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State one major pediatric theorist for each of the
following: Psychosocial, cognitive and moral
development - .....ANSWER ...✔✔ Psychosocial:
Erickson
Cognitive: Piaget
Moral: Kohlberg
At what age should children first be able to combine
words? - .....ANSWER ...✔✔ 18 months
Erikson's stage of Industry vs. inferiortiy coincides with
which Piaget stage? - .....ANSWER ...✔✔ Concrete
Operations
What are the adverse effects of ginkgo biloba? -
.....ANSWER ...✔✔ Bleeding events r/t inhibition of
platelet activating factor, subdural hematoma, cerebral
hemorrhage, hyphema and post-op bleeding
complications, increased CBF may result in increased
ICP, may potentiate anticoagulation
What is St. John's Wort used for and what are the
adverse effects? - .....ANSWER ...✔✔ Used for mild
depresssion, Generally well tolerated, Headache, GI
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disturbances, Phytophotoxic dermatitis, Reduces plasma
levels of protease inhibitors
Name two classes of medication that can be used as
adjuvants to treat pain - .....ANSWER ...✔✔
Antidepressants or anticonvulsants
Name the 5 cranial nerves important to eating -
.....ANSWER ...✔✔ V Trigeminal SM, VII facial SM, IX
Glossopharyngeal SM, X Vagus M, XII Hypoglossal M
Describe Epidural Hemmorhages? - .....ANSWER
...✔✔ Epidural, between inner table of skull and dura
mater, lenticular shape, do not cross hemispheres, often
follow middle meningeal artery tear, period of lucency
followed by decreased LOA, emergent surgical
evacuation if symptomatic
Describe Subdural Hemmorhages? - .....ANSWER
...✔✔ Subdural, between dura mater and arachnoid,
may be associated with a skull fracture, often bilateral
and will cross hemispheres, symptoms may be acute or
insidious ICP- surgical evacuation if symptomatic