ANCCl AGACNPl Examl Guidel (Latestl
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Leftl heartl failure
Answer:
LUNGS,l dyspneal atl rest,l rales,l wheezing,l generallyl healthyl exceptl acutel event,l S3,l
murmurl ofl mitrall regurg
Q:l Rightl heartl failure
Answer:
JVD,l hepatomegaly,l peripherall edema
Q:l MRl ASS
Answer:
Mitrall regurg,l aorticl stenosis,l systolicl murmurs
Q:l MSl ARD
Answer:
Mitrall Stenosis,l aorticl regurg,l diastolic
Q:l Mitrall murmurl locations
Answer:
5thl ICS,l apex
,Q:l Aorticl murmurl locations
Answer:
2ndl orl 3rdl ICS,l base
Q:l S1
Answer:
AVl valvesl closed,l SLl open
Q:l S2
Answer:
SLl closed,l AVl open
Q:l Cardiacl bloodl flow
Answer:
SVC,RA,l tricuspid,l RV,l pulmonicl valve,l pulmonaryl artery,l lungs,l pulmonaryl veins,l LA,l
mitral,l LV,l Aorticl valve,l aorta,l body
Q:l Cushing's
Answer:
Moonl face,l buffalol hump,l hypertension,l HYPERglycemia,l HYPERnatremia,l
HYPOkalemia,l txl dependsl onl causel (stopl meds,l tumor)
Q:l Addison'sl ADRENOcorticoidl deficiency
Answer:
Remember:l SEX,l SALT,l andl SUGARl
,Deficientl cortisol,l androgens,l andl aldosterone,l hyperpigmentationl inl buccall mucosa,l
tanning,l HYPOtension,l scantl hair,l HYPOglycemia,l HYPOnatremia,l HYPERkalemia,l
cosyntropinl isl thel rulel outl forl addison's,l manage:l referral,l glucorticoid,l hydrocortisone,l
fludrocortisonel inpatient:l hydrocortisonel andl fluids
Q:l HYPERthyroidism/Grave's
Answer:
TSHl LOW,l T3l High,l Grave'sl Disease,l bulgyl eyes,l weightl loss,l finel thinl hair,l smoothl
skin,l al fibl
Specialistl referral,l propranolol,l methimazole,l PTU,l lugol's
Q:l Thyroidl crisis
Answer:
PTUl orl Methimazolel withl adjunctl withinl 1l hourl Lugol'sl propranolol,l hydrocortisone
Nol ASA
Q:l Hypothyroidism
Answer:
(TSHl assayl mostl sensitivel test)l TSHl ELEVATED,l T4l LOW
hasimototo'sl mostl common,l LOWl ANDl SLOW,l coldl intolerance,l weightl fain,l brittlel
nails,l brady,l hypoactivel BS,l Levothyroxinel 50-100mcg
Q:l Myxedemal Coma
Answer:
AIRWAY,l fluidl replacementl PRN,l levothyroxinel 400mcgIVx1
Q:l Subacutel thyroiditis
Answer:
, Treatedl symptomaticallyl withl propanonlol
Q:l Pheocromocytoma
Answer:
Labilel hypertension,l TSHl normal,l posturall hypotension,l plama-freel metanephrinesl tol rulel
out,l CTl tol confirm,l surgicall removal,l postop:l hypotension,l adrenall insufficiency,l
hemorrhage
urinel catecholamines,l alphal blockersl phentolamine
Q:l DKA
Answer:
-intracellularl dehydration,l kussmaul,l hyperglycemial >250,l ketonemia,l hyperkalemia
Management:l 1Ll firstl hour>500ml/hr,l 0.1/kg/hr,l glucosel <250l changel tol D51/2
l
whenl switchingl tol subql insulin,l inititatel subQl insulinl 2-3l hoursl priorl tol stoppingl
insulinl drip
Q:l HHNKl (Hyperosmolarl Hyperglycemicl NONl KETOSIS)
Answer:
Typel 2l DM,l superl elevatedl glucosel >600,l hyperosmolarl >310,l normall anionl gap,l
elevatedl hgbA1c,l normall pH
Management:l massivel fluidl replacement,l overalll deficitl usuallyl 6-10L,l 15Ul regularl
insulinl IVl followedl byl 10-15Ul subq
Q:l Dawnl Phenomenon
Answer:
2026/l 2027l Update)l 100%l Verifiedl
Questionsl &l Answersl |l Gradel A
Q:l Leftl heartl failure
Answer:
LUNGS,l dyspneal atl rest,l rales,l wheezing,l generallyl healthyl exceptl acutel event,l S3,l
murmurl ofl mitrall regurg
Q:l Rightl heartl failure
Answer:
JVD,l hepatomegaly,l peripherall edema
Q:l MRl ASS
Answer:
Mitrall regurg,l aorticl stenosis,l systolicl murmurs
Q:l MSl ARD
Answer:
Mitrall Stenosis,l aorticl regurg,l diastolic
Q:l Mitrall murmurl locations
Answer:
5thl ICS,l apex
,Q:l Aorticl murmurl locations
Answer:
2ndl orl 3rdl ICS,l base
Q:l S1
Answer:
AVl valvesl closed,l SLl open
Q:l S2
Answer:
SLl closed,l AVl open
Q:l Cardiacl bloodl flow
Answer:
SVC,RA,l tricuspid,l RV,l pulmonicl valve,l pulmonaryl artery,l lungs,l pulmonaryl veins,l LA,l
mitral,l LV,l Aorticl valve,l aorta,l body
Q:l Cushing's
Answer:
Moonl face,l buffalol hump,l hypertension,l HYPERglycemia,l HYPERnatremia,l
HYPOkalemia,l txl dependsl onl causel (stopl meds,l tumor)
Q:l Addison'sl ADRENOcorticoidl deficiency
Answer:
Remember:l SEX,l SALT,l andl SUGARl
,Deficientl cortisol,l androgens,l andl aldosterone,l hyperpigmentationl inl buccall mucosa,l
tanning,l HYPOtension,l scantl hair,l HYPOglycemia,l HYPOnatremia,l HYPERkalemia,l
cosyntropinl isl thel rulel outl forl addison's,l manage:l referral,l glucorticoid,l hydrocortisone,l
fludrocortisonel inpatient:l hydrocortisonel andl fluids
Q:l HYPERthyroidism/Grave's
Answer:
TSHl LOW,l T3l High,l Grave'sl Disease,l bulgyl eyes,l weightl loss,l finel thinl hair,l smoothl
skin,l al fibl
Specialistl referral,l propranolol,l methimazole,l PTU,l lugol's
Q:l Thyroidl crisis
Answer:
PTUl orl Methimazolel withl adjunctl withinl 1l hourl Lugol'sl propranolol,l hydrocortisone
Nol ASA
Q:l Hypothyroidism
Answer:
(TSHl assayl mostl sensitivel test)l TSHl ELEVATED,l T4l LOW
hasimototo'sl mostl common,l LOWl ANDl SLOW,l coldl intolerance,l weightl fain,l brittlel
nails,l brady,l hypoactivel BS,l Levothyroxinel 50-100mcg
Q:l Myxedemal Coma
Answer:
AIRWAY,l fluidl replacementl PRN,l levothyroxinel 400mcgIVx1
Q:l Subacutel thyroiditis
Answer:
, Treatedl symptomaticallyl withl propanonlol
Q:l Pheocromocytoma
Answer:
Labilel hypertension,l TSHl normal,l posturall hypotension,l plama-freel metanephrinesl tol rulel
out,l CTl tol confirm,l surgicall removal,l postop:l hypotension,l adrenall insufficiency,l
hemorrhage
urinel catecholamines,l alphal blockersl phentolamine
Q:l DKA
Answer:
-intracellularl dehydration,l kussmaul,l hyperglycemial >250,l ketonemia,l hyperkalemia
Management:l 1Ll firstl hour>500ml/hr,l 0.1/kg/hr,l glucosel <250l changel tol D51/2
l
whenl switchingl tol subql insulin,l inititatel subQl insulinl 2-3l hoursl priorl tol stoppingl
insulinl drip
Q:l HHNKl (Hyperosmolarl Hyperglycemicl NONl KETOSIS)
Answer:
Typel 2l DM,l superl elevatedl glucosel >600,l hyperosmolarl >310,l normall anionl gap,l
elevatedl hgbA1c,l normall pH
Management:l massivel fluidl replacement,l overalll deficitl usuallyl 6-10L,l 15Ul regularl
insulinl IVl followedl byl 10-15Ul subq
Q:l Dawnl Phenomenon
Answer:
