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Exam (elaborations)

AG-ACNP BOARD CERTIFICATION EXAM SCORED A+

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AG-ACNP BOARD CERTIFICATION EXAM SCORED A+

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  • September 16, 2024
  • 59
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AGACNP
  • AGACNP
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EvaTee
AG-ACNP BOARD
CERTIFICATION
EXAM SCORED
A+
Evatee 9/16/24 AG-ACNP

,AG-ACNP BOARD CERTIFICATION EXAM
SCORED A+


TIBC Answer - total iron binding capacity
normal - 250-450
Higher iron binding capacity need mean GREATER need for iron


MCV Answer - Mean corpuscular volume-average volume or size of a single
red blood cell
Normal: 80-100
<80 - microcytic
80-100 - normocytic
>100 - macrocytic


MCHC Answer - Mean Corpuscular Hgb Concentration
Normal: 32-36%
< 32% - Hypochromic
32-36% - normochromic
> 36% - hyperchromic


Low MCV diseases Answer - Iron deficiency anemia
Thalassemia


High MCV diseases Answer - B12 or Folate deficiency

,ETOH
Liver failure
Drug effects


Normocyctic anemia diseases Answer - Anemia of chronic diseases
sickle cell


renal failure
blood loss
hemolysis


iron deficiency anemia Answer - slow onset, few sx w/ Hct > 30
Low serum ferritin
High TIBC
High RDW (red cell distribution width)


Positive Brudzinski's sign Answer - is flexion of the hips and knees when the
neck is flexed


Likely meningitis!


Syphilis Answer - 4 stages
Primary: usually missed
Secondary: 2-8 weeks later, flu-like sx; GENERALIZED MACULOPAPULAR RASH
(esp on palms & soles)
Latent: asymptomatic > 12 months
Tertiary: 10-30 yrs; CNS involvement, multisystem effects

, Dx: VDRL or RPR --> then confirm with TP-PA or FTA-ABS (treponemal test)


Tx: Penicillin G - Primary & Secondary - x1; Latent & Tertiary 3weeks
If allergic --> Doxy or Tetra PO x14d


Report to health department


pulseless ventricular tachycardia (VT) defibrillation Answer - 150-200 J on
biphasic and 360 J on a monophasic defibrillator


cerebral perfusion pressure (CPP) calc? Answer - MAP - ICP
Normal: 60-80


acute muscle strain Tx Answer - NSAIDS
Cyclobenzaprine (muscle relaxant)


Acute anal fissures tx Answer - sitz baths, stool softeners, and topical
corticosteroids


Chronic anal fissures tx Answer - topical nitroglycerin or botulinum toxin
injections


Meningitis Answer - Acute bacterial meningitis --> medical emergency
Pathogens: Strep pneumoniae, Hemophilus influenzae, Neisseria meningitidis


Sx: Fever, severe HA, n/v, NUCHAL RIGIDITY (stiff neck), photophobia

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