Exam (elaborations)
AG-ACNP Boards Exam - Questions And Verified Answers
- Course
- Institution
AG-ACNP Boards Exam - Questions And Verified Answers
[Show more]
Content preview
AG-ACNP Boards Exam - Questions And VerifiedAnswers
Your patient is intubated on the following settings: SIMV/FiO2 .6/PEEP 5. You
notice shunting. What should your next action be? Right Ans - Increase
PEEP from 5 to 10 to recruit alveoli and increase surface area to improve
oxygenation
Which drugs are associated with the BBW - Do not take during acute asthma
exacerbation? Right Ans - Long acting beta-2 agonists
Antileukotrienes
What is the inpatient management of an acute asthma attack? Right Ans -
O2
IVF
ABG
Albuterol 0.3 cc in 3 mL NSS q30-60 mins
Corticosteroids - Methylprednisolone 60-125 mg IV x 1 then 20 mg IV q4-6
hrs
Anticholinergic - Atrovent MDI 2-6 puffs q4-6 hrs
Define status asthmaticus. Right Ans - Severe, acute asthma that is
unremitting and poorly responsive.
What are the gold standard interventions for status asthmaticus? Right Ans
- IV D51/2NS
Intubation
Cont. pulse ox
ABG q 10-20 min
32 yo. M with PMH significant for mitral valve replacement now complains of
wheezing during physical activity 2-3 times/week. What should you do next?
Right Ans - Send patient for pulmonary function testing.
What is the pathology of asthma? Right Ans - Increased
responsiveness/hyperresponsiveness of the trachea and bronchi to a stimuli.
Acute inflammation
Narrowing of airways
, Hypertrophy of smooth muscle
Mucosal plugging of airways
What are the hallmark signs and symptoms of asthma? Right Ans -
Respiratory distress at rest
Difficulty speaking in sentences
RR > 28
Pulsus paradoxus > 12 mmHg
What PFT value is suggestive of an obstructive disease? Right Ans -
Decreased FEV1
Which acid-base imbalance is associated with asthma? Right Ans -
Respiratory Alkalosis with mild hypoxemia
What PFT values would indicate hospitalization of an asthmatic patient?
Right Ans - Decreased FEV1 <30% predicted OR
does not increase to at least 40% predicted after 1 hr.
Peak flow is <60 L/min initially OR does not increase to >50% predicted after
1 hr tx
What are the ominous findings associated with an asthma exacerbation?
Right Ans - Extreme fatigue
Lethargy
ABG - hypercapnea >pCO2 >45 mmHg = EMERGENCY
What is the outpatient daily management drug for asthma? Right Ans -
Inhaled Corticosteroids - Budesonide (Pulmicort)
58 yo. M presents to ED with complaints of dry cough. CXR revealed
generalized, inflamed film throughout. What is the most likely diagnosis?
Right Ans - Pneumonitis
What drug has been known to prevent nosocomial PNA? Right Ans -
Sulcarafate (Carafate) - Mucosal Protective Agent
What is an initial finding associated with a pulmonary embolism? Right
Ans - Respiratory Alkalosis - secondary to increased RR and blowing off CO2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now