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A set of practice questions and answers for the ana ag/acp certification exam. It covers various medical topics, including hiv, seizures, stroke, thyroid disorders, anemia, and more. The questions are designed to test knowledge and understanding of key concepts in medical practice.
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A 55-year-old gentleman w/ HIV CD4 count 250. Presents to ED with H.A. Which H&P finding would cause concern? a) His body habitus is barrel-chested b) His sensory function is intact c) he has lymphadenopathy d) he describes floaters in his vision & occasional blurred vision - ✔✔D in pts with HIV, floaters and occasional blurred vision may indicate later stages or progression of disease process. Simple partial seizures can be distinguished because - ✔✔there is no loss of consciousness What region of the brain is affected during simple partial seizures - ✔✔a small region of the brain, the temporal lobes or hippocampus. Left cerebral hemisphere is dominant for what in most right-handed individuals - ✔✔speech and language Specific manifestations of left hemisphere injury via left MCA infarct will exhibit what s/sx? - ✔✔aphasia or apraxia Symptoms of antihistamine toxicity - ✔✔confusion, hyperthermia, dilated pupils, hypertension, and tachycardia Mechanism behind post-renal dysfunction - ✔✔mechanical or functional urine flow obstruction Rectal bleeding is more common in which illness: ulcerative colitis or Crohn's? - ✔✔U.C.
Why is rectal bleeding more common in U.C. than Crohn's? - ✔✔U.C. often involves the rectum and blood from this source is quite visible in or on the stool. Left inattention or neglect is defined as - ✔✔a lack of responsivity to stimuli on one side of the body Right MCA infarct will exhibit which of the following signs and symptoms A) Right facial weakness B) Left inattention C) Right-side sensory change D) Left gaze preference - ✔✔Left inattention When converting levothyroxine dose from IV to PO, what should you do to the dose and why? - ✔✔The dose must be doubled Pleural fluid protein to serum fluid ratio of 0.9 and pleural fluid LDH to serum LDH ratio 0.8. Based on these results, this patient's effusion fluid is most likely - ✔✔Exudate Iron deficiency anemia is described as a A) Hyperchromic, microcyctic anemia B) Hypochromic, microcytic anemia C) Hyperchromic macrocytic anemia D) Hypochromic, macrocytic anemia - ✔✔B) hypochromic, microcytic anemia Initial treatment of choice for symptoms of palpitation, tachyardia, and tremor in thyroid storm is A) Levothyroxine 50 mcg daily B) Propranolol 20 mg PO QID C) Lorazepam 0.5 mg PO BID D) Radioactive iodine - ✔✔B Propranolol 20 mg PO QUID
What is the standard procedure for investigating the source of iron deficiency anemia among men and postmenopausal women? - ✔✔Rule out a GI tract pathology. Order an endoscopic evaluation of the upper and lower GI tract. Which of the following conditions precludes a patient from receiving sumatriptan (Imitrex)? A) Diabetes B) High blood pressure C) Mitral valve replacement D) Intermittent claudication - ✔✔D) Intermittent claudication Tryptamine drugs are used to treat what kind of headaches? - ✔✔migraine and cluster headaches 70 y.o. male pt shows intermittent segments of erosion in the small bowel of colon. This is most characteristic of A) Diverticulosis B) U.C. C) Abscess formation D) Crohn's dz - ✔✔D) Crohn's Microcytic anemia and a low reticulocyte count are characteristic of what kind of anemia? - ✔✔Sideroblastic Hallmark laboratory feature of tumor lysis syndrome? A) Hypokalemia B) Hyponatremia C) Hypocalcemia D) Hypercalcemia - ✔✔C) hypocalcemia Microcyctic hypochromic anemia commonly found in Mediterranean populations - ✔✔Thalassemia
Complex partial seizures are often preceded by - ✔✔a seizure aura S/sx: impaired vibratory and position sense, spastic weakness, paresthesias in fingers and toes. Hg level of 10. Cause? A) Iron deficiency B) Vit B12 deficiency C) Folate deficiency D) Sickle cell disease - ✔✔B) Vit B12 deficiency What type of anemia causes weakness, tiredness or light-headedness; tachycardia&pnea, pale skin, sore tongue, easy bruising or bleeding - ✔✔Vit b12 deficiency Exceeding the liver's ability to metabolize dextrose can lead to A) Hypoglycemia B) Low triglycerides C) Elevated INR D) Elevated LFTs - ✔✔D) Elevated LFTs Which of the following lab values would indicate a pre-renal cause A) Urine sodium > B) Urine osmolality < C) FENa >1% D) FENa <1% - ✔✔FENa <1 % Distinguish B12 deficiency anemia from folic acid deficiency anemia using a specific physical finding - ✔✔B12 Deficiency anemia presents with neurologic changes Which tests are useful in distinguishing iron deficiency anemia from anemia of chronic disease? - ✔✔Ferritin and TIBC
Characteristic signs of a pneumothorax - ✔✔tachycardia, dyspnea, sudden chest pain on the affected side Adrenal insufficiency includes replacing which hormones? - ✔✔both glucocorticoids and mineralocorticoids Define positive predictive value - ✔✔Positive predictive value is the probability that subjects with a positive screening test truly have the disease. Define negative predictive value - ✔✔Negative predictive value is the probability that subjects with a negative screening test truly don't have the disease. Likelihood of spontaneous pneumothorax occurring in males versus females - ✔✔males have a higher likelihood