AG-ACNP DRT #3 verified to pass 2023/2024

AG-ACNP DRT #3 Patient c/o wrist and hand pain, swollen, redness and pain that is worse in the morning and resolves as the day goes on. What findings would support your suspected diagnosis of RA? a. narrowing of joint space b. osteophyes c. elevated ESR d. juxta-articular - correct answer elevated ESR Patient presents nausea, vomiting, dehydrated and anxious. Friends reported finding empty bottle of ASA by patient's bed. What is the primary intervention? - correct answer AC via OGT You are examining a patient with PMH of seizures. Patients sustains a seizure lasting around 12 minutes during exam. What is the most appropriate intervention? - correct answer diazepam (Valium) 5-10 mg IV urine Na 28, serum osmolality 250, urine osmolality 115. Suspected cause? - correct answer SIADH True or False: Barium enema is indicated in the conservative management of diverticulitis. - correct answer false Patient has low diastolic rumble murmur in the left lateral position with no radiation. What murmur do you suspect? - correct answer mitral stenosis Which of the following labs would you not expect to see in a patient that presents with Cushing's: a. hypokalemia b. glucosuria c. hypernatremia d. hypoglycemia - correct answer hypoglycemia At what age do males start colonoscopy every 10 years? - correct answer 50 Which of the following drugs cause lupus-like symptoms: a. beta blocker b. ASA c. procanamide d. sertaline - correct answer procandmide 35 yo. F presents to ED with c/o b/l wrist pain. You suspect spousal abuse. You notice a handgun in the patients purse. What would be your next action? a. contact social services about spousal abuse b. take the handgun away from the patient c. call security to ensure safety d. call the police and report a dangerous weapon - correct answer security to ensure safety You patient is worried about insurance coverage and asks you for advice on Medicaid. You instruct the patient that Medicaid pays: a. patient pays 80% of bill b. for individuals that cannot afford health care c. after other insurance companies or third-party payers have paid - correct answer after insurance and third-party payers have paid Stephen, 47 years old, comes to your office complaining of intense pain in the right eye which has worsened since he woke up this morning. During the eye exam, you find copious tearing and redness in his right eye. Which of the following would confirm the most likely diagnosis? a. Tonometry b. AV nicking c. Synovial aspirate d. Sodium fluorescein stain - correct answer sodium fluorescein stain for corneal abrasion