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Exam (elaborations)

AG-ACNP Exam Questions With 100% Verified Answers

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AG-ACNP Exam Questions With 100% Verified Answers Influenza mechanism of transmission Respiratory droplets What portion of Healthcare workers get flu vaccine annually Over 2/3 Can pregnant women receive mmr No What allergy would prevent the patient from receiving MMR Neomycin or...

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  • June 6, 2024
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AG-ACNP Exam Questions With 100% Verified
Answers
Influenza mechanism of transmission
Respiratory droplets


What portion of Healthcare workers get flu vaccine annually
Over 2/3


Can pregnant women receive mmr
No


What allergy would prevent the patient from receiving MMR
Neomycin or gelatin


Which pneumonia vaccine should the immune compromised receive
Prevnar pcv 13


Which organism is leading cause of death in CAP
S. Pneumonia


Hiv patients should receive which pneumonia vaccine
Pcv 13 first and PPSV 23 eight weeks later


Which pneumonia vaccine has greatest immunogenicity
PCV 13


Which allergy prevents patients from receiving hep b vaccine
Bakers yeast


How does variola virus transmit smallpox
Direct deposit of infected droplets


How do smallpox lesions present
All erupt simultaneously


How long does smallpox incubate
7-17 minutes


Where does smallpox rash begin
Starts on tongue covers body within 24hours


How is varicella vaccine transmitted
Droplet transmission

,List the live vaccines
MMR Varicella flumist Zoster rota virus


What are five stages of change from prochaska and Diclemente Trans theoretical model
Precontemplation. Contemplation. Preparation. Action. Maintenance/relapse


Precontemplation stage
Minimizes problem not changing


Contemplation stage
Feels stuck. Knows they need to change but unsure how


Preparation
Exhibits change behavior but maybe overwhelmed


Action stage
Takes concrete steps to change


Maintenance /relapse
Adopts healthy habits


Five A's of care for tobacco use pt
Ask about use
Advise to quit
Assess willingness
Assist in quit attempt
Arrange follow-up


Medications used for smoking cessation
Bupropion:Zyban wellbutrin
Varenicline :Chantix


Most common tool for screening a 55yr old man for prostate cancer
PSA test


A patient with acute cholecystitis would be positive for which sign
Murphy 's inspiration sign


End in pril
Ace inhibitors


Gram positive bacteria
Staph.

,Strep
Enterococcus


Gram neg
Mycoplasma
Pseudomonas
Neisseria
Any others not +


Staph is found
Skin


S. Pyogenes
Strep throat


Where is beta lactam ring found
Pcn and cephlosporins


What percentage of Pcn allergic are sensitive to beta lactam ring
2-10%


Beta lactam producing bacteria cannot be treated with
Pcn or cephlosporins


Where does Enterococcus grow
Urine


Augmentin
Pcn with Beta lactam ring covered


Augmentin
Used if unsure if +or - or betalactamase


Augmentin
Never used for MRSA or Staph


Pt has had ABT in last 90 days
Do not use same Pcn has betalactamase ring.. Step it up


Does Pcn work for MRSA
No


If a patient needs ABT not for MRSA but unsure of pathogen
Augmentin covers some +and- and betalactamase

, Treatment for chlamydia (gram-)
Doxycycline


Outpt TX for MRSA
Bactrim


Inpt TX for MRSA
Minoxcycline


Doxycycline treat Bacteria
Gram -


Strep throat
Gram positive


Escheri coli
Gram -


Strep TX
Penicillin


If Pcn allergic
Strep
Macrolide


1st generation cephlosporins for gm +skin
Keflex duracef


2nd generation cephlosporins tx gm pos. And negative.
Ceftin cefzol cefdinir


3rd generation cephlosporins tx. Betalactamase but lose gm pos coverage
Suprax


3 Rd generation cephlosporins expended spectrum TX pos. Neg and betalactamase
Rocephin


Will Rocephin TX MRSA
No


3rd generation Outpt extended spectrum meds
Omnicef.. Vantin Spectracef

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