The inflammation of Ankylosing Spondylitis starts with inflammation in ______________ and will eventually fuse the spine.

Case: 45 year old patient with R BKA and L knee disarticulation from and on the job accident where he was trapped behind the truck bumper and the wall of a wash out stall. No other internal injuries noted. Patient transferred to in patient rehab once medically stable. PT POC includes patient education, stump care, TE, TA, balance, functional mobility, stump care, and pre-prosthetic training.Of the following, what would be the most appropriate TE intervention plan?

A common hand deformity seen in patients with RA is _________________.

A 69-year-old male patient presents with severe dyspnea, respiratory rate 32, SaO2 84%, heart rate 112, a blood pressure of 82/50, cold extremities, and confusion. After examining the patient, he begins to cough pink-tinged sputum. This scenario reflects:

A patient presents with palpitations. An ECG shows an irregular rhythm, without P waves and no significant Q waves and no ST segment changes and a QRS less than 0.10 seconds.  The most likely diagnosis is:

An NP is called to assess a 76-year-old female patient who has a known history of systolic heart failure. The patient is being admitted to the hospital with complaints of couch orthopnea and declining activity tolerance. Oxygen saturations are lower than her usual baseline and a chest x-ray demonstrates pulmonary venous hypertension.  Which is the initial intervention in the treatment of this patient?

What factors may contribute to an underestimation of the cardiac output (CO)?

A 35-year-old male with no significant past medical history presents to the Emergency Department with one day of worsening chest pain. The chest pain was abrupt in onset, is described as “sharp” in nature, and worsens with inspiration. It is primarily centered in the center of his chest but occasionally radiates to the left upper back. He feels that the pain worsens when he lays down. Vital signs are unremarkable including equal bilateral upper extremity blood pressures and radial pulses. On physical examination, he is febrile to 38.2°C. A triphasic “scratching” sound in time with the cardiac cycle is auscultated at the left lower sternal border. Initial laboratory studies show a negative troponin T and mild elevations in white blood cell count and the C-reactive protein. His ECG is shown below: ECG6.jpg Which of the following is the most appropriate next step?

A 78-year old female with severe aortic stenosis presents to the ICU following a transcatheter aortic valve replacement (TAVR). Preprocedural transthoracic echocardiography demonstrated severe aortic stenosis with left ventricular hypertrophy and an asymmetric septal bulge. Left ventricular wall thickness in the parasternal short axis view is 1.6 cm with a small cavity. Postoperatively, the patient develops sudden onset hypotension requiring vasopressor support; however, blood pressure continues to decrease despite escalating doses of norepinephrine. The vital signs are heart rate 94 bpm, blood pressure 85/54 mm Hg, respiratory rate 18/min. Transthoracic echocardiography demonstrates an underfilled left ventricle with midventricular obstruction.  What is the most appropriate next step in management?

The AG-ACNP is caring for a 79-year-old male who has been successfully resuscitated. He had a sudden, witnessed collapse in a shopping mall where he was found to be in pulseless VT. He has a prior history of CAD with a single coronary stent placed 2 years ago. He now has stable vital signs but remains comatose. His 12-lead ECG shows ST segment depressions in the anterior leads. Which statement regarding the role of cardiac catheterization in his care is true?  Cardiac catheterization is: