(Family III, FNP 3) UTA Latest
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150 Practice Questions with Answers & Detailed Rationales
SECTION 1: EPIDEMIOLOGY & GENDER DISPARITIES (Q1-20)
Q1. True or False: In the US, more men than women die of cardiovascular disease (CVD).
A) True
B) False
Answer: B) False
Rationale: In the United States, more women than men die of CVD. CVD is the leading cause of
death for women, accounting for approximately 1 in 5 deaths. For men, CVD accounts for
approximately 1 in 4 deaths. The common misconception that men have higher CVD mortality is
inaccurate in terms of total deaths .
Q2. In US women, what is the approximate ratio of deaths caused by cardiovascular disease?
A) 1 in 3
B) 1 in 4
C) 1 in 5
D) 1 in 10
Answer: C) 1 in 5
Rationale: Cardiovascular disease is the leading cause of death in U.S. women, accounting for
approximately 1 in 5 female deaths. For men, the ratio is approximately 1 in 4 .
,Q3. Which ethnic group has the highest prevalence of CAD in the United States?
A) Non-Hispanic Whites
B) African Americans
C) Hispanic Americans
D) Asian Americans
Answer: B) African Americans
Rationale: African Americans have the highest prevalence of CAD in the United States. They
also have higher rates of hypertension, diabetes, and obesity, which contribute to increased
CVD risk .
Q4. Which ethnic group has the highest overall mortality rate from coronary heart disease
(CHD)?
A) Non-Hispanic Whites
B) Hispanic Americans
C) Asian Americans
D) African Americans
Answer: D) African Americans
Rationale: Epidemiological data consistently demonstrate that African Americans experience
higher mortality rates from coronary heart disease and stroke compared to other ethnic groups,
driven by a higher prevalence of severe hypertension, metabolic syndrome, and systemic
healthcare disparities .
Q5. The incidence of coronary heart disease (CHD) in women increases significantly after:
A) Age 35
B) Age 45
C) Menopause
D) Age 30
Answer: C) Menopause
Rationale: The incidence of CHD in women increases significantly after menopause. The loss of
estrogen's cardioprotective effects is believed to contribute to this increased risk .
,Q6. What percentage of women who die suddenly from CAD had no previous symptoms?
A) 25%
B) 50%
C) 64%
D) 75%
Answer: C) 64%
Rationale: Approximately 64% of women who die suddenly from CAD had no previous
symptoms. This is significantly higher than the comparable percentage in men, emphasizing the
importance of screening and risk stratification in women .
Q7. The "female paradox" in CVD refers to:
A) Women having lower rates of CVD than men
B) Women living longer with CVD than men
C) Women with CVD living longer but with more disability
D) Women having lower risk factors than men
Answer: C) Women with CVD living longer but with more disability
Rationale: The "female paradox" refers to the observation that women with CVD tend to live
longer than men with CVD but with more disability and poorer quality of life .
Q8. What is the leading cause of death in the United States for both men and women?
A) Cancer
B) Cardiovascular disease
C) Accidents
D) Respiratory disease
Answer: B) Cardiovascular disease
Rationale: Cardiovascular disease is the leading cause of death in the United States for both
men and women, accounting for approximately 1 in 3 deaths .
, Q9. Approximately what percentage of myocardial infarctions in women are "silent" (without
classic symptoms)?
A) 10-15%
B) 25-35%
C) 40-50%
D) 60-70%
Answer: B) 25-35%
Rationale: Approximately 25-35% of MIs in women are silent. This means women are more
likely than men to have an MI without classic chest pain symptoms, leading to delayed
diagnosis and treatment .
Q10. Which of the following is an atypical symptom of MI in women?
A) Chest pressure
B) Jaw pain
C) Left arm pain
D) Substernal chest pain
Answer: B) Jaw pain
Rationale: Jaw pain is an atypical symptom of MI that is more common in women. Classic
symptoms include chest pressure, left arm pain, and substernal chest pain. Atypical symptoms
in women may include nausea, fatigue, jaw pain, and shortness of breath .
Q11. In US women, what is the approximate ratio of deaths caused by CVD (cardiovascular
disease)?
A) 1 in 3
B) 1 in 4
C) 1 in 5
D) 1 in 10
Answer: C) 1 in 5