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ACNP Certification > Test questions > Flashcards

Test questions Flashcards

1
Q

What is the correct action to correct pulmonary shunting?

A

Pulmonary shunting=atelectasis, answer is to increase the PEEP

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2
Q

Things to remember regarding tx:

A

Tx medical problems before psych issues

Save the patient first, then make calls

Don’t prescribe before you work up the pt

Perform within scope for the type of practice/ provider choice

Call the right person when you need to!

Always lead, don’t follow

Personal observation is always stronger than a number!!!!

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3
Q

What is the initial test in aortic stenosis with bruit?

A

Echo

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4
Q

What vitamin do you give for alcoholics?

A

Vitamin B1=thiamine,

for folic acid deficiency anemia in alcoholics

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5
Q

What labs will always be given together when asking a question about pancreatitis?

A

Amylase/ipase

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6
Q

What is strongest predictor of functional impairment?

A

Cognitive impairment

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7
Q

What blood protein may increase toxicity (Dilantin) d/t protein binding being decreased?

A

Low albumin

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8
Q

What is the first thing to try for hyponatremia?

A

Start by restricting free water

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9
Q

What drug class for arthritis/pain causes hyperkalemia?

A

NSAIDS

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10
Q

What is the tx for a Human bite?

A

PO ATB with Augmentin/ amox-clavulante

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11
Q

How long does it take for Pressure ulcer healing begins in a clean ulcer?

A

2 days

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12
Q

If a patient with AFib is >65 OR has risk factors, what is the preferred anticoagulant?

A

Coumadin

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13
Q

If a pt is having a Renal angiogram- what drug class should be held?

A

do not give an ACE inhibitor

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14
Q

How is pulmonary HTN diagnosed?

A

Pulm HTN is diagnosed by echo, confirmed by cardiac cath!

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15
Q

Breast CA is what % of all female deaths?

What is the cure rate?

A

Breast CA is 5% of all female deaths, cure rate 95%

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16
Q

What percentage of strokes are hemorrhagic?

A

Head bleeds are 15-20%

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17
Q

What parameter should be monitored on the ABG in a head injury pt?

A

For head injuries: watch the CO2 @ on the ABG!!!

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18
Q

In a rigid acute abd, what is the primary dx?

A

Always, peritonitis!!!!!!

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19
Q

What is the common metabolic disturbance in a new PE?

A

New onset PE, hyperventilation

= respiratory alkalosis!!

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20
Q

If pt has low serum sodium and high serum osomo and hyperglycemia, what condition is most likely?

A

Hyperglycemia++++low serum sodium and high serum osomo

HHNK)

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21
Q

What is the drug of choice for DT’s in a patient able to take PO?

A

Librium PO **** not Ativan

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22
Q

What two phsycial exam findings are common in PID?

A

Adnexal tenderness and cervical wall motion tenderness

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23
Q

What GI drug prevents nosocomial PNA?

A

Carafate prevents nosciomial PNA

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24
Q

What enviornment is desired for a post aneurysm clipping?

A

Quiet room

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25
Q

What is the drug of choice for a pt in AF with preserved LVEF?

A

BB

26
Q

What blood test is used to follow effectiveness of synthroid?

A

TSH

27
Q

What is the best way to approach ATB therapy with unkown cultures?

A

Broad to narrow coverage! Narrow to hit target!

28
Q

What is the most common but least treated disorder?

A

Depression

29
Q

What is an initial undesired side effect of synthroid?

A

Alopecia

30
Q

What drug is used to prevent tumor lysis syndrome in Non-Hodgkins?

A

Allopurinol

31
Q

What drug is used to r/o adrenal insufficiency in Addisons dz?

A

Cosyntropin

32
Q

What is an uncommon cause of pancreatitis?

A

Cholelithiasis causes pancreatitis

33
Q

What are the drug therapies for tx of kidney stones?

A

dilaudid or morphine ,tordol and reglan

34
Q

What does lyme disease tick bite look like?

A

erythema migrans- erythema with circle

35
Q

What is term for basic inflammation of pulmonary tissue?

A

Pneumonitits

36
Q

Is sarcopenia a normal change in aging?

A

Yes, decreased muscle strength and mass

37
Q

Which is bigger in the eyes, veins or arteries?

A

Veins bigger than arteries in the eyes

38
Q

What are the five causes of true night sweats?

A

True night sweats:

TB

Menopause

AIDS

Lymphoma

Endocarditis

39
Q
A
40
Q

Strep pneumoniae top problems?

A

Strep pneumoniae top problems

OM

Bronchitis

CAP

Sinusitis

41
Q

4 conditions that cause major geriatric changes in behavior?

A
  • UTI
  • Drugs
  • PNA
  • TIA
42
Q

What is the term for pupillary constriction?

A

Miosis

43
Q

What drug can be can be used and prevent narcotic intoxication?

A

Stadol (butorphenal)

44
Q

What drug can be used to tx staph and anaerobes?

A

Amoxicillin clavulante

45
Q

What electrolyte abnormality might be seen 3 days post burn?

A

Hypokalemia

46
Q

If urine output drops in a burn patient, what action needs to be taken?

A

check fluid resuscitation

47
Q

What conditions is sumitriptan used to tx?

A

Migraines and cluster HA’s

48
Q

Why would a pt who does not have neuropathy (or is not depressed) be on gabapentin???

A

SSRI migraine prophylaxis!!!!

49
Q

If the pt has neuromalignant syndrome, what is the needed action?

A

Neuromaglignant syndrome caused by thorazine or SSRI, need to flush out the toxin

50
Q

What electrolyte abnormalitiy is an absolute contraindication for the use of Succs?

A

Hyperkalemia

51
Q

What is the celcius for a fever of 101.6?

A

38.6

52
Q

What factor increases robustness of the study?

A

Sample size

53
Q

What is the highest level of evidence by study type?

A

1) Review of literature “meta-analysis”

2nd- quantitative study

  • Randomized Control Trial
  • Quasi-experimental

3rd qualitative

4th-editorial, personal experience

54
Q

What are the four roles of the NP?

A
55
Q

What level of physical exam would be appropriate for a patient without an H&P?

A

**** comprehensive

56
Q

What strategy best ensures that a pt follows-up?

A

Scheduling appts FOR the patient

57
Q

Define Hyjob:

Define Berkha:

A

Hyjob- hair is covered, face is open,

berkha- only see the eyes –

get a woman, not a man, who hopefully speaks the language and explain why is needed and have woman do the exam

58
Q

Additional practice notes:

A

Note high acuity is specialty practice!!!!

If you have an Advanced Directive in place, you work FOR the PATIENT, respect their wishes

Communication: Listen more than talk!!!!, short answer is best, Tell me ….., no why!, focus on feelings, no euphemisms Use the short, piercing truth

59
Q

Name a good strategy for exhibiting independent prace?

A

Bill for independent practice

60
Q

What are you treating on the lipid panel?

A

LDL

61
Q

What does a t-test determine?

A

Compares the difference between 2 means

ACNP Certification (17 decks)

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