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Question 46 Janet is a 34—year—old female with no significant medical history who is being evaluated
for a planned uterine ablation. She has significant history of menorrhagia and has been
unresponsive to a variety of medical therapies to try to stop the bleeding. Her history
and physical examination are within normal limits. The AGACNP knows that Janet will
require which one of the following preoperative diagnostic studies? A. Urinalysis B. Complete blood count (3. 12—lead electrocardiogram D.Chest
radiography

 
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Question 34 ‘v’. is a 3?—year—old female who is admitted via the emergency room after her roommate
called emergency medical services (EMS). She has no significant medical historyIr and
does not know what is wrong with her. She has been feeling generally unwell for the last
few days. and today she had an episode of confusion that scared her roommate to the
extent that the roommate called EMS. Her physical examination reveals a temperature
of 101.Q°F, pulse of 110 bpm. respiratory rate of 20 breaths per minute, and blood
pressure of 9258 mm Hg. A comprehensive metabolic panel reveals a slightly elevated
blood urea nitrogen (BUNll‘creatinine but otherwise is normal. A white blood cell
differential reveals a leukocyte count of 14.000 cellspr with neutrophils of 83%. The
AGACNP knows that these values are consistent with: A. Systemic inflammatory response syndrome (SIRS) El. High—output septic shock
C. Neurogenic shock D.Multiple organ dysfunction syndrome (MODS)

 
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Question 4? Best practices for assessing diseases of the thyroid gland include a thorough but
targeted history, systematic physical examination, and selective use of appropriate
diagnostic evaluation. The AGACNP knows that although serum T3 and T4 are not
indicated routinely, a free T4 test is most useful in evaluating patients: A.With profound symptoms of hypothyroidism B. Following treatment for Graves’
disease C. To rule out autonomous toxic nodule D. At risk for thyroid cancer

 
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Question 35
Which shock state is worsened in the setting of mechanical ventilation ?
A . Septic B . Cardiac compressive
C . Neurogenic D . Cardiogenic
Question 36

 
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