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ANA AG/ACNP Certification Practice IQ Set 2: Qs & As
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ANA AG/ACNP Certification Practice IQ Set 2: Qs & As
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ANA AG/ACNP Certification Practice IQ Set 2: Qs & AsA 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 Right 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 Right Ans - there is no
loss of consciousness
What region of the brain is affected during simple partial seizures Right
Ans - a small region of the brain, the temporal lobes or hippocampus.
Left cerebral hemisphere is dominant for what in most right-handed
individuals Right Ans - speech and language
Specific manifestations of left hemisphere injury via left MCA infarct will
exhibit what s/sx? Right Ans - aphasia or apraxia
Symptoms of antihistamine toxicity Right Ans - confusion, hyperthermia,
dilated pupils, hypertension, and tachycardia
Mechanism behind post-renal dysfunction Right Ans - mechanical or
functional urine flow obstruction
Rectal bleeding is more common in which illness: ulcerative colitis or Crohn's?
Right Ans - U.C.
Why is rectal bleeding more common in U.C. than Crohn's? Right 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 Right 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 Right Ans - Left inattention
When converting levothyroxine dose from IV to PO, what should you do to the
dose and why? Right 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
Right 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 Right 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 Right Ans - B Propranolol 20 mg PO QUID
How do you treat complication of thyroid storm Right 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 Right Ans - C) Rheumatoid arthritis
Which of the following forces is known to produce traumatic axonal injury?
A) Shearing
B) Compression
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