AGACNP DRT Review 2023/2024 updated to pass

AGACNP DRT ReviewCelecoxib (Celebrex) - correct answer -COX-2 inhibitor -Last choice treatment for osteoarthritis -Should not be prescribed to patients with a history of cardiovascular conditions = increase risk of heart attack Osteoarthritis (OA) Treatment - correct answer -ASA -Tylenol -NSAIDS (ibuprofen, naproxen) -Celebrex -Hot and cold therapy First line management for acetaminophen intoxication? - correct answer -Emesis or gastric lavage -Ipecac used to force emesis- only if patient is not altered -N-acetylcyesteine with 140mg/kg loading dose What needs to be reported to the health department? - correct answer -Chlamydia -Syphilis -Gonorrea -TB -HIV -Lyme Disease -Animal Bites -Injuries due to dangerous weapons -Suspected child abuse Malpractice - correct answer -Failure of a professional to render services with the degree of care, diligence and precaution that another member of the same profession under similar circumstances would render to prevent injury to someone else -Involves: professional misconduct, unreasonable lack of skill, illegal/immoral conduct, other allegations resulting in harm Signs and symptoms of partial small-bowel obstruction - correct answer -Pronounced abdominal distention -Watery, mucous filled diarrhea -High pitched, tinkling bowel sounds "Battle sign" is an indication of a: - correct answer Bruising behind the ear at the mastoid process Raccoon Eyes - correct answer Bruising around the eyes, indicative of a basilar skull fracture Pap smear screening - correct answer -Start at age 21 -Pap + cytology is age 30-65 every 3 years -Pap + cytology + HPV is age 30-65 years every 5 years Migraine Pathophysiology - correct answer Dilation and excessive pulsation of branches of the external carotid artery HBsAg, Anti-HBe, IgM, IgG - what is the diagnosis? - correct answer Chronic Hep B -HBsAg = Hep B -Anti-HBe = decreased viral load -IgM = initial response/recent -IgG = exposure/immunity HBsAg, HBeAg, Anti-HBc, IgM - correct answer Active Hep B -HBsAg = Hep B -HBeAg = increase viral load -Anti-Hbc = in all 3 -IgM = recent Mitral stenosis murmur - correct answer -Low pitched -Mid-diastolic -Apical "creascendo" rumble -Occurs during S1 -Does not radiate Herbal agents that can alleviate premenstrual discomforts? - correct answer -Evening Primrose -Black Cohosh Continuous Positive Airway Pressure Ventilation - correct answer -Allows patient to breathe normally and spontaneously -Above atmospheric pressure provided throughout inspiration and expiration Organophosphate (Insecticide) Poisoning Treatment - correct answer 1. Wash skin thoroughly 2. If ingested, activated charcoal 3. **Atropine (drug of choice) Benzodiazepine Overdose Treatment - correct answer 1. Respiratory and blood pressure support 2.**Flumazenil (Romazicon) IV 3. Activated charcoal Diagnostic test to differentiate between intrarenal and postrenal failure? - correct answer Urinary sediment test -Granular white cast = intrarenal -Normal results = postrenal