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need help with these questions Question 65 In dealing with patients with who have TIAs or CVAs, the AGACNP knows that which statement is false? Dysarthria is slurred speech, and aphasia is loss of the ability to speak. Dysphagia is difficulty with the ability to swallow, and agnosia is the inability to recognize familiar objects. Hemianopia is blindness of half the field of vision, and hemianesthesia is loss of sensation to one side of the body Paresthesia is paralysis of one side of the body, and hemiplegia is numbness and tingling of one side of the body Question 66 All of the following are true about acetaminophen intoxication except? Nausea and vomiting occur around 24-48 hours after exposure Right upper quadrant pain is a physical finding Signs of hepatotoxicity including jaundice, elevated LFTs, prolonged PT/INR and altered mental status developed Individuals are highly symptomatic in the early phase of toxicity Question 67 Which of the following would exclude a patient with acute ischemic stroke from receiving IV tPA? NIHSS = 16 BP = 185/100 mm. Hg. Blood glucose = 40 mg/dl INR = 1.2 Question 68 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 for as long as she can remember — she used to use an ointment, but she doesn’t know what it was. The AGACNP examines the lesions and appreciates a + Auspitz sign. This condition will be best treated with: Clotrimazole 1% cream Clobetasol 0.05% ointment Permethrin 1% lotion Mupirocin 2% ointment Question 69 A patient with minor head trauma presents for evaluation. Which of the following findings should be followed up with a CT scan to rule out orbital fracture? Positive Romberg test Systolic blood pressure > 200 mm Hg Periorbital ecchymosis Bleeding from the ear Question 70 Lester is a 48-year-old male who is brought to the emergency room by ambulance. Neighbors found him lethargic and confused after an episode of binge drinking. IV fluid hydration was started. He perked up and was able to participate to some extent with history taking. Physical exam revealed an area of erythema on the upper inner aspect of the left thigh. Lester does not remember any trauma or injury, but the area is extremely painful to palpation and the painful region extends several centimeters proximal to the erythema. One hour later when all diagnostic studies are available – Lester says that the pain is markedly worse. Physical exam reveals that the original area of erythema is now almost purple, and there are two erythematous spots proximal to the original site. The AGACNP is suspicious for: Brown recluse spider bite Necrotizing fasciitis Staphylococcal cellulitis Coagulopathy Question 71 What is the minimum cerebral perfusion pressure required to maintain brain cell viability? 60 mm Hg < 50 mm Hg > 70 mm Hg 40 mm Hg

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