AGACNP DRT REVIEW QUESTIONS WITH
CORRECT ANSWERS 2026
Celecoxib (Celebrex) - CORRECT ANSWER --COX-2 inhibitor
-Last choice treatment for osteoarthritis
-Should not be prescribed to patients with a history of cardiovascular conditions = increase risk
of heart attack
Osteoarthiritis (OA) Treatment - CORRECT ANSWER --ASA
-Tylenol
-NSAIDS (ibuprofen, naproxen)
-Celebrex
-Hot and cold therapy
First line management for acetaminophen intoxication? - CORRECT ANSWER --Emesis or gastric
lavage
-Ipecac used to force emesis- only if patient is not altered
-N-acetylcyesteine with 140mg/kg loading dose
What needs to be reported to the health department? - CORRECT ANSWER --Chlamydia
-Syphilis
-Gonorrea
-TB
-HIV
-Lyme Disease
-Animal Bites
,-Injuries due to dangerous weapons
-Suspected child abuse
Malpractice - CORRECT ANSWER --Failure of a professional to render services with the degree of
care, diligence and precaution that another member of the same profession under similar
circumstances would render to prevent injury to someone else
-Involves: professional misconduct, unreasonable lack of skill, illegal/immoral conduct, other
allegations resulting in harm
Signs and symptoms of partial small-bowel obstruction - CORRECT ANSWER --Pronounced
abdominal distention
-Watery, mucous filled diarrhea
-High pitched, tinkling bowel sounds
"Battle sign" is an indication of a: - CORRECT ANSWER -Bruising behind the ear at the mastoid
process
Raccoon Eyes - CORRECT ANSWER -Bruising around the eyes, indicative of a basilar skull fracture
Pap smear screening - CORRECT ANSWER --Start at age 21
-Pap + cytology is age 30-65 every 3 years
-Pap + cytology + HPV is age 30-65 years every 5 years
Migraine Pathophysiology - CORRECT ANSWER -Dilation and excessive pulsation of branches of
the external carotid artery
HBsAg, Anti-HBe, IgM, IgG - what is the diagnosis? - CORRECT ANSWER -Chronic Hep B
-HBsAg = Hep B
,-Anti-HBe = decreased viral load
-IgM = initial response/recent
-IgG = exposure/immunity
HBsAg, HBeAg, Anti-HBc, IgM - CORRECT ANSWER -Active Hep B
-HBsAg = Hep B
-HBeAg = increase viral load
-Anti-Hbc = in all 3
-IgM = recent
Mitral stenosis murmur - CORRECT ANSWER --Low pitched
-Mid-diastolic
-Apical "creascendo" rumble
-Occurs during S1
-Does not radiate
Herbal agents that can alleviate premenstrual discomforts? - CORRECT ANSWER --Evening
Primrose
-Black Cohosh
Continuous Positive Airway Pressure Ventilation - CORRECT ANSWER --Allows patient to breathe
normally and spontaneously
-Above atmospheric pressure provided throughout inspiration and expiration
Organophosphate (Insecticide) Poisoning Treatment - CORRECT ANSWER -1. Wash skin
thoroughly
2. If ingested, activated charcoal
, 3. **Atropine (drug of choice)
Benzodiazepine Overdose Treatment - CORRECT ANSWER -1. Respiratory and blood pressure
support
2.**Flumazenil (Romazicon) IV
3. Activated charcoal
Diagnostic test to differentiate between intrarenal and postrenal failure? - CORRECT ANSWER -
Urinary sediment test
-Granular white cast = intrarenal
-Normal results = postrenal
Diagnostic test to differentiate between prerenal and intrarenal? - CORRECT ANSWER -Serum
BUN and specific gravity tests
-BUN:Creatinine ratio >10:1 = preprenal
-BUN:Creatinine ratio 10:1 - intrarenal
-Specific gravity >1.015 = prerenal
-Specific gravity <1.015 = intrarenal
Side effects of hormone replacement therapy (HRT)? - CORRECT ANSWER --Gallstones
-Blood clots
-Stroke
** can help prevent osteoporosis
CORRECT ANSWERS 2026
Celecoxib (Celebrex) - CORRECT ANSWER --COX-2 inhibitor
-Last choice treatment for osteoarthritis
-Should not be prescribed to patients with a history of cardiovascular conditions = increase risk
of heart attack
Osteoarthiritis (OA) Treatment - CORRECT ANSWER --ASA
-Tylenol
-NSAIDS (ibuprofen, naproxen)
-Celebrex
-Hot and cold therapy
First line management for acetaminophen intoxication? - CORRECT ANSWER --Emesis or gastric
lavage
-Ipecac used to force emesis- only if patient is not altered
-N-acetylcyesteine with 140mg/kg loading dose
What needs to be reported to the health department? - CORRECT ANSWER --Chlamydia
-Syphilis
-Gonorrea
-TB
-HIV
-Lyme Disease
-Animal Bites
,-Injuries due to dangerous weapons
-Suspected child abuse
Malpractice - CORRECT ANSWER --Failure of a professional to render services with the degree of
care, diligence and precaution that another member of the same profession under similar
circumstances would render to prevent injury to someone else
-Involves: professional misconduct, unreasonable lack of skill, illegal/immoral conduct, other
allegations resulting in harm
Signs and symptoms of partial small-bowel obstruction - CORRECT ANSWER --Pronounced
abdominal distention
-Watery, mucous filled diarrhea
-High pitched, tinkling bowel sounds
"Battle sign" is an indication of a: - CORRECT ANSWER -Bruising behind the ear at the mastoid
process
Raccoon Eyes - CORRECT ANSWER -Bruising around the eyes, indicative of a basilar skull fracture
Pap smear screening - CORRECT ANSWER --Start at age 21
-Pap + cytology is age 30-65 every 3 years
-Pap + cytology + HPV is age 30-65 years every 5 years
Migraine Pathophysiology - CORRECT ANSWER -Dilation and excessive pulsation of branches of
the external carotid artery
HBsAg, Anti-HBe, IgM, IgG - what is the diagnosis? - CORRECT ANSWER -Chronic Hep B
-HBsAg = Hep B
,-Anti-HBe = decreased viral load
-IgM = initial response/recent
-IgG = exposure/immunity
HBsAg, HBeAg, Anti-HBc, IgM - CORRECT ANSWER -Active Hep B
-HBsAg = Hep B
-HBeAg = increase viral load
-Anti-Hbc = in all 3
-IgM = recent
Mitral stenosis murmur - CORRECT ANSWER --Low pitched
-Mid-diastolic
-Apical "creascendo" rumble
-Occurs during S1
-Does not radiate
Herbal agents that can alleviate premenstrual discomforts? - CORRECT ANSWER --Evening
Primrose
-Black Cohosh
Continuous Positive Airway Pressure Ventilation - CORRECT ANSWER --Allows patient to breathe
normally and spontaneously
-Above atmospheric pressure provided throughout inspiration and expiration
Organophosphate (Insecticide) Poisoning Treatment - CORRECT ANSWER -1. Wash skin
thoroughly
2. If ingested, activated charcoal
, 3. **Atropine (drug of choice)
Benzodiazepine Overdose Treatment - CORRECT ANSWER -1. Respiratory and blood pressure
support
2.**Flumazenil (Romazicon) IV
3. Activated charcoal
Diagnostic test to differentiate between intrarenal and postrenal failure? - CORRECT ANSWER -
Urinary sediment test
-Granular white cast = intrarenal
-Normal results = postrenal
Diagnostic test to differentiate between prerenal and intrarenal? - CORRECT ANSWER -Serum
BUN and specific gravity tests
-BUN:Creatinine ratio >10:1 = preprenal
-BUN:Creatinine ratio 10:1 - intrarenal
-Specific gravity >1.015 = prerenal
-Specific gravity <1.015 = intrarenal
Side effects of hormone replacement therapy (HRT)? - CORRECT ANSWER --Gallstones
-Blood clots
-Stroke
** can help prevent osteoporosis
