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ANA AG_ACNP Certification Practice IQ Set 2

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ANA AG_ACNP Certification Practice IQ Set 2

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  • June 4, 2024
  • 6
  • 2023/2024
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ANA AG/ACNP Certification Practice IQ
Set 2
A 55-year-old gentleman w/ HIV CD4 count 250. Presents to ED with H.A. Which H&P
finding would cause concern?
a) His body habitus is barrel-chested
b) His sensory function is intact
c) he has lymphadenopathy
d) he describes floaters in his vision & occasional blurred vision - ANS-D in pts with HIV,
floaters and occasional blurred vision may indicate later stages or progression of
disease process.

Simple partial seizures can be distinguished because - ANS-there is no loss of
consciousness

What region of the brain is affected during simple partial seizures - ANS-a small region
of the brain, the temporal lobes or hippocampus.

Left cerebral hemisphere is dominant for what in most right-handed individuals -
ANS-speech and language

Specific manifestations of left hemisphere injury via left MCA infarct will exhibit what
s/sx? - ANS-aphasia or apraxia

Symptoms of antihistamine toxicity - ANS-confusion, hyperthermia, dilated pupils,
hypertension, and tachycardia

Mechanism behind post-renal dysfunction - ANS-mechanical or functional urine flow
obstruction

Rectal bleeding is more common in which illness: ulcerative colitis or Crohn's? -
ANS-U.C.

Why is rectal bleeding more common in U.C. than Crohn's? - ANS-U.C. often involves
the rectum and blood from this source is quite visible in or on the stool.

Left inattention or neglect is defined as - ANS-a lack of responsivity to stimuli on one
side of the body

, Right MCA infarct will exhibit which of the following signs and symptoms
A) Right facial weakness
B) Left inattention
C) Right-side sensory change
D) Left gaze preference - ANS-Left inattention

When converting levothyroxine dose from IV to PO, what should you do to the dose and
why? - ANS-The dose must be doubled

Pleural fluid protein to serum fluid ratio of 0.9 and pleural fluid LDH to serum LDH ratio
0.8. Based on these results, this patient's effusion fluid is most likely - ANS-Exudate

Iron deficiency anemia is described as a
A) Hyperchromic, microcyctic anemia
B) Hypochromic, microcytic anemia
C) Hyperchromic macrocytic anemia
D) Hypochromic, macrocytic anemia - ANS-B) hypochromic, microcytic anemia

Initial treatment of choice for symptoms of palpitation, tachyardia, and tremor in thyroid
storm is
A) Levothyroxine 50 mcg daily
B) Propranolol 20 mg PO QID
C) Lorazepam 0.5 mg PO BID
D) Radioactive iodine - ANS-B Propranolol 20 mg PO QUID

How do you treat complication of thyroid storm - ANS-Inderal, a beta-blocker.

Anemia of chronic disease may be associated with
A) postsurgical blood loss
B) Hemolysis
C) Rheumatoid arthritis
D) G6PD deficiency - ANS-C) Rheumatoid arthritis

Which of the following forces is known to produce traumatic axonal injury?
A) Shearing
B) Compression
C) Crushing
D) Bursting - ANS-A) Shearing

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