NR,/.667,/.Practice,/.Exam,/.Week,/.2
Your,/.50,/.year-
old,/.male,/.African,/.American,/.(AA),/.patient,/.was,/.found,/.to,/.have,/.a,/.blood,/.pr
essure,/.of,/.160/96,/.upon,/.arrival,/.to,/.your,/.clinic.,/.He,/.does,/.not,/.have,/.any,/.oth
er,/.medical,/.conditions.,/.For,/.the,/.following,/.24,/.hours,/.of,/.self-
reported,/.vital,/.signs,,/.it,/.remained,/.between,/.160-170,/.systolic,/.and,/.90-
100,/.diastolic,/.without,/.treatment.,/.After,/.finding,/.all,/.basic,/.metabolic,/.panel
,/.(BMP),/.lab,/.values,/.to,/.be,/.within,/.normal,/.limits,,/.your,/.first,/.choice,/.of,/.anti
hypertensive,/.is,/.most,/.likely,/.which,/.of,/.the,/.following,/.agents?
carvedilol
metoprolol
amlodipine
lisinopril,/.-,/.correct,/.answer,/.✔ ✔ amlodipine
A,/.patient,/.is,/.being,/.followed,/.for,/.type,/.2,/.diabetes,/.mellitus,/.and,/.hypertensi
on.,/.He,/.also,/.has,/.a,/.diagnosis,/.of,/.polycythemia,/.vera,/.and,/.has,/.regular,/.phle
botomies,/.for,/.management.,/.Which,/.of,/.the,/.following,/.statements,/.about,/.th
is,/.patient,/.is,/.correct?
The,/.phlebotomies,/.will,/.improve,/.his,/.glycosylated,/.hemoglobin,/.levels
The,/.phlebotomies,/.will,/.increase,/.his,/.blood,/.pressure
He,/.should,/.increase,/.dietary,/.iron,/.supplements
,He,/.should,/.avoid,/.dietary,/.iron,/.supplements,/.-,/.correct,/.answer,/.✔ ✔
He,/.should,/.avoid,/.dietary,/.iron,/.supplements
As,/.the,/.nurse,/.practitioner,/.working,/.in,/.a,/.primary,/.care,/.clinic,,/.you,/.have,/.b
een,/.notified,/.from,/.a,/.hospitalist,/.that,/.your,/.long-
term,/.patient,/.with,/.a,/.history,/.of,/.HFrEF,/.(heart,/.failure,/.with,/.reduced,/.ejecti
on,/.fraction),/.with,/.an,/.ejection,/.fraction,/.of,/.40%,/.two,/.years,/.ago,/.who,/.is,/.als
o,/.not,/.on,/.optimal,/.medical,/.therapy,/.has,/.been,/.diagnosed,/.with,/.a,/.myocardi
al,/.infarction,/.this,/.admission,/.and,/.received,/.emergent,/.placement,/.of,/.a,/.dru
g-
eluting,/.stent,/.to,/.the,/.left,/.anterior,/.descending,/.artery.,/.As,/.the,/.patient's,/.me
dical,/.home,/.who,/.will,/.manage,/.this,/.patient,/.after,/.discharge,,/.which,/.of,/.the,/.
following,/.would,/.you,/.expect,/.to,/.be,/.a,/.priority,/.in,/.the,/.patient's,/.care,/.for,/.th
eir,/.heart,/.failure,/.after,/.an,/.acute,/.MI?
Ordering,/.a,/.Holter,/.monitor,/.for,/.7,/.days,/.post-discharge
Ordering,/.a,/.new,/.transthoracic,/.echocardiogram,/.and,/.Lifevest,/.if,/.EF,/.is,/.les
s,/.than,/.35%
Ordering,/.aspirin,/.and,/.clopidogrel,/.for,/.3,/.months,/.at,/.discharge
Ordering,/.a,/.new,/.transthoracic,/.echocardiogram,/.and,/.order,/.a,/.Lifevest,/.if,/.E
F,/.is,/.less,/.than,/.45%,/.-,/.correct,/.answer,/.✔ ✔
Ordering,/.a,/.new,/.transthoracic,/.echocardiogram,/.and,/.Lifevest,/.if,/.EF,/.is,/.l
ess,/.than,/.35%
A,/.70-year-
old,/.man,/.with,/.a,/.history,/.of,/.atrial,/.fibrillation,/.presents,/.with,/.sudden-
,onset,/.left-
sided,/.weakness,/.and,/.slurred,/.speech.,/.What,/.is,/.the,/.most,/.likely,/.diagnosis?
Stroke
Transient,/.ischemic,/.attack,/.(TIA)
Myocardial,/.infarction,/.(MI)
Seizure,/.-,/.correct,/.answer,/.✔ ✔ Stroke
A,/.55,/.year-
old,/.female,/.patient,/.with,/.no,/.previous,/.cardiac,/.history,/.and,/.no,/.family,/.hist
ory,/.of,/.hyperlipidemia,/.with,/.an,/.acute,/.myocardial,/.infarction,/.is,/.treated,/.su
ccessfully,/.with,/.a,/.drug-
eluting,/.stent,/.during,/.a,/.recent,/.hospitalization.,/.As,/.their,/.long-
term,/.care,/.provider,,/.you,/.anticipate,/.they,/.were,/.most,/.likely,/.to,/.be,/.also,/.sta
rted,/.on,/.which,/.of,/.the,/.following,/.lipid-lowering,/.agents,/.at,/.discharge?
Ezetimibe,/.prior,/.to,/.initiating,/.statin,/.therapy
PCSK9,/.inhibitor,/.therapy
High,/.intensity,/.statin,/.therapy
Moderate,/.intensity,/.statin,/.therapy,/.-,/.correct,/.answer,/.✔ ✔
High,/.intensity,/.statin,/.therapy
Which,/.of,/.the,/.following,/.medications,/.is,/.not,/.considered,/.part,/.of,/.optimal,/.
medical,/.therapy,/.for,/.a,/.54,/.year-
old,/.male,/.patient,/.with,/.a,/.diagnosis,/.of,/.heart,/.failure,/.with,/.reduced,/.ejection
, fraction,/.(HFrEF),/.with,/.an,/.EF,/.of,/.30%,,/.known,/.coronary,/.artery,/.disease,,/.
,/.
and,/.normal,/.renal,/.function?
Aspirin
Carvedilol,/.(Coreg)
Diltiazem,/.(Cardizem)
Spironolactone,/.(Aldactone),/.-,/.correct,/.answer,/.✔ ✔
Diltiazem,/.(Cardizem)
An,/.older,/.adult,/.with,/.diabetes,/.mellitus,/.presents,/.with,/.leg,/.cramps.,/.She,/.st
ates,/.that,/.the,/.cramps,/.were,/.worst,/.when,/.walking,/.to,/.the,/.supermarket.,/.If,/.s
he,/.stops,/.to,/.rest,,/.the,/.pain,/.subsides.,/.The,/.nurse,/.practitioner,/.knows,/.that,/.t
his,/.patient,/.needs,/.a,/.workup,/.for:
Popliteal,/.aneurism
Deep,/.vein,/.thrombosis
Benign,/.nocturnal,/.leg,/.cramps
Intermittent,/.claudication,/.-,/.correct,/.answer,/.✔ ✔
Intermittent,/.claudication
What,/.is,/.the,/.key,/.long-
term,/.benefit,/.of,/.using,/.carvedilol,/.for,/.patients,/.with,/.coronary,/.artery,/.disea
se,/.and,/.heart,/.failure,/.with,/.reduced,/.ejection,/.fraction,/.(HFrEF)?
Baseline,/.reduction,/.of,/.blood,/.pressure
Increase,/.in,/.libido
Your,/.50,/.year-
old,/.male,/.African,/.American,/.(AA),/.patient,/.was,/.found,/.to,/.have,/.a,/.blood,/.pr
essure,/.of,/.160/96,/.upon,/.arrival,/.to,/.your,/.clinic.,/.He,/.does,/.not,/.have,/.any,/.oth
er,/.medical,/.conditions.,/.For,/.the,/.following,/.24,/.hours,/.of,/.self-
reported,/.vital,/.signs,,/.it,/.remained,/.between,/.160-170,/.systolic,/.and,/.90-
100,/.diastolic,/.without,/.treatment.,/.After,/.finding,/.all,/.basic,/.metabolic,/.panel
,/.(BMP),/.lab,/.values,/.to,/.be,/.within,/.normal,/.limits,,/.your,/.first,/.choice,/.of,/.anti
hypertensive,/.is,/.most,/.likely,/.which,/.of,/.the,/.following,/.agents?
carvedilol
metoprolol
amlodipine
lisinopril,/.-,/.correct,/.answer,/.✔ ✔ amlodipine
A,/.patient,/.is,/.being,/.followed,/.for,/.type,/.2,/.diabetes,/.mellitus,/.and,/.hypertensi
on.,/.He,/.also,/.has,/.a,/.diagnosis,/.of,/.polycythemia,/.vera,/.and,/.has,/.regular,/.phle
botomies,/.for,/.management.,/.Which,/.of,/.the,/.following,/.statements,/.about,/.th
is,/.patient,/.is,/.correct?
The,/.phlebotomies,/.will,/.improve,/.his,/.glycosylated,/.hemoglobin,/.levels
The,/.phlebotomies,/.will,/.increase,/.his,/.blood,/.pressure
He,/.should,/.increase,/.dietary,/.iron,/.supplements
,He,/.should,/.avoid,/.dietary,/.iron,/.supplements,/.-,/.correct,/.answer,/.✔ ✔
He,/.should,/.avoid,/.dietary,/.iron,/.supplements
As,/.the,/.nurse,/.practitioner,/.working,/.in,/.a,/.primary,/.care,/.clinic,,/.you,/.have,/.b
een,/.notified,/.from,/.a,/.hospitalist,/.that,/.your,/.long-
term,/.patient,/.with,/.a,/.history,/.of,/.HFrEF,/.(heart,/.failure,/.with,/.reduced,/.ejecti
on,/.fraction),/.with,/.an,/.ejection,/.fraction,/.of,/.40%,/.two,/.years,/.ago,/.who,/.is,/.als
o,/.not,/.on,/.optimal,/.medical,/.therapy,/.has,/.been,/.diagnosed,/.with,/.a,/.myocardi
al,/.infarction,/.this,/.admission,/.and,/.received,/.emergent,/.placement,/.of,/.a,/.dru
g-
eluting,/.stent,/.to,/.the,/.left,/.anterior,/.descending,/.artery.,/.As,/.the,/.patient's,/.me
dical,/.home,/.who,/.will,/.manage,/.this,/.patient,/.after,/.discharge,,/.which,/.of,/.the,/.
following,/.would,/.you,/.expect,/.to,/.be,/.a,/.priority,/.in,/.the,/.patient's,/.care,/.for,/.th
eir,/.heart,/.failure,/.after,/.an,/.acute,/.MI?
Ordering,/.a,/.Holter,/.monitor,/.for,/.7,/.days,/.post-discharge
Ordering,/.a,/.new,/.transthoracic,/.echocardiogram,/.and,/.Lifevest,/.if,/.EF,/.is,/.les
s,/.than,/.35%
Ordering,/.aspirin,/.and,/.clopidogrel,/.for,/.3,/.months,/.at,/.discharge
Ordering,/.a,/.new,/.transthoracic,/.echocardiogram,/.and,/.order,/.a,/.Lifevest,/.if,/.E
F,/.is,/.less,/.than,/.45%,/.-,/.correct,/.answer,/.✔ ✔
Ordering,/.a,/.new,/.transthoracic,/.echocardiogram,/.and,/.Lifevest,/.if,/.EF,/.is,/.l
ess,/.than,/.35%
A,/.70-year-
old,/.man,/.with,/.a,/.history,/.of,/.atrial,/.fibrillation,/.presents,/.with,/.sudden-
,onset,/.left-
sided,/.weakness,/.and,/.slurred,/.speech.,/.What,/.is,/.the,/.most,/.likely,/.diagnosis?
Stroke
Transient,/.ischemic,/.attack,/.(TIA)
Myocardial,/.infarction,/.(MI)
Seizure,/.-,/.correct,/.answer,/.✔ ✔ Stroke
A,/.55,/.year-
old,/.female,/.patient,/.with,/.no,/.previous,/.cardiac,/.history,/.and,/.no,/.family,/.hist
ory,/.of,/.hyperlipidemia,/.with,/.an,/.acute,/.myocardial,/.infarction,/.is,/.treated,/.su
ccessfully,/.with,/.a,/.drug-
eluting,/.stent,/.during,/.a,/.recent,/.hospitalization.,/.As,/.their,/.long-
term,/.care,/.provider,,/.you,/.anticipate,/.they,/.were,/.most,/.likely,/.to,/.be,/.also,/.sta
rted,/.on,/.which,/.of,/.the,/.following,/.lipid-lowering,/.agents,/.at,/.discharge?
Ezetimibe,/.prior,/.to,/.initiating,/.statin,/.therapy
PCSK9,/.inhibitor,/.therapy
High,/.intensity,/.statin,/.therapy
Moderate,/.intensity,/.statin,/.therapy,/.-,/.correct,/.answer,/.✔ ✔
High,/.intensity,/.statin,/.therapy
Which,/.of,/.the,/.following,/.medications,/.is,/.not,/.considered,/.part,/.of,/.optimal,/.
medical,/.therapy,/.for,/.a,/.54,/.year-
old,/.male,/.patient,/.with,/.a,/.diagnosis,/.of,/.heart,/.failure,/.with,/.reduced,/.ejection
, fraction,/.(HFrEF),/.with,/.an,/.EF,/.of,/.30%,,/.known,/.coronary,/.artery,/.disease,,/.
,/.
and,/.normal,/.renal,/.function?
Aspirin
Carvedilol,/.(Coreg)
Diltiazem,/.(Cardizem)
Spironolactone,/.(Aldactone),/.-,/.correct,/.answer,/.✔ ✔
Diltiazem,/.(Cardizem)
An,/.older,/.adult,/.with,/.diabetes,/.mellitus,/.presents,/.with,/.leg,/.cramps.,/.She,/.st
ates,/.that,/.the,/.cramps,/.were,/.worst,/.when,/.walking,/.to,/.the,/.supermarket.,/.If,/.s
he,/.stops,/.to,/.rest,,/.the,/.pain,/.subsides.,/.The,/.nurse,/.practitioner,/.knows,/.that,/.t
his,/.patient,/.needs,/.a,/.workup,/.for:
Popliteal,/.aneurism
Deep,/.vein,/.thrombosis
Benign,/.nocturnal,/.leg,/.cramps
Intermittent,/.claudication,/.-,/.correct,/.answer,/.✔ ✔
Intermittent,/.claudication
What,/.is,/.the,/.key,/.long-
term,/.benefit,/.of,/.using,/.carvedilol,/.for,/.patients,/.with,/.coronary,/.artery,/.disea
se,/.and,/.heart,/.failure,/.with,/.reduced,/.ejection,/.fraction,/.(HFrEF)?
Baseline,/.reduction,/.of,/.blood,/.pressure
Increase,/.in,/.libido
