AGACNP 1 Exam 1 Questions With
Correct Answers
How do you manage a pt with hyperthyroidism?
| | | | | | |
1. Refer to endocrinologist
| | |
2. Treat symptoms:
| |
Propanolol 10 mg po QID | | | |
Metoprolol 25 mg q 6-8 hrs | | | | |
3. Start antithyroid meds
| | |
Methimazole (Tapazole) |
Initial: 30-60 mg daily divided in 3 doses
| | | | | | |
Maintenance: 5-15 mg daily | | |
,If intolerant to methimazole, and not surgical r radioactive iodine
| | | | | | | | | |
candidates, try | |
Propylthiouracil
Initial: 300-600mg daily in 4 divided doses
| | | | | |
Maint: 100-150mg/day in 3 divided doses
| | | | |
Who is recommended to receive hepatitis B vaccine?
| | | | | | |
It is recommended for individuals at risk of contracting it sexually or
| | | | | | | | | | | |
through IV drug use. Also recommended for dialysis and liver patients.
| | | | | | | | | |
Who is recommended to receive hepatitis A vaccine?
| | | | | | |
Those with chronic liver dz, gay men, ppl receiving clotting concentrates,
| | | | | | | | | |
IV drug users, lab workers who work with hep A infected primates
| | | | | | | | | | | |
When should you start screening for prostate cancer?
| | | | | | |
,40
When should you start screening for colorectal cancer?
| | | | | | |
Average risk patients: start at 50
| | | | |
High risk pts (hx of polyps, IBD, heritable risk factors): start at 40.
| | | | | | | | | | | |
What grade murmur do you first hear a thrill?
| | | | | | | |
4/6
What murmurs are considered pathologic?
| | | |
Diastolic, holosystolic, late systolic, and continuous
| | | | |
What murmur is this?
| | |
Low-pitched, decrecendo-crescendo, heard best at apex, does not
| | | | | | | |
radiate. Has opening snap and diastolic rumble.
| | | | | |
Mitral stenosis
|
, MicroSoft Operating System | |
Mitral Stenosis Opening Snap
| | |
What murmur is this?
| | |
Harsh, crescendo-decrescendo, radiates to the carotids, heard best over
| | | | | | | | |
aortic area |
Aortic stenosis |
What murmur is this?
| | |
Holosystolic, high-pitched blowing sound, heard at apex, radiates to the
| | | | | | | | | |
axilla. Lateral position can intensify sound. If severe enough, an S3 may
| | | | | | | | | | | |
accompany it. |
Mitral regurgitation
|
What sound is heard with MVP (Mitral Valve Prolapse)?
| | | | | | | |
Midsystolic click |
It's a systolic click with a mid-to-late systolic murmur or musical
| | | | | | | | | |
|"whoop" or "honk" | |
Correct Answers
How do you manage a pt with hyperthyroidism?
| | | | | | |
1. Refer to endocrinologist
| | |
2. Treat symptoms:
| |
Propanolol 10 mg po QID | | | |
Metoprolol 25 mg q 6-8 hrs | | | | |
3. Start antithyroid meds
| | |
Methimazole (Tapazole) |
Initial: 30-60 mg daily divided in 3 doses
| | | | | | |
Maintenance: 5-15 mg daily | | |
,If intolerant to methimazole, and not surgical r radioactive iodine
| | | | | | | | | |
candidates, try | |
Propylthiouracil
Initial: 300-600mg daily in 4 divided doses
| | | | | |
Maint: 100-150mg/day in 3 divided doses
| | | | |
Who is recommended to receive hepatitis B vaccine?
| | | | | | |
It is recommended for individuals at risk of contracting it sexually or
| | | | | | | | | | | |
through IV drug use. Also recommended for dialysis and liver patients.
| | | | | | | | | |
Who is recommended to receive hepatitis A vaccine?
| | | | | | |
Those with chronic liver dz, gay men, ppl receiving clotting concentrates,
| | | | | | | | | |
IV drug users, lab workers who work with hep A infected primates
| | | | | | | | | | | |
When should you start screening for prostate cancer?
| | | | | | |
,40
When should you start screening for colorectal cancer?
| | | | | | |
Average risk patients: start at 50
| | | | |
High risk pts (hx of polyps, IBD, heritable risk factors): start at 40.
| | | | | | | | | | | |
What grade murmur do you first hear a thrill?
| | | | | | | |
4/6
What murmurs are considered pathologic?
| | | |
Diastolic, holosystolic, late systolic, and continuous
| | | | |
What murmur is this?
| | |
Low-pitched, decrecendo-crescendo, heard best at apex, does not
| | | | | | | |
radiate. Has opening snap and diastolic rumble.
| | | | | |
Mitral stenosis
|
, MicroSoft Operating System | |
Mitral Stenosis Opening Snap
| | |
What murmur is this?
| | |
Harsh, crescendo-decrescendo, radiates to the carotids, heard best over
| | | | | | | | |
aortic area |
Aortic stenosis |
What murmur is this?
| | |
Holosystolic, high-pitched blowing sound, heard at apex, radiates to the
| | | | | | | | | |
axilla. Lateral position can intensify sound. If severe enough, an S3 may
| | | | | | | | | | | |
accompany it. |
Mitral regurgitation
|
What sound is heard with MVP (Mitral Valve Prolapse)?
| | | | | | | |
Midsystolic click |
It's a systolic click with a mid-to-late systolic murmur or musical
| | | | | | | | | |
|"whoop" or "honk" | |
