ANCC Questions And Answers.
What is the first line treatment for temporal arteritis? –
High-dose steroids because it's an inflammatory response
Why is an anecdotal or expert opinion lowest on the research hierarchy? –
Can be a single person or a group of experts giving an opinion, but there is no
research
What is the screening test for temporal arteritis? –
Elevated ESR and CRP as well
Which condition causes bilateral stiffness lasting 30 minutes or more located in the
shoulders, neck, hips, and torso; more common in women >50 and closely related to
temporal arteritis? –
Polymyalgia rheumatica (PMR)
Are routine eye exams covered by Medicare part B? –
No
In trigeminal neuralgia, which cranial nerve is affected? –
V
What is the treatment for trigeminal neuralgia? –
Anticonvulsants (phenytoin) and muscle relaxants (gabapentin, topiramate)
Who monitors and disciplines the nurse practitioners? –
BON
What presents as an abrupt onset of facial paralysis due to dysfunction of the motor
branch of the facial nerve (7)? –
Bell's Palsy
- Additional sx: Tear production on the affected side stops
- Causes: viral, autoimmune, pressure from tumor or vessel
What presents as idiopathic and severe one-sided headache marked by recurrent, brief,
lacerating pain behind one eye accompanied by tearing and clear rhinitis? –
Cluster Headache
- Presents in males 30-40 yrs of age
- Higher rate of suicide r/t intense pain
- Tx: high dose 100% Oxygen 12L/min for 15 minutes, sumatriptan by intranasal
or IM
,What is reliability? –
Repeatable, reproducible, consistent
Symptoms of tension headache? –
Band-like tightness headache, dull and constant, tensing of neck muscles
What does the dependent variable depend on? –
Independent variable
What is described by transient episode of neurological dysfunction caused by focal
ischemia without acute infection of the brain? –
TIA (mini stroke or minor stroke)
What does the FAST mnemonic stand for? –
Face drooping, arm weakness, speech difficulty, time to call 911
What is the term for brain damage that presents with the patients no difficulty
comprehending speech but has extreme difficulty in motor aspect of speech? –
Broca's aphasia
- May only be able to speak 4 words
- Patient understands but difficulty expressing
What is apraxia? –
Difficulty w/ purposeful movement
Is suspected child abuse reportable? –
Always reportable
How do you illicit tinel's sign? –
Tap on anterior wrist - median nerve
- Evaluates carpal tunnel syndrome
What disease of conditions assess Phalen's sign (flex wrist and hold dorsal side of
hands together)? –
Carpal Tunnel Syndrome (affects median nerve)
What is EMTALA? –
Emergency Medical Treatment and Active Labor Act- stabilize patient before
transfer
Can be caused by embolism, thrombus, or hemorrhage and results in permanent
neurological damage from ischemia to affected brain tissues? –
CVA or Stroke
What is COBRA? –
, Insurance after you leave a job paid for by self, gap-insurance, 18 months, you
pay the premium that former employer was paying for
What is cranial nerve XI? –
Spinal accessory, shrug the shoulders
What can result from shingles in the cranial nerve V of the ophthalmic branch? -
Postherpetic neuralgia
- Corneal blindness can result
The name for the nodes on the PIP joints secondary to arthritis? –
Bouchard's nodes
(DIP are Heberden's *remember PIP comes before DIP because proximal is
closest to the body just like B in bouchards comes before H in heberdens)
What is the most sensitive screening test for thyroid function? –
TSH
What do you call the genetic defect called trisomy 21? –
Down syndrome
- Face appears flat, ears are low-set, upward slanting eyes
- Average lifespan is 60 yrs
What presents as a small head, shortened palpebral fissures, flat nasal bridge, smooth
philthrum? –
Fetal alcohol syndrome
What is covered in Medicare part D? –
Rx - only the drugs on the formulary list
Which type of cancer has increased risk w/ cryptorchidism? –
testicular cancer
- Even if it has been repaired, then risk is still increased
What disease is described as injected red conjunctiva, w/ profuse purulent discharge,
swollen eye lids, and presents 2-5 days after birth? –
Gonococcal opthalmia neonatorum
- Tx: apply erythromycin ointment 1cm ribbon per eye, immediately after birth
(prophylaxis)
What condition associated w/ vaginal birth shows 4-10 days after birth w/ eyelids
become edematous, with red, profuse watery discharge that becomes purulent? –
Chlamydia opthalmia neonatorum
- Appears initially watery then purulent and 4-10 days after birth
What is the first line treatment for temporal arteritis? –
High-dose steroids because it's an inflammatory response
Why is an anecdotal or expert opinion lowest on the research hierarchy? –
Can be a single person or a group of experts giving an opinion, but there is no
research
What is the screening test for temporal arteritis? –
Elevated ESR and CRP as well
Which condition causes bilateral stiffness lasting 30 minutes or more located in the
shoulders, neck, hips, and torso; more common in women >50 and closely related to
temporal arteritis? –
Polymyalgia rheumatica (PMR)
Are routine eye exams covered by Medicare part B? –
No
In trigeminal neuralgia, which cranial nerve is affected? –
V
What is the treatment for trigeminal neuralgia? –
Anticonvulsants (phenytoin) and muscle relaxants (gabapentin, topiramate)
Who monitors and disciplines the nurse practitioners? –
BON
What presents as an abrupt onset of facial paralysis due to dysfunction of the motor
branch of the facial nerve (7)? –
Bell's Palsy
- Additional sx: Tear production on the affected side stops
- Causes: viral, autoimmune, pressure from tumor or vessel
What presents as idiopathic and severe one-sided headache marked by recurrent, brief,
lacerating pain behind one eye accompanied by tearing and clear rhinitis? –
Cluster Headache
- Presents in males 30-40 yrs of age
- Higher rate of suicide r/t intense pain
- Tx: high dose 100% Oxygen 12L/min for 15 minutes, sumatriptan by intranasal
or IM
,What is reliability? –
Repeatable, reproducible, consistent
Symptoms of tension headache? –
Band-like tightness headache, dull and constant, tensing of neck muscles
What does the dependent variable depend on? –
Independent variable
What is described by transient episode of neurological dysfunction caused by focal
ischemia without acute infection of the brain? –
TIA (mini stroke or minor stroke)
What does the FAST mnemonic stand for? –
Face drooping, arm weakness, speech difficulty, time to call 911
What is the term for brain damage that presents with the patients no difficulty
comprehending speech but has extreme difficulty in motor aspect of speech? –
Broca's aphasia
- May only be able to speak 4 words
- Patient understands but difficulty expressing
What is apraxia? –
Difficulty w/ purposeful movement
Is suspected child abuse reportable? –
Always reportable
How do you illicit tinel's sign? –
Tap on anterior wrist - median nerve
- Evaluates carpal tunnel syndrome
What disease of conditions assess Phalen's sign (flex wrist and hold dorsal side of
hands together)? –
Carpal Tunnel Syndrome (affects median nerve)
What is EMTALA? –
Emergency Medical Treatment and Active Labor Act- stabilize patient before
transfer
Can be caused by embolism, thrombus, or hemorrhage and results in permanent
neurological damage from ischemia to affected brain tissues? –
CVA or Stroke
What is COBRA? –
, Insurance after you leave a job paid for by self, gap-insurance, 18 months, you
pay the premium that former employer was paying for
What is cranial nerve XI? –
Spinal accessory, shrug the shoulders
What can result from shingles in the cranial nerve V of the ophthalmic branch? -
Postherpetic neuralgia
- Corneal blindness can result
The name for the nodes on the PIP joints secondary to arthritis? –
Bouchard's nodes
(DIP are Heberden's *remember PIP comes before DIP because proximal is
closest to the body just like B in bouchards comes before H in heberdens)
What is the most sensitive screening test for thyroid function? –
TSH
What do you call the genetic defect called trisomy 21? –
Down syndrome
- Face appears flat, ears are low-set, upward slanting eyes
- Average lifespan is 60 yrs
What presents as a small head, shortened palpebral fissures, flat nasal bridge, smooth
philthrum? –
Fetal alcohol syndrome
What is covered in Medicare part D? –
Rx - only the drugs on the formulary list
Which type of cancer has increased risk w/ cryptorchidism? –
testicular cancer
- Even if it has been repaired, then risk is still increased
What disease is described as injected red conjunctiva, w/ profuse purulent discharge,
swollen eye lids, and presents 2-5 days after birth? –
Gonococcal opthalmia neonatorum
- Tx: apply erythromycin ointment 1cm ribbon per eye, immediately after birth
(prophylaxis)
What condition associated w/ vaginal birth shows 4-10 days after birth w/ eyelids
become edematous, with red, profuse watery discharge that becomes purulent? –
Chlamydia opthalmia neonatorum
- Appears initially watery then purulent and 4-10 days after birth
