C.T. is a 39 year old female who presents for evaluation of what she thinks is her 'rosacea

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1)     C.T. is a 39 year old female who presents for evaluation of what she thinks is her ‘rosacea acting

up’. She has a history of acne rosacea and has medicated on and off for years with tetracycline and topical metronidazole. Today however she presents with a pronounced red/purple are on her left cheek extending to the nasal border. It is very warm to touch. The borders of the affected area are very well defined and raised. C.T. also has a temperature of 100.7oF and generalized headache. The AGACNP appreciates tender submandibular and cervical lymphadenopathy. The likely diagnosis is

a)     Complex rosacea
b)     Cellulits
c)      Erysipelas
d)     Allergic reaction

 
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MR. Hogle is a 65 year old male patient who presents with a burning type in the epigastrium

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)     MR. Hogle is a 65 year old male patient who presents with a burning type in the epigastrium. He

notices It is most at night, but says that sometimes he appreciates it when he is really hungry. It actually seems to get better when he eats. His vital signs are all within normal. A stool for occult blood is negative. His CBC reveals a Hgb of 10.1 g/dL and hematocrit of 30%. The MCV is 74 fL. The AGACNP knows that the next appropriate step is to order

a)     Ferritin and TIBC studies

b)     Vitamin B 12 and folate

c)      Helicobacter pylori testing

d)     A consult with gastroenterology

 
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Heather is a 51 year old female who is admitted for inpatient support of worsening liver function

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1)     Heather is a 51 year old female who is admitted for inpatient support of worsening liver function. she

has chronic hepatitis B and has been infected now with hepatitis D. She has significant ascites and when you examine her you appreciate a respiratory rate of 28 b.p.m. heather reports subjective shortness of breath with even minimal exertion such as getting out of bed. Which of the following actions is indicated?

a)     An Arterial blood gas

b)     Lactulose 30 mg dialy x 4 days

c)      Paracentesis

d)     Fluid restriction of 750 ml/24 hour period

 
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Marianne is 48 year old female who is hospitalized for stabilization

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1)     Marianne is 48 year old female who is hospitalized for stabilization after having a serious

dysrhythmia during an outpatient cosmetic procedure. This evening the AGACNP is called to the bedside because the patient is having a seizure. Upon arrival at the bedside, Marianne is having an tonic-clonic activity and is not responding verbally. The drug of choice in this circumstance is

a)     Phenytoin 300 mg IV

b)     Ativan 4 mg IV

c)      Phenobarbital 20 mg/kg/IV

d)     Thiamine 100 mg iv

 
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