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AACN Exam Questions with Detailed Verified Answers
Charcot's Triad Ans: ✓ ✓ ✓ RUQ pain, fever, jaundice (indicates cholangitis)
Reynold's pentad Ans: ✓ ✓ ✓ RUQ pain, fever, jaundice, AMS, hypotension (indicates worsening
cholangitis)
Murphy's sign Ans: ✓ ✓ ✓ pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
Psoas sign Ans: ✓ ✓ ✓ RLQ pain with extension of right thigh/hip indicative of appendicitis
Kehr's sign Ans: ✓ ✓ ✓ Left shoulder pain caused by irritation of the undersurface of the
diaphragm by blood leaking from a ruptured spleen. While Kehr's sign (left shoulder pain) is
commonly a symptom of splenic rupture, right shoulder pain typically signals liver or gallbladder
irritation
Cullen's sign Ans: ✓ ✓ ✓ Ecchymosis in periumbilical area, seen with pancreatitis
Grey Turner's sign Ans: ✓ ✓ ✓ Atraumatic ecchymosis in the flank, typically indicating hemorrhagic
pancreatitis
Beck's triad Ans: ✓ ✓ ✓ JVD, muffled heart sounds, decreased BP (indicate cardiac tamponade)
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Cushing's triad Ans: ✓ ✓ ✓ bradycardia, bradypnea, hypertension (indicate increased ICP; normal
ICP=5-15 mm Hg)
Charcot's neurologic triad Ans: ✓ ✓ ✓ Nystagmus, staccato speech, intentional tremor (indicate
MS)
Virchow's triad Ans: ✓ ✓ ✓ Venous stasis, hypercoagulability, endothelial damage (high risk of
thrombosis)
Shock Triad Ans: ✓ ✓ ✓ Hypotension, tachycardia, tachypnea
Opioid Poisoning Triad Ans: ✓ ✓ ✓ CNS depression (AMS, coma), respiratory depression, miosis
(pinpoint pupils)
Wolf-Parkinson-White Syndrome: 3 signs Ans: ✓ ✓ ✓ short PR interval, delta waves, and wide QRS
complex
Behcet's disease Ans: ✓ ✓ ✓ Recurrent oral ulcers, genital ulcers, eye inflammation
3 D's of pellagra (niacin, vit B3, deficiency) Ans: ✓ ✓ ✓ Diarrhea, dementia, dermatitis
Serotonin Syndrome Ans: ✓ ✓ ✓ Similar to NMS but caused by serotonin medications, and has
HYPERreflexive muscle activity
Symptoms= mental status changes and hyperthermia. Treatment=cyproheptadine
Neuroleptic Malignant Syndrome Ans: ✓ ✓ ✓ Adverse reaction to antipsychotics with severe "lead
pipe" rigidty, FEVER (102-104), tachycardia, tachypnea, mental status changes
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AACN Exam Questions with Detailed Verified Answers
Charcot's Triad Ans: ✓ ✓ ✓ RUQ pain, fever, jaundice (indicates cholangitis)
Reynold's pentad Ans: ✓ ✓ ✓ RUQ pain, fever, jaundice, AMS, hypotension (indicates worsening
cholangitis)
Murphy's sign Ans: ✓ ✓ ✓ pain with palpation of the RUQ during inspiration, indicative of
cholecystitis
Psoas sign Ans: ✓ ✓ ✓ RLQ pain with extension of right thigh/hip indicative of appendicitis
Kehr's sign Ans: ✓ ✓ ✓ Left shoulder pain caused by irritation of the undersurface of the
diaphragm by blood leaking from a ruptured spleen. While Kehr's sign (left shoulder pain) is
commonly a symptom of splenic rupture, right shoulder pain typically signals liver or gallbladder
irritation
Cullen's sign Ans: ✓ ✓ ✓ Ecchymosis in periumbilical area, seen with pancreatitis
Grey Turner's sign Ans: ✓ ✓ ✓ Atraumatic ecchymosis in the flank, typically indicating hemorrhagic
pancreatitis
Beck's triad Ans: ✓ ✓ ✓ JVD, muffled heart sounds, decreased BP (indicate cardiac tamponade)
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Cushing's triad Ans: ✓ ✓ ✓ bradycardia, bradypnea, hypertension (indicate increased ICP; normal
ICP=5-15 mm Hg)
Charcot's neurologic triad Ans: ✓ ✓ ✓ Nystagmus, staccato speech, intentional tremor (indicate
MS)
Virchow's triad Ans: ✓ ✓ ✓ Venous stasis, hypercoagulability, endothelial damage (high risk of
thrombosis)
Shock Triad Ans: ✓ ✓ ✓ Hypotension, tachycardia, tachypnea
Opioid Poisoning Triad Ans: ✓ ✓ ✓ CNS depression (AMS, coma), respiratory depression, miosis
(pinpoint pupils)
Wolf-Parkinson-White Syndrome: 3 signs Ans: ✓ ✓ ✓ short PR interval, delta waves, and wide QRS
complex
Behcet's disease Ans: ✓ ✓ ✓ Recurrent oral ulcers, genital ulcers, eye inflammation
3 D's of pellagra (niacin, vit B3, deficiency) Ans: ✓ ✓ ✓ Diarrhea, dementia, dermatitis
Serotonin Syndrome Ans: ✓ ✓ ✓ Similar to NMS but caused by serotonin medications, and has
HYPERreflexive muscle activity
Symptoms= mental status changes and hyperthermia. Treatment=cyproheptadine
Neuroleptic Malignant Syndrome Ans: ✓ ✓ ✓ Adverse reaction to antipsychotics with severe "lead
pipe" rigidty, FEVER (102-104), tachycardia, tachypnea, mental status changes
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