The AGACNP is evaluating a 29 year old female who presents by ambulance is unresponsive

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1)     The AGACNP is evaluating a 29 year old female who presents by ambulance is unresponsive. There no

witness and no history available. The patient is not wearing any sort of medic alert bracelet. While assessing for toxicity or overdose, the patient is found to have vital signs as follows. Temperature of 92.2 oF, pulse of 48 bpm, respirations 10 bpm. And blood pressure of 84/50 mm Hg. The patient’s pupils are constricted, but do react briskly to light to 1 mm. The AGACNP suspects which of the substance?

a)     Cholinesterase inhibiting drugs

b)     Stimulants such as MDMA

c)      Anticholinergics

d)     Ethanol or opiates

 
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L K. is a 21 year old patient who presents with large, silvery scales on her elbows.

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1)     L K. is a 21 year old patient who presents with large, silvery scales on her elbows. She says it has

come, on and off as long as she can remember. She used to use an ointment, but she doesn’t know what it was. The AGACNP examines the lesion and appropriates a + Auspitz sign. This condition will be treated with

a)     Clotrimazole 1% cream

b)     Clobetasol 0.05% ointment

c)      Permetrhin 1% lotion

d)     Mupirocin 2% ointment

 
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J.R. is a 37 year old male who presents asking for a diagnostic evaluation.

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1)     J.R. is a 37 year old male who presents asking for a diagnostic evaluation. He reports that

approximately one year ago he had an unplanned and unprotected sexual encounter with another man. He states that it was an isolated incident and ever since he has been worried about his risk for contracting HIV. His lab testing reveals a + ELISA test and a negative western blot. The AGACNP advises J.R. that he

a)     Does not have HIV

b)     Requires repeat testing in 6 months

c)      Should have a direct RNA test

d)     Needs a prophylactic regimen

 
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Jill a 19 year old female who presents for treatment of her eczema.

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1)     Jill a 19 year old female who presents for treatment of her eczema. She has had prescription creams

for it in the past and it goes away really quickly. She does not know what the creams are. Today she has areas of erythema, healed scratches, and lichenficaiton behind both ears, on her neck, and in the left antecubital fossa. The AGACNP knows that the first step in her management should be

a)     A high potency steroid

b)     Regular application of lotion moisturizer

c)      Identification of allergens

d)     Oral antihistamines for itch

 
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