Mr. Nixon is a 58 year old male who presents to the emergency department

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1)     Mr. Nixon is a 58 year old male who presents to the emergency department complaining of substernal

chest burning and discomfort. He has no significant medical history and takes no daily medications. He gets some relief from a GI cocktail. The 12 lead ECG demonstrates non-specific ST-T wave changes in leads V4-V6 and lead I. The AGACP knows that in accordance with standard of care the next step in assessment and management of this patient would include

a)     Fibrinolytic therapy

b)     GI consult for endoscopy

c)      Cardiac isoenzymes and troponins

d)     Beta adrenergic blockade and thrombin inhibitors.

 
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 Myasthenia Gravis is best

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1)     Myasthenia Gravis is best described as

a)     An Imbalance of dopamine and acetylcholine

in the basal ganglia

b)     Demyelination of the peripheral ascending nerves

c)      Demyelination of the central nervous system

d)     An autoimmune disorder characterized by decreased neuromuscular activation

 
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The AGACNP is beginning medical management of a patient newly diagnosed with Type 2 DM.

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1)     The AGACNP is beginning medical management of a patient newly diagnosed with Type 2 DM. The patient

has a BMI of 39 and has been unsuccessful in making significant diet and lifestyle changes over the last 6 months. Other than her weight, her physical examination is essentially within normal limits. Her HgbA1C is 9.5%. A basic metabolic panel is within normal limits. The medication of choice to begin therapy will be

a)     A sulfonylurea

b)     A meglitinide

c)      A bigunaide

d)     An incretin mimetic

 
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Mr. Quigley is a 55 year old male who is admitted for management of an acute hypertensive emergency

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1)     Mr. Quigley is a 55 year old male who is admitted for management of an acute hypertensive emergency

secondary to alcohol withdrawal. After being treated with IV Benzodiazepines and antihypertensive his condition has stabilized. This morning’ Complete blood count is as follows.

Hgb-9.7 g/dl, Hct 29%, MCV-1065 fL, RDW-18%. The AGACNP knows that appropriate treatment will include:

a)     Packed Red blood cells

b)     FeSO4

c)      Folate

d)     Vitamin B12

 
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