AGPCNP BOARD EXAM REVIEW NEWEST

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AGPCNP BOARD EXAM REVIEW NEWEST

ACTUAL EXAM| 200 REAL EXAM QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) ALREADY GRADED A+| AGPCNP EXAM

PREP (BRAND NEW!!)

most common surgical procedure in patients 65+ - ANSWER - cataract surgery

a patient presents with painless, clouded or dim vision with halos around lights, no red reflex and DIPLOPIA IN A SINGLE EYE would be suspected of - ANSWER - cataract

floaters in the eye is the most concerning symptom for: - ANSWER -

retinal detachment

the most important diagnostic indicator in the evaluation of headache is:

• ANSWER - chronology

patient describes a "vise-like", generalized headache that is more intense

about his neck and back of head. The most probable diagnosis is: -

ANSWER - tension headache

duration of tension headaches are usually: - ANSWER - no more than a

few hours

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management of tension headache include: - ANSWER - OTC analgesics

and relaxation

the pathophysiology of most migraines is: - ANSWER - a result of

dilation and excessive pulsation of the external carotid artery

migraine's typically last: - ANSWER - at least 2 but no more than 72

hours

migraines without aura are classified as: - ANSWER - common migraine

migraines with aura are classified as: - ANSWER - classic migraine

migraine headaches, which affect females > males can commonly be

triggered by this inciting event in women: - ANSWER - hormonal

changes seen with onset of the menstrual cycle

a patient presents with unilateral periorbital pain with no prior history of

migraine. the most likely diagnosis is: - ANSWER - cluster headache

abortive therapy for cluster headache - ANSWER - usually includes sumatriptan and 100% O2

for which two headache types is sumitriptan indicated: - ANSWER -

cluster and migraine 2 / 4

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pg. 3 patient presents with hx of diagnosed parkinson's and onset of tremors that had previously been controlled. which medication should the NP

add: - ANSWER - an anticholinergic to help alleviate the tremor, e.g.

trihexyphenidyl (Artane)

on physical exam a patient who has a positive glabellar reflex when repetitively tapped over the bridge of the nose is illiciting what sign?name the sign and the commonly associated clinical condition - ANSWER - myerson's sign (blinks in response to tap on the nose) which is suggestive of parkinsons

the classic triad of parkinson's is represented by what clinical symptoms:

• ANSWER - tremor

rigidity bradykinesia

contraction of the facial muscles when the facial nerve (VII) is tapped

briskly in front of the ear is termed:

what does the condition result from - ANSWER - chvostek's sign usually resulting from low calcium

the group with the highest prevalence of cluster headaches are: -

ANSWER - middle-aged men

name the two most common types of dementia in order of prevalence: -

ANSWER - Alzheimer's disease Vascular Dementia 3 / 4

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pg. 4 patient reports a unilateral throbbing headache that occurs episodically.she states reports "seeing stars" and some weakness. she has no history

of migraines. the appropriate first step is: - ANSWER - all patients with

new migraines must be worked up to R/O organic causes of disease. the

provider should order:

CBC CMP VDRL ESR CT scan

the priority management of chronic migraine includes: - ANSWER - 1.

avoidance of triggers

• relaxation / stress avoidance
• prophylactic daily therapy if attacks occur more than 2-3 times per

month

if amitriptyline (Elavil) is being used for migraine prophylaxis, the

provider knows to monitor for: - ANSWER - prolongation of the QT

interval which is a BLACK BOX warning on all tricyclics

abortive therapy for migraines include: - ANSWER - sumatriptan 6mg

sub-q, repeated every other to max of 3 doses OR

sumatriptan 25 mg PO an onset

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