6531 COMBINED MIDTERM AND
FINAL REVIEW EXAM QUESTIONS
WITH CORRECT ANSWERS GRADED
A+ FOR 2026-2027 ASSURED EXCEL!
A health care provider in a clinic finds a patient in a room, unresponsive and pale. Which sign
should be used to identify the need to initiate cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing - CORRECT ANSWERS-Assessment of gasping
breaths or not breathing
An African-American patient who is being treated with a thiazide diuretic for chronic
hypertension reports blurred vision and shortness of breath. The provider notes a blood
pressure of 185/115. What is the recommended action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker - CORRECT ANSWERS-Admit to the hospital for evaluation
and treatment
A patient reports sustained, irregular heart palpitations. What is the most likely cause of these
symptoms?
Atrial fibrillation
,Anemia
Extrasystole
Paroxysmal attacks - CORRECT ANSWERS-Atrial fibrillation
A patient has a cardiac murmur that peaks in midsystole and is best heard along the left sternal
border. The provider determines that the murmur decreases in intensity when the patient
changes from standing to squatting and increases in intensity with the Valsalva maneuver.
Which cause will the provider suspect for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse - CORRECT ANSWERS-Hypertrophic cardiomyopathy
A patient is brought to an emergency department with symptoms of acute ST-segment elevation
MI (STEMI). The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment - CORRECT ANSWERS-Initiate fibrinolytic treatment
Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular
disease are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
, a 10 year risk score of 5% and an LDL of 165 mg/dL. - CORRECT ANSWERS-previous myocardial
infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
AZ75-year-
oldZpatientZreportsZpainZandZaZfeelingZofZtirednessZinZbothZlegsZthatZonlyZrelievesZafterZsittingZforZ3
0ZminutesZorZmore.ZWhatZtheZdoesZproviderZsuspectZasZtheZcauseZforZtheseZsymptoms?
Buerger'sZdisease
CaudaZequinaZsyndrome
DiabeticZneuropathy
PeripheralZarterialZdiseaseZ-ZZCORRECTZANSWERS-CaudaZequinaZsyndrome
WhichZareZcausesZofZsecondaryZhypertension?Z(SelectZallZthatZapply.)
OralZcontraceptives
IsometicZexcercises
NSAIDS
SleepZapnea
IncreasedZsaltZintakeZ-ZZCORRECTZANSWERS-OralZcontraceptives
NSAIDS
SleepZapnea
AZyoungZfemaleZpatientZhasZknownZmitralZvalveZprolapse.ZDuringZaZroutineZhealthZmaintenanceZex
am,ZtheZproviderZnotesZanZapicalZsystolicZmurmurZandZaZmidsystolicZclickZonZauscultation.ZTheZpati
entZdeniesZchestZpain,Zsyncope,ZorZpalpitations.ZWhatZwillZtheZproviderZdo?
ReassureZtheZpatientZthatZtheseZfindingsZareZexpected
ContinueZtoZmonitorZtheZpatientZeveryZ3Zyears
, AdmitZtheZpatientZtoZtheZhospitalZforZevaluationZandZtreatment
ConsultZwithZcardiologyZtoZdetermineZappropriateZdiagnosticZtestsZ-ZZCORRECTZANSWERS-
ConsultZwithZcardiologyZtoZdetermineZappropriateZdiagnosticZtests
AZpatientZreportsZabdominalZandZbackZpainZwithZanorexiaZandZnausea.ZDuringZanZexam,ZtheZprovid
erZnotesZaZpulsatileZabdominalZmass.ZWhatZisZtheZinitialZaction?
SchedulingZanZMRIZtoZevaluateZforZaorticZdisease
ImmediateZreferralZtoZaZthoracicZsurgeon
USZofZtheZmassZtoZdetermineZsize
OrderingZCTZangiographyZ-ZZCORRECTZANSWERS-USZofZtheZmassZtoZdetermineZsize
AZpatientZisZbroughtZtoZanZemergencyZdepartmentZwithZsymptomsZofZacuteZST-
segmentZelevationsZMIZ(STEMI).ZTheZnearestZhospitalZthatZcanZperformZpercutaneousZcoronaryZint
erventionZ(PCI)ZisZ3ZhoursZaway.ZWhatZisZtheZinitialZtreatmentZforZthisZpatient?Z
GiveZtheZpatientZanZoralZbetaZblocker
InitiateZfibrinolyticZtreatment
AdministerZheparin
TransferZtoZtheZPCI-capableZinstitutionZ-ZZCORRECTZANSWERS-InitiateZfibrinolyticZtreatment
AZ55-year-
oldZpatientZhasZaZbloodZpressureZofZ138/85ZonZthreeZoccasions.ZTheZpatientZdeniesZheadaches,Zpal
pitations,Zsnoring,ZmuscleZweakness,ZandZnocturiaZandZdoesZnotZtakeZanyZmedications.ZWhatZwillZt
heZproviderZdoZnextZtoZevaluateZthisZpatient?Z
ContinueZtoZmonitorZbloodZpressureZatZeachZhealthZmaintenanceZvisit
AssessZserumZcortisolZlevels
OrderZurinalysis,ZCBC,ZBUNZandZcreatinine
ReferZtoZspecialistZforZsleepZstudyZ-ZZCORRECTZANSWERS-
OrderZurinalysis,ZCBC,ZBUNZandZcreatinine
FINAL REVIEW EXAM QUESTIONS
WITH CORRECT ANSWERS GRADED
A+ FOR 2026-2027 ASSURED EXCEL!
A health care provider in a clinic finds a patient in a room, unresponsive and pale. Which sign
should be used to identify the need to initiate cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing - CORRECT ANSWERS-Assessment of gasping
breaths or not breathing
An African-American patient who is being treated with a thiazide diuretic for chronic
hypertension reports blurred vision and shortness of breath. The provider notes a blood
pressure of 185/115. What is the recommended action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker - CORRECT ANSWERS-Admit to the hospital for evaluation
and treatment
A patient reports sustained, irregular heart palpitations. What is the most likely cause of these
symptoms?
Atrial fibrillation
,Anemia
Extrasystole
Paroxysmal attacks - CORRECT ANSWERS-Atrial fibrillation
A patient has a cardiac murmur that peaks in midsystole and is best heard along the left sternal
border. The provider determines that the murmur decreases in intensity when the patient
changes from standing to squatting and increases in intensity with the Valsalva maneuver.
Which cause will the provider suspect for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse - CORRECT ANSWERS-Hypertrophic cardiomyopathy
A patient is brought to an emergency department with symptoms of acute ST-segment elevation
MI (STEMI). The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3
hours away. What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment - CORRECT ANSWERS-Initiate fibrinolytic treatment
Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular
disease are those with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
, a 10 year risk score of 5% and an LDL of 165 mg/dL. - CORRECT ANSWERS-previous myocardial
infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
AZ75-year-
oldZpatientZreportsZpainZandZaZfeelingZofZtirednessZinZbothZlegsZthatZonlyZrelievesZafterZsittingZforZ3
0ZminutesZorZmore.ZWhatZtheZdoesZproviderZsuspectZasZtheZcauseZforZtheseZsymptoms?
Buerger'sZdisease
CaudaZequinaZsyndrome
DiabeticZneuropathy
PeripheralZarterialZdiseaseZ-ZZCORRECTZANSWERS-CaudaZequinaZsyndrome
WhichZareZcausesZofZsecondaryZhypertension?Z(SelectZallZthatZapply.)
OralZcontraceptives
IsometicZexcercises
NSAIDS
SleepZapnea
IncreasedZsaltZintakeZ-ZZCORRECTZANSWERS-OralZcontraceptives
NSAIDS
SleepZapnea
AZyoungZfemaleZpatientZhasZknownZmitralZvalveZprolapse.ZDuringZaZroutineZhealthZmaintenanceZex
am,ZtheZproviderZnotesZanZapicalZsystolicZmurmurZandZaZmidsystolicZclickZonZauscultation.ZTheZpati
entZdeniesZchestZpain,Zsyncope,ZorZpalpitations.ZWhatZwillZtheZproviderZdo?
ReassureZtheZpatientZthatZtheseZfindingsZareZexpected
ContinueZtoZmonitorZtheZpatientZeveryZ3Zyears
, AdmitZtheZpatientZtoZtheZhospitalZforZevaluationZandZtreatment
ConsultZwithZcardiologyZtoZdetermineZappropriateZdiagnosticZtestsZ-ZZCORRECTZANSWERS-
ConsultZwithZcardiologyZtoZdetermineZappropriateZdiagnosticZtests
AZpatientZreportsZabdominalZandZbackZpainZwithZanorexiaZandZnausea.ZDuringZanZexam,ZtheZprovid
erZnotesZaZpulsatileZabdominalZmass.ZWhatZisZtheZinitialZaction?
SchedulingZanZMRIZtoZevaluateZforZaorticZdisease
ImmediateZreferralZtoZaZthoracicZsurgeon
USZofZtheZmassZtoZdetermineZsize
OrderingZCTZangiographyZ-ZZCORRECTZANSWERS-USZofZtheZmassZtoZdetermineZsize
AZpatientZisZbroughtZtoZanZemergencyZdepartmentZwithZsymptomsZofZacuteZST-
segmentZelevationsZMIZ(STEMI).ZTheZnearestZhospitalZthatZcanZperformZpercutaneousZcoronaryZint
erventionZ(PCI)ZisZ3ZhoursZaway.ZWhatZisZtheZinitialZtreatmentZforZthisZpatient?Z
GiveZtheZpatientZanZoralZbetaZblocker
InitiateZfibrinolyticZtreatment
AdministerZheparin
TransferZtoZtheZPCI-capableZinstitutionZ-ZZCORRECTZANSWERS-InitiateZfibrinolyticZtreatment
AZ55-year-
oldZpatientZhasZaZbloodZpressureZofZ138/85ZonZthreeZoccasions.ZTheZpatientZdeniesZheadaches,Zpal
pitations,Zsnoring,ZmuscleZweakness,ZandZnocturiaZandZdoesZnotZtakeZanyZmedications.ZWhatZwillZt
heZproviderZdoZnextZtoZevaluateZthisZpatient?Z
ContinueZtoZmonitorZbloodZpressureZatZeachZhealthZmaintenanceZvisit
AssessZserumZcortisolZlevels
OrderZurinalysis,ZCBC,ZBUNZandZcreatinine
ReferZtoZspecialistZforZsleepZstudyZ-ZZCORRECTZANSWERS-
OrderZurinalysis,ZCBC,ZBUNZandZcreatinine
