ANCC Review Exam Questions With Correct
Answers
Metformin - answerrare risk of lactic acidosis, often occures w/ impaired renal fx,
hypovolemia, low perfusion, advanced age. hold during surgery or imaging w/ radiocontrast the
day of and 48 hrs post.
lisinopril - answercat d drug in pregnancy
...
Metformin - answer✔rare risk of lactic acidosis, often occures w/ impaired renal fx,
hypovolemia, low perfusion, advanced age. hold during surgery or imaging w/ radiocontrast the
day of and 48 hrs post.
lisinopril - answer✔cat d drug in pregnancy
teenager w/ menorrhagia who cant insert tampons - answer✔mirena IUD best choice
tension headaches - answer✔bilateral. moderate pressing pain, recurring. no photophobia or
nausea.
prevent recurrence - TCAs (SE weight gain, drowsiness, dry mouth)
LNG-IUD - answer✔casues endometrial atrophy, 50% of users have amenorrhea by end of 2
years. fertility returns soon after removal. progestin conrtibutes to thickening og cervical mucus.
minimizes upper reproductive rtact infections. atrophy prevents impantation of ovum.
COCs - answer✔reduce menstrual volume by 60%
copper IUD - answer✔increases menstrual bleeding and may contribute to increase in upper
reproductive rtact infections.
BPH. which tests to assess degree of voiding dysfunction - answer✔residual volume and urine
flow rates- non invasive so immediate testing.
MCL - answer✔Valgus stress test (gum, push knee in)
LCL - answer✔varus stress test
ACL - answer✔lachman and anterior drawer
audible pop at injury
Meniscus - answer✔mcmurray, thessaly, apley
rotational pain
hip flexed, knee externally rotated as knee is moved from full flexion to extension. snap heard or
felt suggests tear.
Thessaly test
(meniscus) - answer✔•pt standing and facing dr while holding hands/shoulders to stablize them
•stand on one leg, initially have knee relaxed (*this is about 5° of flexion*)
•then tell them to rotate about their knee (internal/external) about 3x and "let me know if this
causes or changes your sx"
•If negative at 5°, have them flex slightly more to just 20° and repeat.
•do bilaterally
(+) pain, joint line clicking and/or sense of locking/catching
ind: lateral P = lateral meniscus issue or medial P = medial meniscus issue
mild acne - answer✔open comedones (blackheads), closed comedones (noninflammatory acne)
w/ or w/o small papules
tetracycline - can start at age 13 w/o risk to tooth discoloration, cat d in pregnancy, need backup
contraceptive
OCs - yaz, desogen
diet - limit dairy
severe acne - answer✔plus painful nodules, cysts, abscesses and pustules over face shoulders,
chest
tx
accutane - cat x PLEDGE program
2 forms of reliable contraception
Molluscum contagiosum - answer✔dome shaped papules 2-5mm w/ central umbilication (white
plug). poxvirus. skin to skin contact. STD if on genitals in sexually active adults.
burns % - answer✔Rule of Nines (CHILD)
9% each arm
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