AANPCB A-GNP case studies
AANPCB A-GNP · Put your knowledge to work in context.
The Adult-Gerontology Primary Care Nurse Practitioner (AGNP) credential is a national certification issued by the American Academy of Nurse Practitioners Certification Board, which now operates as the Nurse Practitioner Certification Board (NPCB). The AGNP examination is an entry-level, competency-based exam that tests clinical knowledge of the adolescent to older adult population - the span a primary care AGNP actually manages. The AANPCB A-GNP case studies are 5 cases and about 4,377 words.
1The Catch-Up Visit: Three Things Out of Twelve
R is a 58-year-old marketing manager presenting for a 'catch-up' visit after 4 years without care. BMI 32 kg/m2; BP 138/86 and 136/84; A1c 6.2%; LDL 128 mg/dL; HDL 44 mg/dL; no diabetes or ASCVD.
838 words, about 4 min2Iron Deficiency in a 76-Year-Old Man: 'Can't I Just Take Pills?'
T is a 76-year-old retired teacher with 3 months of progressive fatigue and a 5.5 kg weight loss (82 kg to 76.5 kg). He reports no dysphagia, vomiting, or melena, but has noticed looser stools.
808 words, about 4 min3Fever With a Hot First MTP: When the Needle Is the Answer
L is a 64-year-old woman with a 2-year history of gout (three flares, none ever crystal-proven) who presents with 30 hours of severe left first metatarsophalangeal pain, swelling, and redness; she cannot bear weight. She has taken naproxen 500 mg twice daily since onset without relief.
841 words, about 4 min4A1c 7.6% in a 79-Year-Old Who Wants It Lower
K is a 79-year-old widow with 14 years of type 2 diabetes who lives alone. A1c 7.6%; eGFR 42 mL/min/1.73 m2 and stable, creatinine 1.3 mg/dL; weight 62 kg.
847 words, about 4 min5Two Falls, Nine Medications, and a Daughter in the Exam Room
B is an 86-year-old woman who lives alone with her daughter nearby. She has had two falls in 3 months, neither with syncope: one outdoors on uneven pavement, one in her bathroom at night.
1,043 words, about 5 min