- CORRECT ANSWER: - Actual Exam from Credible Sources with 280 Ques...

AC-PNP Exam Review Latest Update - Actual Exam from Credible Sources with 280 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

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"Name and describe the type of migraine typical to adolescence? - CORRECT

ANSWER: Common migraine without aura, throbbing or pounding headache that is

usually unilateral, may have nausea and vomiting, often relieved by sleep

3rd generation cephalosporins cover which organisms? - CORRECT ANSWER: Gram

Positive, HENPEK, Serratia, Ceftazidime also covers pseudomonas

A 6 year old with fever, rash, joint pain, elevated CRP and + ASO titer should be worked

up for - CORRECT ANSWER: Rheumatic fever

A fixed split S2 is commonly found in which disorder? - CORRECT ANSWER: ASD

A patient with café' au lait spots are at increased risk for - CORRECT ANSWER:

Neurofibromatosis

Are immunizations given during treatment of childhood cancer? Explain your answer -

CORRECT ANSWER: Immunizations are not given during active chemotherapy

At what age do you suspect newborn jaundice - CORRECT ANSWER: 48-72 hours of

age

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At what age should children first be able to combine words? - CORRECT ANSWER: 18 months

At which age should prophylactic penicillin be initiated in a child with Sickle Cell anemia

and why - CORRECT ANSWER: 2 to 3 months of age because of functional asplenia

Both Stevens Johns Syndrome and Staphylococcal Skin Disease start with - CORRECT

ANSWER: Prodrome of fever, malaise and irrtability

Calculate the Glasgow Coma Score the the following child: 3 yr old who opens his eyes,

moans, and withdraws to pain - CORRECT ANSWER: Eye opening (2) - eye opening to

pain, Merbal (2) - moans to pain. Motor (4) withdraws to pain= Total 8

Define " double- effect." - CORRECT ANSWER: A decision that may cause both desirable and undesirable effects. Intent is key to definition

Define assent, consent, and informed permission - CORRECT ANSWER: Assent- refers to agreement by the patient who may be underaged or of diminished capacity and not legally competent for their own decision-making; Consent Refers to agreement by the patient competent for their own decision making; Permission-Refers to agreement by someone legally competent for the other's decision-making

Define beneficence and nonmaleficence - CORRECT ANSWER: Beneficence- Refers to

the moral obligation to act for the benefit of others Nonmaleficence- Refers to the moral obligation to do no harm

Define palliative care - CORRECT ANSWER: Palliative care means patient and

familycentered care that optimizes quality of life by anticipating, preventing and treating suffering. Palliative care throught out the continum of illness involves addressin physical, intellectual , emotional, social and spirtiual needs and to facilitate patient autonomy, access to information and choice. Hospice is a subset of palliative care.

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Define precocious puberty - CORRECT ANSWER: Secondary sexual characteristics

before 9 years in males; in females, onset of breast developemnt before 8 years, sexual pubic hair before 9 years or menses before the age of 9.5 years

Define sensitivity and specificity - CORRECT ANSWER: Sensitivity- refers to the

proportion of people who have positive test results and who really have the disease, Specificity- Refers to the people who do not have the disease and whose test results are negative

Describe brushfield's spots - CORRECT ANSWER: margin of the iris of the eye has a rosary of small white stromal tufts

Describe Epidural Hemmorhages? - CORRECT ANSWER: Epidural, between inner

table of skull and dura mater, lenticular shape, do not cross hemispheres, often follow middle meningeal artery tear, period of lucency followed by decreased LOA, emergent surgical evacuation if symptomatic

Describe hyphema and its treatment - CORRECT ANSWER: Ruptured iris blood vessel

or ciliary body resulting in blood and increased pressure in the anterior chamber. May result in glaucoma or vision loss, often associated with other eye injury, coagulopathies may impact prognosis and recovery, May require surgical correction, Treatment options include:Acetazolamide, Amicar, Bedrest, Eye patching, Elevated HOB , Avoidance of vlasalva maneuver

Describe methods to treat hyperkalemia - CORRECT ANSWER: Push K into cells-

Albuterol, Insulin/glucose, Sodium bicarbonate - Remove K- Kayexalate, dialysis; Stabilize cardiac cell membrane- Ca chloride

Describe pertussis... course, diagnosis and treatment? - CORRECT ANSWER: Course, catarrhal phase, paroxysmal phase, convelescent phase. May have co-findings of pneumonia, otits, seizures or encephalitis Diagnosis- Lymphocytosis, Bordetella pertussis, a coccobacillus.Treatment erythromycin

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Describe subarchnoid hemmorhage? - CORRECT ANSWER: Subarachnoid, between

arachnoid and pia mater, severe headache and neck pain, surgical evacuation if symptomatic

Describe Subdural Hemmorhages? - CORRECT ANSWER: Subdural, between dura

mater and arachnoid, may be associated with a skull fracture, often bilateral and will cross hemispheres, symptoms may be acute or insidious ICP- surgical evacuation if symptomatic

Describe the cause of nephrogenic or vasopressin resistant DI - CORRECT ANSWER:

It's caused by reduced renal responsiveness to antifiurectic hormone (ADH)

Describe the differences between the Syndrome of Inappropriate Diuretic Hormone and

Diabetes Insipidus - CORRECT ANSWER: SIADH - Inappropriate ADH secretion,

decreased Na with decreased serum osmo, increased urine osmo, Normal kidney function, often follow cerebral illness, or injury esp. spinal surgery, Tx with supp theray and fluid restriction. DI--Inadequate antidiuretic, Hormone effect, Disease of free water, Polyuria/polydipsia, Decreased urine osmo/sp.gr. even, When serum osmo increased, Increased NA, Central or nephrogenic, Often follows Cerebral illness of injuryTreat with supportive, Therapy and vasopressin

Describe the differences in CSF findings between bacterial, viral, & herpes meningitis -

CORRECT ANSWER: Bacterial- Decreased glucose and highly Increased WBC,

Lactate, protein: Diff- PMN

Viral- Glucose normal and lactate normal or decreased, protein and WBC mildly increased. DIff PMN first than monos Herpes- Glucose normal, protein and WBC increased, Diff PMN than monos, RBC >1000 in absence of traumatic tap.

Describe the patho, laboratory findings and treatment of DIC - CORRECT ANSWER:

Pathophysiology - Desposition of fibrin in the microvasculature resulting in consumption of coagulation factors and platelets Laboratory Findings- PT, PTT, FDP, D Dimers, Plts, Fibrinogen Treatment- FFP, Cryoprecipitate, Platelets

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