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QUESTION 8 . Mrs. Lowen is an 82-year-old female who comes to the emergency department for
evaluation of a fever of 102.9“ F. She complains ofa headache in the right side of her temple and some right~sided jaw pain. A urinalysis. chest radiograph, complete blood count {CBC}
and 12-lead ECG are all nonficontributory. A comprehensive metabolic panel is significant
only for a slightly elevated BUN and creatinine. The AGACNP appreciates distinct right
temple tenderness to percussion. Which laboratory test is necessary to support the
suspected diagnosis? r’ A An erythrocyte
sedimentation rate r B A white blood cell
differential i" C Two sets of blood cultures 1" D Echocardiography 1 points

 
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QUESTION 9 Ms. Schiebel, a 31-year-old female who is brought to the emergency department by
police afier being arrested for disruptive behavior in a public establishment. The differential diagnosis includes drug and alcohol ingestionftoxicity, central nervous system disease.
severe trauma. and psychotic illness; ultimately the alcohol and toxicology screen as well as head imaging are negative. When considering psychotic illness. the AGACP knows that this is
a physiologic imbalance that typically involves an excess of: I" A Serotonin
f" B Norepinephr
ine r“ C Acetylcholin
e f’“ D Dopamine

 
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QUESTION 10 Mr. Lincoln is a 55vyear~old male who was admitted for management of sepsis
secondary to pneumonia. He has declined rapidly. and today chest radiography demonstrates a diffuse. bilateral “white-out" appearance. His paOz is 55 mm Hg. In order to
increase his oxygenation the AGACNP knows that which of the following interventions is
indicated? r A Increased Fi02 r" 3 Increased
respiratory rate I” C Increased tidal
v

 
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due to cropping restrictions i was not able to highlight all the potential answers. please refer to document as i dont know how to fix this issue. thanks.

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QUESTION 14 Mr. Parker brings his E-yearnold wife to a clinic appointment because he is worried
about her. She has a long history of hypertension and dyslipidemia. but he says she has
taken medication for years and everything has been 0K. His concern today is that for a long
time she has been very forgetful. and he has tried to help her by keeping a strict routine
around the house. Over the past few months. she just seems more and more forgetful, does
not seem interested in doing anything. and now seems to be forgetting how to do simple
everyday tasks. Yesterday she could not figure out which dollar bills to use at the store to
pay the cashier. The AGACNP knows Mrs. Parker should first be screened for:

 
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