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AG-ACNP questions and answers A+ score assured 2024/2025
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AG-ACNP questions and answers A+ score assured 2024/2025
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AG-ACNPInfluenza mechanism of transmission - ANSRespiratory droplets
What portion of Healthcare workers get flu vaccine annually - ANSOver 2/3
Can pregnant women receive mmr - ANSNo
What allergy would prevent the patient from receiving MMR - ANSNeomycin or gelatin
Which pneumonia vaccine should the immune compromised receive - ANSPrevnar pcv 13
Which organism is leading cause of death in CAP - ANSS. Pneumonia
Hiv patients should receive which pneumonia vaccine - ANSPcv 13 first and PPSV 23 eight
weeks later
Which pneumonia vaccine has greatest immunogenicity - ANSPCV 13
Which allergy prevents patients from receiving hep b vaccine - ANSBakers yeast
How does variola virus transmit smallpox - ANSDirect deposit of infected droplets
How do smallpox lesions present - ANSAll erupt simultaneously
How long does smallpox incubate - ANS7-17 minutes
Where does smallpox rash begin - ANSStarts on tongue covers body within 24hours
How is varicella vaccine transmitted - ANSDroplet transmission
List the live vaccines - ANSMMR Varicella flumist Zoster rota virus
What are five stages of change from prochaska and Diclemente Trans theoretical model -
ANSPrecontemplation. Contemplation. Preparation. Action. Maintenance/relapse
Precontemplation stage - ANSMinimizes problem not changing
Contemplation stage - ANSFeels stuck. Knows they need to change but unsure how
Preparation - ANSExhibits change behavior but maybe overwhelmed
Action stage - ANSTakes concrete steps to change
Maintenance /relapse - ANSAdopts healthy habits
,Five A's of care for tobacco use pt - ANSAsk about use
Advise to quit
Assess willingness
Assist in quit attempt
Arrange follow-up
Medications used for smoking cessation - ANSBupropion:Zyban wellbutrin
Varenicline :Chantix
Most common tool for screening a 55yr old man for prostate cancer - ANSPSA test
A patient with acute cholecystitis would be positive for which sign - ANSMurphy 's inspiration
sign
End in pril - ANSAce inhibitors
Gram positive bacteria - ANSStaph.
Strep
Enterococcus
Gram neg - ANSMycoplasma
Pseudomonas
Neisseria
Any others not +
Staph is found - ANSSkin
S. Pyogenes - ANSStrep throat
Where is beta lactam ring found - ANSPcn and cephlosporins
What percentage of Pcn allergic are sensitive to beta lactam ring - ANS2-10%
Beta lactam producing bacteria cannot be treated with - ANSPcn or cephlosporins
Where does Enterococcus grow - ANSUrine
Augmentin - ANSPcn with Beta lactam ring covered
Augmentin - ANSUsed if unsure if +or - or betalactamase
Augmentin - ANSNever used for MRSA or Staph
Pt has had ABT in last 90 days - ANSDo not use same Pcn has betalactamase ring.. Step it
up
Does Pcn work for MRSA - ANSNo
,If a patient needs ABT not for MRSA but unsure of pathogen - ANSAugmentin covers some
+and- and betalactamase
Treatment for chlamydia (gram-) - ANSDoxycycline
Outpt TX for MRSA - ANSBactrim
Inpt TX for MRSA - ANSMinoxcycline
Doxycycline treat Bacteria - ANSGram -
Strep throat - ANSGram positive
Escheri coli - ANSGram -
Strep TX - ANSPenicillin
If Pcn allergic
Strep - ANSMacrolide
1st generation cephlosporins for gm +skin - ANSKeflex duracef
2nd generation cephlosporins tx gm pos. And negative. - ANSCeftin cefzol cefdinir
3rd generation cephlosporins tx. Betalactamase but lose gm pos coverage - ANSSuprax
3 Rd generation cephlosporins expended spectrum TX pos. Neg and betalactamase -
ANSRocephin
Will Rocephin TX MRSA - ANSNo
3rd generation Outpt extended spectrum meds - ANSOmnicef.. Vantin Spectracef
Benefit of Omnicef in pediatrics - ANSTaste good
Macrolide - ANSChemically large interacts with many drugs
What are Macrolide - ANSErythromycin azithromycin clarithromycin
What are Macrolide TX for - ANSA typical pathogens
Azithromycin only cures what percentage of strep - ANS1/3
What is a second generation fluorquinolones - ANSCipro
When is Cipro used - ANSGram - below the belt
, 3rd generation fluorquinolones - ANSLevofloxin
Resp fluorquinolones - ANSLevaquin avelox
Most common - ANSPrimary htn
Where do you see secondary htn - ANSNonblack.. Renal vascular problems
Primary aldosterone exhibits - ANSLow K+ and high Na+
Produces aldosteronism - ANSThiazide diuretic
Secondary htn - ANSTreat underlying issues
IsH - ANSOnly systolic is high elderly
Patients with IsH are increased risk of - ANSStrokes then MI
Normal BP - ANSSys less 120 dia less 90
Stage 1 htn - ANS140-159.....90-99
End in ide or zide - ANSThiazide diuretic
End in sartan - ANSARB
End in lol - ANSBeta blocker
End in Pine - ANSCA channel blockers
How is htn diagnosed - ANSTwo Elevated readings on separate occasions
Flamed hemorrages
Cotton wool spots
Hard exudates - ANSHtn
Less 140/90 - ANSHtn goals
Stage 1 htn initial tx - ANSLifestyle modifications 3 months
Med causes erectile dysfunction - ANSThiazide diuretic
Young Caucasian male - ANSHi rennin producers use ace or ARB
Chronic lifetime disease - ANSHypertension
Drug that decreases stroke risk - ANSThiazide diuretic
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