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Exam (elaborations)

NURS 5434 CAD/Lipids Quiz (Family III, FNP 3) UTA Latest Assessment -Questions and Answers Solved| Accurate| Verified

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NURS 5434 CAD/Lipids Quiz (Family III, FNP 3) UTA Latest Assessment -Questions and Answers Solved| Accurate| Verified

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NURS 5434 CAD/Lipids Quiz (Family III, FNP
3) UTA Latest Assessment -Questions and
Answers Solved| Accurate| Verified
Question 1

Describe the role of the non-statin drugs (FIBRATES & Niacin) for lipid problem.
PCSK9 inhibitors

Correct Answer

PCSK9 inhibitors:

- Reduce degradation of hepatic LDL receptors so they lower LDL

- Very expensive

- Injectable sq every 2 weeks

- Alirocumab and evolocumab

- CV events nearly reduced by 50%




Page 1 of 130

,Question 2

Describe the role of the non-statin drugs (Fibrates & Niacin) for lipid problem.
(Gemfibrozil & Fenofibrate)

Correct Answer

Fibrates:

Gemfibrozil-

Should NOT be initiated in statin users because it can affect statin pathways

Fenofibrate-

- Should not be used in patients with GFR less than 30 ml/min

- May be considered for use in low or moderate intensity statin users if trig is
greater than 500 or ASCVD reduction deemed beneficial

- Not a replacement treatment for statins




Question 1
Non-fasting lipid profile:

Correct Answer
-measures TC and HDL
-non-HDL calculated



Question 2
Non-HDL calculation:
Correct Answer
TC-HDL



Question 3
Do men or women die more from CVD?
Correct Answer
women




Page 2 of 130

,Question 4
amount of soluble fiber for children >12 yrs:
Correct Answer
12g/day



Question 5
LDL in children:
Correct Answer
<110



Question 6
Treatment summary for meds:
Correct Answer
-Child-1 -> CHILD 2 plus lifestyle mods for 6 months
-exclude secondary causes
-repeat fasting lipids



Question 7
Dyslipidemia usually suggests:
Correct Answer
underlying disorder:
-excessive production
-defective removal
-both
-affected by diet, insulin resistance, genetics



Question 8
New therapies:

Correct Answer
-PCSK9 inhibitors reduce degradation of hepatic LDL receptors so lower LDL
-very expensive
-injectable Q2 weeks




Page 3 of 130

, Question 9
Elevated triglycerides and drugs:
Correct Answer
-oral estrogens
-glucocorticoids
-protease inhibitors
-thiazides
-anabolic steroids



Question 10
Selective screening in peds:
Correct Answer
-family history of premature CAD
-known dyslipidemia
-smoker
-HTN
-BMI >95th%
-DM
-CKD
-Kawasaki
-HIV
-nephrotic syndrome



Question 11
TG ages 10-19yrs:
Correct Answer
<90



Question 12
foods high in omega-3 fatty acids:
Correct Answer
-wild salmon
-flaxseed
-walnuts
-winter squash




Page 4 of 130

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