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1.
When a patient has lower abdominal discomfort, cervical wall motion tenderness, and
adnexal tenderness, the AGACNP knows that this will likely be treated with:
C A Ceftriaxone and
azithromycin
B Metronidazole and
. ciprofloxacin
C C Trimethoprim/sulfametho
xazole
C D IV fluid and pain control
1 points
QUESTION 80
1.
J.L. is an 81-year-old female who is admitted from home after her daughter found her
confused and unkempt. She is not a good historian, and her daughter cannot provide any
information-when she saw her mother a week ago, she was fine. J.L.’s vital signs are as
follows: Temperature 101.4′ F, pulse 99 b.p.m., respirations 22 b.p.m., and blood pressure
90/58 mm Hg. Her urinalysis is shows + + + leukocytes, + RBC, and + nitrites. Her metabolic
panel reveals a BUN of 39 mg/dL and creatinine of 1.5 mg/dL. The AGACNP knows that J.L
has findings consistent with:
A Pre-renal failure
O B Intra-renal
failure
C Post-renal
failure
O D Chronic renal
failure

 
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QUESTION 91
1.
When beginning pharmacotherapy for depression, the AGACNP discusses with the
patient that a primary safety consideration includes the:
C A Increased risk of suicide when patients begin antidepressant
. therapy
O B Potential for sexual adverse effects
O C Better likelihood of success when medications and therapy
are used together
C D High incidence of serotonin syndrome
1 points
QUESTION 92
1.
When ruling out meningitis in a patient, the AGACP appreciates that the spinal fluid is
cloudy and the glucose content is 20 cells/microliter. This is most consistent with:
A Aseptic
. meningitis
B Septic
. meningitis
C Chemical
. meningitis
D Chronic
meningitis

 
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Option D MRI of the Abd

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QUESTION 93 1. A 44-year-old male patient presents in a hypertensive crisis. The blood pressure is
240:136 mm Hg. pulse is 123 b.p.m. and the patient is complaining of a severe, pounding headache. His skin is diaphoretic and he is visibly tremulous. The first diagnostic study;I to
evaluate the suspected diagnosis should be a: f" A 24 hour urine for catechola mine
metabolites f" 3 Serum epinephrine and
metanephrines r“ C T scan of the abdomen

 
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QUESTION 85
1.
A patient with chronic kidney disease presents with an eGFR of 30
mL/min/1.73m. The AGACNP knows that the most compelling implication of this value is:
A Control of risk factors for renal
. deterioration
C B Careful attention to renal dosing of
. medications
C Referring the patient for shunt
. placement
C D Preventing occurrence of renal
. ischemia
1 points
QUESTION 86
1.
Differential diagnosis of hematuria include all of the following except:
C A Bladder cancer
C B Nephrolithiasis in the renal
. parenchyma
C Urinary tract infection
D Prerenal azotemia

 
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