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AGACNP EXAM AND STUDY GUIDE EX AM
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ACTUAL EXAM QUESTIONS AND CORRECT
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Which of the following medications are contraindicated in C. difficile colitis b/c toxic megacolon can occur?
- Bismuth subsalicylate (Pepto-Bismol)
- Magnesium hydroxide (Maalox)
- Loperamide (Imodium)
- All of the above - Correct Answer - C) Loperamide (Imodium)
Volvulus of the intestines most frequently involves the:
- stomach
- sigmoid flexure
- jejunum
- cecum - Correct Answer - B) Sigmoid flexure
The classic triad of abdominal aortic aneurysm symptoms include all of
the following except:
- hypotension 1 / 4
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- pulsatile abdominal mass
- low back pain
- hypertension - Correct Answer - D) Hypertension is not a symptoms
of the classic triad.
The most common cause of pancreatic disease is (are):
- alcoholism
- gallbladder disease
- prescription medication use
- all of the above - Correct Answer - D) All of the above
Irrititable bowel syndrome (IBS) is commonly associated with which type of anemia?
- macrocytic
- Aplastic
- Microcytic
- Sickle cell - Correct Answer - C) microcytic anemia is commonly
associated with IBS
Duodenal ulcer is characterized by which of the following?
- It is more common in women
- It is associated with a high incidence of malignancy
- Weight loss is common 2 / 4
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- Eating food will relieve the pain & discomfort - Correct Answer - D)
Eating food will relieve the pain & discomfort. Duodenal ulcers are equally prevalent in both sexes and are not associated w/malignancy & wt loss
H. pylori infection is:
- more common in children
- associated with squamous cell carcinoma
- diagnosed by gastric biopsy
- diagnosed with blood serologies - Correct Answer - C) H. pylori is
diagnosed by gastric biopsy. It is more common in adulthood and may be correlated with adenocarcinoma. Serologic tests may show a false negative, especially if a person has taken antibiotics or omeprazole (Prilosec).
Treatment of H. pylori includes all of the following except:
- antacids
- antibiotics
C. PPI
- H2RBs - Correct Answer - A) Treatment of H. pylori does not include
antacids. PUD not related to H. pylori infection may be treated with a trial of antacids. Treatment of H. pylori includes antibiotics, PPIs, and H2RBs
A healthcare worker suffers a needlestick injury from a patient known to have hepatitis B virus. What would be the plan of care for this healthcare worker? 3 / 4
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- Give the hepatitis B vaccine immediately.
- Obtain baseline LFTs
- Give the hepatitis B vaccine within 1 week
- Give hepatitis B immune globulin and hepatitis B vaccine
immediately - Correct Answer - D) Give HBIG and Hepatitis B vaccine immediately. The HBIG provides immediate, high-level passively acquired anti-hepatitis B immunity, whereas the hepatitis vaccine offers lasting immunity.
Which of the following markers is indicative of acute hepatitis A infection?
- Hepatitis A IgM positive
- Hepatitis A IgM negative
- Hepatitis A IgG negative
- Hepatitis A IgG positive - Correct Answer - A) The marker indicative
of acute hepatitis A infection is hepatitis A IgM positive
Hepatitis B is characterized by all of the following except:
- it is common in healthcare workers
- the incubation period is 10 days
- it may be associated with fatigue and arthralgia
- there may be a chronic carrier state - Correct Answer - B) The
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incubation period for HBV may extend from 6 weeks to 6 months; it is not 10 days.