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AGACNP Barkley Review: Combined Questions and Correct Answers | Latest Update

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What causes fever? → ~:- *ABCDEFGHIMN* → *Auto-immune* - SLE, GCA → *Blood* - Heme/Onc - Leukemia/Lymphoma → *Cancer* → *Drugs* - Amphotericin B, Beta-lactam abx, procainamide → *Endo* - hyperthyroidism, pheochromocytoma → *Familial mediterranean fever* → *GI* - intra-abdom...

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  • 23 de septiembre de 2024
  • 198
  • 2024/2025
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  • AGACNP Barkley
  • AGACNP Barkley
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1 | P a g e | © copyright 2024/2025 | Grade A+




AGACNP Barkley Review:
Combined Questions and Correct
Answers | Latest Update
What causes fever?


→ ~:- *ABCDEFGHIMN*

→ *Auto-immune* - SLE, GCA

→ *Blood* - Heme/Onc - Leukemia/Lymphoma

→ *Cancer*

→ *Drugs* - Amphotericin B, Beta-lactam abx, procainamide

→ *Endo* - hyperthyroidism, pheochromocytoma

→ *Familial mediterranean fever*

→ *GI* - intra-abdominal abscess, IBD

→ *Heart*- MI, endocarditis

→ *Infection* - bacterial, viral, fungal, parasites, etc.

→ *Misc* - Hematoma

→ *Neuro* - tumor, ICH, MS - interfere w/ thermoregulatory process




What is malignant hyperthermia?




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ~:- *high fever d/t succinylcholine*

→ usu given in OR to relax laryngeal muscle

→ contraindicated to succs? hyperkalemia

→ *Tx: dantrolene - reversal for succs*




What is the treatment for fever?


→ ~:- 1. antimicrobials only when a microbe is present

2. antipyretics


3. tx underlying condition




What are the causes of non-infectious post-op fever?


→ ~:- 1. post-op atelectasis

2. increased basic metabolic rate


3. dehydration


4. drug reactions: Amphotericin B, trimethoprim-sulfamethazole, beta-lactam

(abx), procainamide, isoniazid, alpha-methyldopa, quinidine, etc.




What would prompt you to think that a post-op fever is infectious?




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ~:- 1. usu accompanied by subjective complaints & a WBC elevation

with *left shift* (i.e., bandemia)

2. WBC >30k is usu not d/t infection


3. *surgical incisions*


4. *point of entry for any catheter, culture it*


5. UTI


6. lungs


7. sinusitis


8. abscess (e.g., intra-abd)




normal WBC - 5-10k


sinusitis - 12k


cellulitis - 17k


septic shock - 20-22k


leukemia - 30k




what is the initial tx for post-op fever in the absence of information of

infection?




Master01 | September, 2024/2025 | Latest update

, 1 | P a g e | © copyright 2024/2025 | Grade A+


→ ~:- Hydration + measures to expand lungs




what is the treatment for infectious post-op fever?


→ ~:- -IVF + APAP

-tx underlying source


-gram stain, C&S, all invasive lines or catheters, as indicated


**before cultures, do not give APAP or IVF. Do not suppress anti-inflammatory

response bec you want to culture at maximum inflammation response, then

broad spectrum abx, IVF, & APAP, then narrow once culture comes back.




what are the components of headache evaluation?


→ ~:- 1. chronology - most impt hx item

2. location, duration, quality


3. associated activity - i.e. exertion, sleep, tension, relaxation


4. timing of menstrual cycle


5. presence of assoc symptoms


6. presence of "triggers"




What is the lab/diagnostic test and treatment for tension headache?




Master01 | September, 2024/2025 | Latest update

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