R. S. is a 66-year-old female with Cushing's syndrome due to an ACTH-

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R. S. is a 66-year-old female with Cushing’s syndrome due to an ACTH-producing pituitary tumor. The tumor is

readily isolated by imaging, and the patient had an uneventful surgery. When seeing her in follow-up, the AGACNP anticipates:

A. Rapid reversal of symptoms, with good pituitary function
B. Transient rebound release of remaining pituitary hormones
C. Markedly improved dexamethasone suppression test
D. Hyponatremia and compensatory SIADH

 
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R. S. is a 66-year-old female with Cushing’s syndrome due to an ACTH-

/in /by

R. S. is a 66-year-old female with Cushing’s syndrome due to an ACTH-producing pituitary tumor. The tumor is

readily isolated by imaging, and the patient had an uneventful surgery. When seeing her in follow-up, the AGACNP anticipates:

A. Rapid reversal of symptoms, with good pituitary function

B. Transient rebound release of remaining pituitary hormones

C. Markedly improved dexamethasone suppression test

D. Hyponatremia and compensatory SIADH

 
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A 16-year-old male presents with fever and right lower quadrant discomfort

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A 16-year-old male presents with fever and right lower quadrant discomfort. He complains of nausea and has had one

episode of vomiting, but he denies any diarrhea. His vital signs are as follows: temperature 101.9°F, pulse 100 bpm, respirations 16 breaths per minute, and blood pressure 110/70 mm Hg. A complete blood count reveals a WBC count of 19,100 cells/µL. The AGACNP expects that physical examination will reveal:

A. + Murphy’s sign

B. + Chvostek’s sign

C. + McBurney’s sign

D. + Kernig’s sign

 
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Mrs. Maroldo is an 81-year-old female who presents for evaluation of pain in her left lower quadrant

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Mrs. Maroldo is an 81-year-old female who presents for evaluation of pain in her left lower quadrant. She has had

this pain before and says she usually takes antibiotics and it goes away. However, this time it seems worse, and she has had it for 4 days even though she says she started taking her leftover antibiotics from the last episode. She denies any nausea or vomiting but says she simply isn’t hungry. She had a little diarrhea yesterday but no bowel movements today. She has a temperature of 100.9°F and a pulse of 104 bpm, respirations of 20 breaths per minute, and a blood pressure of 94/60 mm Hg. She has some discomfort to deep palpation in the left lower quadrant. The AGACNP suspects:

A. Irritable bowel syndrome

B. Inflammatory bowel disease

C. Diverticulitis

D. Appendicitis

 
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