Studyclass

2015 AGACNP GastrointestinalBody Mass Index - correct answer Mass in kg/square of height in meters 1) Underweight: < 18.5 2) Normal weight: 18.5-25 3) Overweight 25-30 4) Obese : Over 30 Ideal body weight - correct answer Men: 106 + 6lb for every inch over 5 feet Women: 100 + 5 lb for every inch over 5 feet Visceral pain - correct answer - From abdominal viscera: layer over the organ - Vague, dull, nauseating - Poorly localized - Causes referred pain When to counsel abo...

AACN AGACNP ReviewCushing's Syndrome/Disease - correct answer cortisol excess typically caused by pituitary adenoma 60-70% of cases. Central obesity w/ extremity wasting. dorsocervical fat pad. rounded facies. spontaneous bruising. purple striae hyperpigmentation poor wound healing/ skin infections. Dexamethasone suppression test. 1mg dexamethasone at 2300 hours and measure serum cortisol at 0800. Remove sources of excess and manage consequences ( HTN, hypokalemia, hyperglycem...

Advanced Pharmacologyaverage A1C goal - correct answer <7% recommended insulin strategy - correct answer basal/bolus (long-acting glargine/detemir + rapid acting around meals) - mimics natural insulin release pregnancy A1C goal - correct answer <6% why is A1C goal lower in pregnancy - correct answer increased RBC turnover A1C goal in elderly - correct answer <7.5-8.5% perioperative BG goal - correct answer 110-140 how does insulin affect potassium - correct answer stim...

AGACNP - Acute Care ProblemsParkland Formula for burns - correct answer 4ml/kg x TBSA % burned = amount to be given during the first 24 hours What type of fluids do we give for burns - correct answer Crystalloids, NOT colloids When do we begin giving fluids to a burn patient? - correct answer As soon as the injury occurs, not when the patient gets to the hospital How do we administered the required fluids for a burn patient? - correct answer Half the fluids are giving within the first 8...

AGACNP - Based on Frances Guide Review MaterialsYou want to get more funding for your hospital's Rapid Response Team. How should you present this issue to the committee? a. Stress importance of the team (look up evidence about how team affects outcomes) b. Describe how to improve and expand the team - correct answer a. stress importance of team What is the best way for the AGACNP to get involved in policy making? a. attend legislative days at the state capitol b. join a hospital committe...

AGACNP - ENDOCRINEWhat are the 3 P's in DM1? polydipsia, polyphagia, polyuria What is the difference between DM1 and DM2? Type 1 is absolute insulin deficiency and Type 2 is a progressive insulin deficiency. DM1 has ketones** DM2 does not Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Somogyi effect hypoglycemia 0300 followed by rebound hyperglycemia at 0700 Dawn phenomenon an increase in blood g...

AG-ACNP - GIWhat bacteria is associated with >90% duodenal ulcers and >75% gastric ulcers? - correct answer H. pylori Which medications cause peptic ulcer disease? - correct answer NSAIDS ASA Glucocorticoids At what age do duodenal ulcers typically present? - correct answer 30-55 yo. At what age do gastric ulcers typically present? - correct answer 55-65 years old What are the signs and symptoms associated with a duodenal ulcer? - correct answer Gnawing, epigastric pain Reli...

AGACNP - HematologyWhat causes Pernicious anemia? - correct answer a deficiency of intrinsic factor, which results in malabsorption of B12 Neurological symptoms are associated with which type of anemia? - correct answer Pernicious Lymphoma Stage I - correct answer Disease localized to single lymph node or group Lymphoma Stage II - correct answer more than one lymph node group is involved and confined to one side of the diaphragm, such as the lymph nodes of the neck and the tonsils Ly...

AGACNP - Issues, Trends, Health Policy Advanced Directive - correct answer *Statement of a patient's intent regarding medical treatment * Patient Self-Determination Act 1990 - all patient's entering hospital should be advised of their right to execute an advanced directive Healthcare Directive - correct answer * Type of advanced directive *May or may not include a living will or specifications regarding durable power of attorney Living Will - correct answer * specifies life-prolonging...

AGAC-NP Antibiotics ReviewAre the following bugs Gram (+) or Gram (-) Staphylococcus Corynebacterium Streptococci Enterococci Gram (+) possess thick cell walls which retain the purple gram stain Are the following bugs Gram (+) or Gram (-) Escherichia Coli Proteus mirabilis Serratia marcescens Moraxella catarrhalis Klebsiella Acinetobacter Pseudomonas Enterobacter Haemophilus influenza Gram (-) thin cell walls that do not retain gram stain Brainpower Re...

AGACNP Board Exam Hot TopicsTelangiectasia is associated with? differentials? - correct answer spider veins assoc with rosacea, liver dz, scleroderma, lupus, raynauds, corticosteroids differential: PVD, PE (hemosiderans staining) type 1 error - correct answer false POSITIVE =1 incorrectly rejecting the TRUE null hypothesis which is true type 2 error - correct answer false NEGATIVE= 2 failing to reject a null hypothesis which is false mandate to prevent VAP? - correct answer HOB ele...

AGACNP CardiacWhat usually causes left ventricle hypertrophy? - correct answer uncontrolled HTN S4 is indicative of - correct answer HTN, MI (stiff ventricular wall) S3 is indicative of - correct answer HF Which heart valves usually get adults into the most trouble? - correct answer L heart vales (mitral/aortic) Acute HF s/s (L vs. R) - correct answer L= pulmonary R= JVD, hepatosplenomegally, peripheral edema HF patients are usually always on an.... - correct answer ACE-In...

AGACNP Certification ExamAt what grade level would health literature be written at - correct answer 6th-8th grade Accreditation guidelines are laid out by - correct answer the joint commission QI is the management process of - correct answer Monitoring Evaluating Continuously reviewing Improving the quality of healthcare delivery and safety of the system If patient has a 0 on the RASS, then the patient is - correct answer alert and calm If the patient has a +4 on the RASS, then...

AG-ACNP DRT #3Patient 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...

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 i...

AGACNP Final ExamWho should be screened for HIV? What test do you use? Do you need consent Anyone age 15-65 at least once High risk individuals annually (consider 3-6 months) Always include in prenatal testing and high-risk individuals in 3rd trimester Written consent and prevention counseling is not required This is OPT out Testing Test using 4th generation HIV test The 4th generation HIV test differs from the ELISA/Western Blot how? What about rapid HIV test CDC does not use ra...

AGACNP FRANCES GUIDEYou want to get more funding for your hospital's Rapid Response Team. How should you present this issue to the committee? -Stress importance of the team -Describe how to improve and expand the team. Stress importance of the team (answer is worded as looking up evidence about how the team affects outcomes, like a meta-analysis) -highest level of research: meta-analysis (multiple studies) What is the best way for the AGACNP to get involved in policy making?...

AGACNP NeuroTIA - correct answer less than 24h, NO residual deficits tx. ASA, clopidogrel Neuro: eye changes vs. motor changes - correct answer Eye changes: SAME side Motor changes: OPPOSITE side If a patient has a TIA you should assess for what diagnosis - correct answer HTN Left CVA - correct answer R hemiparesis APHASIA Right CVA - correct answer L hemiparesis right visual field changes spatial disorientation CPP = - correct answer MAP - ICP Cranial nerves - corr...

AGACNP Pulmonary ReviewWhat does missing/blunting/shadowing of the costophrenic angle on CXR indicate? - correct answer Pleural effusion If an AP xray shows pleural effusion, what should be your next action? - correct answer Order a lateral view CSR Describe characteristics of Asthma - correct answer -Increased responsiveness of the trachea and bronchi to various stimuli and manifested by widespread narrowing of the airways -Hypertrophy of smooth muscle -Mucosal edema and hyperemia -Thi...

AGACNP Review Questions1. You want to get more funding for your hospital's Rapid Response Team. How should you present this issue to the committee? - correct answer Stress importance of the team (answer is worded as looking up evidence about how the team affects outcomes, like a meta-analysis) What is the best way for the AGACNP to get involved in policy making? - correct answer Join a hospital committee What is the best way for the AGACNP to demonstrate and advocate for full scope of pra...