NRNP 6540 Exam | Complete Study Guide (Latest 2023) All Exams Graded A+

. CARDIOVASCULAR 1. A 74-year-old man presents to your office for a routine He has no present complaint His medical history is significant for right knee osteoarthritis He takes naproxen occasionally, to relieve knee pain. He does not smoke or consume alcohol His BP is 165/75 mm Hg and PR is 70/min. The physical examination showed a mild systolic ejection type murmur at the base of the heat to the right. An E- KG revealed left ventricular hypertrophy and secondary ST segment and T wave change Moderate left ventricular hypertrophy, without any flow abnormalities, was demonstrated on echocardiography. The ejection fraction was 60%. What is the most probable cause of hypertension in this patient? A. Rigidity of the arterial wall B. Elevated plasma renin activity C. Aortic insufficiency D. Increased cardiac output E. Increased intravascular volume 2. A 32-year-old Caucasian female comes to the physician because of a one-week history of fatigue, progressive worsening of shortness of breath and swelling of feet. She denies any chest pain She has no other medical problems except a recent cold two weeks ago. She is not taking any medication Her temperature is 36 7 C (98 F), blood pressure is 110/65 mmHg, pulse is g0/min, and respirations are 20/min Bilateral basal crackles, elevated jugular venous pressure, and 2+ bilateral pitting edema of the ankles are noted Complete blood count is unremarkable. Transthoracic echocardiogram of her heat will most likely show? A. Concentric hypertrophy of the heart B. Eccentric hypertrophy of the heart C. Mitral stenosis D. Hypokinesia of the inferior wall E. Dilated ventricles with diffuse hypokinesia