Professional Study Pack for ANA AG/ACNP – Set 2 |
Applied Scenarios with Step-by-Step Reasoning
A 55-year-old gentleman w/ HIV CD4 count 250. Presents to ED with H.A. Which H&P finding would
cause concern?
a) His body habitus is barrel-chested
b) His sensory function is intact
c) he has lymphadenopathy
d) he describes floaters in his vision & occasional blurred vision - ✔✔D in pts with HIV, floaters and
occasional blurred vision may indicate later stages or progression of disease process.
Simple partial seizures can be distinguished because - ✔✔there is no loss of consciousness
What region of the brain is affected during simple partial seizures - ✔✔a small region of the brain, the
temporal lobes or hippocampus.
Left cerebral hemisphere is dominant for what in most right-handed individuals - ✔✔speech and
language
Specific manifestations of left hemisphere injury via left MCA infarct will exhibit what s/sx? - ✔✔aphasia
or apraxia
Symptoms of antihistamine toxicity - ✔✔confusion, hyperthermia, dilated pupils, hypertension, and
tachycardia
Mechanism behind post-renal dysfunction - ✔✔mechanical or functional urine flow obstruction
Rectal bleeding is more common in which illness: ulcerative colitis or Crohn's? - ✔✔U.C.
, Why is rectal bleeding more common in U.C. than Crohn's? - ✔✔U.C. often involves the rectum and
blood from this source is quite visible in or on the stool.
Left inattention or neglect is defined as - ✔✔a lack of responsivity to stimuli on one side of the body
Right MCA infarct will exhibit which of the following signs and symptoms
A) Right facial weakness
B) Left inattention
C) Right-side sensory change
D) Left gaze preference - ✔✔Left inattention
When converting levothyroxine dose from IV to PO, what should you do to the dose and why? - ✔✔The
dose must be doubled
Pleural fluid protein to serum fluid ratio of 0.9 and pleural fluid LDH to serum LDH ratio 0.8. Based on
these results, this patient's effusion fluid is most likely - ✔✔Exudate
Iron deficiency anemia is described as a
A) Hyperchromic, microcyctic anemia
B) Hypochromic, microcytic anemia
C) Hyperchromic macrocytic anemia
D) Hypochromic, macrocytic anemia - ✔✔B) hypochromic, microcytic anemia
Initial treatment of choice for symptoms of palpitation, tachyardia, and tremor in thyroid storm is
A) Levothyroxine 50 mcg daily
B) Propranolol 20 mg PO QID
C) Lorazepam 0.5 mg PO BID
D) Radioactive iodine - ✔✔B Propranolol 20 mg PO QUID
Applied Scenarios with Step-by-Step Reasoning
A 55-year-old gentleman w/ HIV CD4 count 250. Presents to ED with H.A. Which H&P finding would
cause concern?
a) His body habitus is barrel-chested
b) His sensory function is intact
c) he has lymphadenopathy
d) he describes floaters in his vision & occasional blurred vision - ✔✔D in pts with HIV, floaters and
occasional blurred vision may indicate later stages or progression of disease process.
Simple partial seizures can be distinguished because - ✔✔there is no loss of consciousness
What region of the brain is affected during simple partial seizures - ✔✔a small region of the brain, the
temporal lobes or hippocampus.
Left cerebral hemisphere is dominant for what in most right-handed individuals - ✔✔speech and
language
Specific manifestations of left hemisphere injury via left MCA infarct will exhibit what s/sx? - ✔✔aphasia
or apraxia
Symptoms of antihistamine toxicity - ✔✔confusion, hyperthermia, dilated pupils, hypertension, and
tachycardia
Mechanism behind post-renal dysfunction - ✔✔mechanical or functional urine flow obstruction
Rectal bleeding is more common in which illness: ulcerative colitis or Crohn's? - ✔✔U.C.
, Why is rectal bleeding more common in U.C. than Crohn's? - ✔✔U.C. often involves the rectum and
blood from this source is quite visible in or on the stool.
Left inattention or neglect is defined as - ✔✔a lack of responsivity to stimuli on one side of the body
Right MCA infarct will exhibit which of the following signs and symptoms
A) Right facial weakness
B) Left inattention
C) Right-side sensory change
D) Left gaze preference - ✔✔Left inattention
When converting levothyroxine dose from IV to PO, what should you do to the dose and why? - ✔✔The
dose must be doubled
Pleural fluid protein to serum fluid ratio of 0.9 and pleural fluid LDH to serum LDH ratio 0.8. Based on
these results, this patient's effusion fluid is most likely - ✔✔Exudate
Iron deficiency anemia is described as a
A) Hyperchromic, microcyctic anemia
B) Hypochromic, microcytic anemia
C) Hyperchromic macrocytic anemia
D) Hypochromic, macrocytic anemia - ✔✔B) hypochromic, microcytic anemia
Initial treatment of choice for symptoms of palpitation, tachyardia, and tremor in thyroid storm is
A) Levothyroxine 50 mcg daily
B) Propranolol 20 mg PO QID
C) Lorazepam 0.5 mg PO BID
D) Radioactive iodine - ✔✔B Propranolol 20 mg PO QUID
