Buttaro - Exam 1 Questions
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1. A patient reports abdominal and ANS: D
back pain with anorexia and nau- This patient has symptoms consistent with an aortic
sea. During an exam, the provider aneurysm. The initial step is to determine the size of the
notes a pulsatile abdominal mass. aneurysm; this can be done by US. Immediate referral
What is the initial action? is not necessary. MRI and CT diagnostic tests are or-
A. Immediate referral to a tho- dered before surgery to evaluate the characteristics of the
racic surgeon aneurysm.
B. Ordering computerized tomog-
raphy (CT) angiography
C. Scheduling a magnetic reso-
nance imaging (MRI) to evaluate
for aortic disease
D. Ultrasound of the mass to de-
termine size (US)
2. A 70-year-old patient presents ANS: D
with an aortic aneurysm measur- This patient's aneurysm is less than 5.5 cm and repair
ing 5.0 cm. The patient has poorly is not necessary at this time. Serial US surveillance is
controlled hypertension, and de- necessary to continue to evaluate size. Repair is risky in
compensated heart failure. What patients with hypertension and heart failure, so avoiding
is the recommendation for treat- procedures if possible is recommended.
ment for this patient?
A. Endovascular stent grafting of
the aneurysm
B. Immediate open surgical repair
of the aneurysm
C. No intervention is necessary for
this patient
D. Serial ultrasonographic surveil-
lance (US) of the aneurysm
3.
, Buttaro - Exam 1 Questions
Study online at https://quizlet.com/_cqe0aw
A patient reports sustained, ir- ANS: B
regular heart palpitations. What Atrial fibrillation causes palpitations that are irregular and
is the most likely cause of these tend to be sustained. Anemia will cause rapid palpitations
symptoms? that are regular. Extrasystole causes palpitations or an
A. Anemia awareness of isolated extra beats with a pause. Paroxys-
B. Atrial fibrillation mal attacks start and terminate abruptly and are usually
C. Extrasystole rapid and regular.
D. Paroxysmal attacks
4. An adult patient reports frequent ANS: A
episodes of syncope and light- Orthostatic vital signs are helpful to exclude orthostatic
headedness. The provider notes hypotension as a cause of syncope
a heart rate of 70 beats per min- and are easily performed in the clinic. Assessment for
utes. What action will the provider vagal bradycardia may be performed next. ECG and ETT
take next? are not recommended as an initial evaluation in a healthy
A. Evaluation of the patient's or- patient, unless other causes are not determined. Without
thostatic vital signs assessment of the cause of the syncope, cardiac causes
B. Monitoring the patient's heart cannot be excluded.
rate while the patient is bearing
down
C. Prescribing an electrocardio-
gram (ECG) and exercise stress
test (ETT)
D. Reassuring the patient that the
symptoms are non-cardiac in ori-
gin
5. A child with a history of asthma ANS: D
is brought to the clinic with a This child has paroxysmal supraventricular tachycardia
rapid heart rate. A cardiac mon- (PSVT). Vagal maneuvers or carotid massage may be at-
itor shows a heart rate of 225 tempted to slow the ventricular rate. Adenosine is con-
beats per minute. The provider traindicated in patients with asthma. Medications such
Study online at https://quizlet.com/_cqe0aw
1. A patient reports abdominal and ANS: D
back pain with anorexia and nau- This patient has symptoms consistent with an aortic
sea. During an exam, the provider aneurysm. The initial step is to determine the size of the
notes a pulsatile abdominal mass. aneurysm; this can be done by US. Immediate referral
What is the initial action? is not necessary. MRI and CT diagnostic tests are or-
A. Immediate referral to a tho- dered before surgery to evaluate the characteristics of the
racic surgeon aneurysm.
B. Ordering computerized tomog-
raphy (CT) angiography
C. Scheduling a magnetic reso-
nance imaging (MRI) to evaluate
for aortic disease
D. Ultrasound of the mass to de-
termine size (US)
2. A 70-year-old patient presents ANS: D
with an aortic aneurysm measur- This patient's aneurysm is less than 5.5 cm and repair
ing 5.0 cm. The patient has poorly is not necessary at this time. Serial US surveillance is
controlled hypertension, and de- necessary to continue to evaluate size. Repair is risky in
compensated heart failure. What patients with hypertension and heart failure, so avoiding
is the recommendation for treat- procedures if possible is recommended.
ment for this patient?
A. Endovascular stent grafting of
the aneurysm
B. Immediate open surgical repair
of the aneurysm
C. No intervention is necessary for
this patient
D. Serial ultrasonographic surveil-
lance (US) of the aneurysm
3.
, Buttaro - Exam 1 Questions
Study online at https://quizlet.com/_cqe0aw
A patient reports sustained, ir- ANS: B
regular heart palpitations. What Atrial fibrillation causes palpitations that are irregular and
is the most likely cause of these tend to be sustained. Anemia will cause rapid palpitations
symptoms? that are regular. Extrasystole causes palpitations or an
A. Anemia awareness of isolated extra beats with a pause. Paroxys-
B. Atrial fibrillation mal attacks start and terminate abruptly and are usually
C. Extrasystole rapid and regular.
D. Paroxysmal attacks
4. An adult patient reports frequent ANS: A
episodes of syncope and light- Orthostatic vital signs are helpful to exclude orthostatic
headedness. The provider notes hypotension as a cause of syncope
a heart rate of 70 beats per min- and are easily performed in the clinic. Assessment for
utes. What action will the provider vagal bradycardia may be performed next. ECG and ETT
take next? are not recommended as an initial evaluation in a healthy
A. Evaluation of the patient's or- patient, unless other causes are not determined. Without
thostatic vital signs assessment of the cause of the syncope, cardiac causes
B. Monitoring the patient's heart cannot be excluded.
rate while the patient is bearing
down
C. Prescribing an electrocardio-
gram (ECG) and exercise stress
test (ETT)
D. Reassuring the patient that the
symptoms are non-cardiac in ori-
gin
5. A child with a history of asthma ANS: D
is brought to the clinic with a This child has paroxysmal supraventricular tachycardia
rapid heart rate. A cardiac mon- (PSVT). Vagal maneuvers or carotid massage may be at-
itor shows a heart rate of 225 tempted to slow the ventricular rate. Adenosine is con-
beats per minute. The provider traindicated in patients with asthma. Medications such
