AG-ACNP Exam Questions With 100% Verified
Answers
Influenza mechanism of transmission
Respiratory droplets
What portion of Healthcare workers get flu vaccine annually
Over 2/3
Can pregnant women receive mmr
No
What allergy would prevent the patient from receiving MMR
Neomycin or gelatin
Which pneumonia vaccine should the immune compromised receive
Prevnar pcv 13
Which organism is leading cause of death in CAP
S. Pneumonia
Hiv patients should receive which pneumonia vaccine
Pcv 13 first and PPSV 23 eight weeks later
Which pneumonia vaccine has greatest immunogenicity
PCV 13
Which allergy prevents patients from receiving hep b vaccine
Bakers yeast
How does variola virus transmit smallpox
Direct deposit of infected droplets
How do smallpox lesions present
All erupt simultaneously
How long does smallpox incubate
7-17 minutes
Where does smallpox rash begin
Starts on tongue covers body within 24hours
How is varicella vaccine transmitted
Droplet transmission
,List the live vaccines
MMR Varicella flumist Zoster rota virus
What are five stages of change from prochaska and Diclemente Trans theoretical model
Precontemplation. Contemplation. Preparation. Action. Maintenance/relapse
Precontemplation stage
Minimizes problem not changing
Contemplation stage
Feels stuck. Knows they need to change but unsure how
Preparation
Exhibits change behavior but maybe overwhelmed
Action stage
Takes concrete steps to change
Maintenance /relapse
Adopts healthy habits
Five A's of care for tobacco use pt
Ask about use
Advise to quit
Assess willingness
Assist in quit attempt
Arrange follow-up
Medications used for smoking cessation
Bupropion:Zyban wellbutrin
Varenicline :Chantix
Most common tool for screening a 55yr old man for prostate cancer
PSA test
A patient with acute cholecystitis would be positive for which sign
Murphy 's inspiration sign
End in pril
Ace inhibitors
Gram positive bacteria
Staph.
,Strep
Enterococcus
Gram neg
Mycoplasma
Pseudomonas
Neisseria
Any others not +
Staph is found
Skin
S. Pyogenes
Strep throat
Where is beta lactam ring found
Pcn and cephlosporins
What percentage of Pcn allergic are sensitive to beta lactam ring
2-10%
Beta lactam producing bacteria cannot be treated with
Pcn or cephlosporins
Where does Enterococcus grow
Urine
Augmentin
Pcn with Beta lactam ring covered
Augmentin
Used if unsure if +or - or betalactamase
Augmentin
Never used for MRSA or Staph
Pt has had ABT in last 90 days
Do not use same Pcn has betalactamase ring.. Step it up
Does Pcn work for MRSA
No
If a patient needs ABT not for MRSA but unsure of pathogen
Augmentin covers some +and- and betalactamase
, Treatment for chlamydia (gram-)
Doxycycline
Outpt TX for MRSA
Bactrim
Inpt TX for MRSA
Minoxcycline
Doxycycline treat Bacteria
Gram -
Strep throat
Gram positive
Escheri coli
Gram -
Strep TX
Penicillin
If Pcn allergic
Strep
Macrolide
1st generation cephlosporins for gm +skin
Keflex duracef
2nd generation cephlosporins tx gm pos. And negative.
Ceftin cefzol cefdinir
3rd generation cephlosporins tx. Betalactamase but lose gm pos coverage
Suprax
3 Rd generation cephlosporins expended spectrum TX pos. Neg and betalactamase
Rocephin
Will Rocephin TX MRSA
No
3rd generation Outpt extended spectrum meds
Omnicef.. Vantin Spectracef
Answers
Influenza mechanism of transmission
Respiratory droplets
What portion of Healthcare workers get flu vaccine annually
Over 2/3
Can pregnant women receive mmr
No
What allergy would prevent the patient from receiving MMR
Neomycin or gelatin
Which pneumonia vaccine should the immune compromised receive
Prevnar pcv 13
Which organism is leading cause of death in CAP
S. Pneumonia
Hiv patients should receive which pneumonia vaccine
Pcv 13 first and PPSV 23 eight weeks later
Which pneumonia vaccine has greatest immunogenicity
PCV 13
Which allergy prevents patients from receiving hep b vaccine
Bakers yeast
How does variola virus transmit smallpox
Direct deposit of infected droplets
How do smallpox lesions present
All erupt simultaneously
How long does smallpox incubate
7-17 minutes
Where does smallpox rash begin
Starts on tongue covers body within 24hours
How is varicella vaccine transmitted
Droplet transmission
,List the live vaccines
MMR Varicella flumist Zoster rota virus
What are five stages of change from prochaska and Diclemente Trans theoretical model
Precontemplation. Contemplation. Preparation. Action. Maintenance/relapse
Precontemplation stage
Minimizes problem not changing
Contemplation stage
Feels stuck. Knows they need to change but unsure how
Preparation
Exhibits change behavior but maybe overwhelmed
Action stage
Takes concrete steps to change
Maintenance /relapse
Adopts healthy habits
Five A's of care for tobacco use pt
Ask about use
Advise to quit
Assess willingness
Assist in quit attempt
Arrange follow-up
Medications used for smoking cessation
Bupropion:Zyban wellbutrin
Varenicline :Chantix
Most common tool for screening a 55yr old man for prostate cancer
PSA test
A patient with acute cholecystitis would be positive for which sign
Murphy 's inspiration sign
End in pril
Ace inhibitors
Gram positive bacteria
Staph.
,Strep
Enterococcus
Gram neg
Mycoplasma
Pseudomonas
Neisseria
Any others not +
Staph is found
Skin
S. Pyogenes
Strep throat
Where is beta lactam ring found
Pcn and cephlosporins
What percentage of Pcn allergic are sensitive to beta lactam ring
2-10%
Beta lactam producing bacteria cannot be treated with
Pcn or cephlosporins
Where does Enterococcus grow
Urine
Augmentin
Pcn with Beta lactam ring covered
Augmentin
Used if unsure if +or - or betalactamase
Augmentin
Never used for MRSA or Staph
Pt has had ABT in last 90 days
Do not use same Pcn has betalactamase ring.. Step it up
Does Pcn work for MRSA
No
If a patient needs ABT not for MRSA but unsure of pathogen
Augmentin covers some +and- and betalactamase
, Treatment for chlamydia (gram-)
Doxycycline
Outpt TX for MRSA
Bactrim
Inpt TX for MRSA
Minoxcycline
Doxycycline treat Bacteria
Gram -
Strep throat
Gram positive
Escheri coli
Gram -
Strep TX
Penicillin
If Pcn allergic
Strep
Macrolide
1st generation cephlosporins for gm +skin
Keflex duracef
2nd generation cephlosporins tx gm pos. And negative.
Ceftin cefzol cefdinir
3rd generation cephlosporins tx. Betalactamase but lose gm pos coverage
Suprax
3 Rd generation cephlosporins expended spectrum TX pos. Neg and betalactamase
Rocephin
Will Rocephin TX MRSA
No
3rd generation Outpt extended spectrum meds
Omnicef.. Vantin Spectracef
