SUBSCRIBE NR 601 Midterm Exam 1. The percentage of the FVC expired in one second is Answer FEV1/FVC ratio 2. The aging process causes what normal physiological changes in the heart - Answer The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis 3. A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? Answer Lisinopril 4. MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of HF which is Answer Stage C 5. 65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage of HF is SUBSCRIBE Answer Stage B 6. The best way to diagnose structural heart disease/dysfunction noninvasive - ly is Answer Echocardiogram 7. Chronic pain can have major impact on patients ability to function and have profound impact on overall QOL. Ongoing pain may be linked to Answer Depression, sleep disturbance, decreased socialization 8. The Beers criteria are appropriate for use in evaluating use of certain meds in patients Answer >65 y/o 9. All of the following statements are true about lab values in older adults except Answer Abnormal findings are often due to physiological aging 10. According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American woman with a h/o HTN and DM and no h/o CKD is Answer <140/80 SUBSCRIBE 11. THe pathophysiology of HF is due to Answer Inadequate cardiac output to meet the metabolic and O2 demands of the body 12. The volume of air a patient to exhale for total duration of the test during maximal effort is Answer FVC 13. According it the 2017 ACC HTN guidelines, normal BP is Answer <120/80 14. Functional abilities are best assessed by Answer Observed assessment of function 15. LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of target organ damage. During your eval you will assess for evidence of Answer Left ventricular hypertrophy 16. Aortic regurgitation requires medical treatment for early signs of HF with- SUBSCRIBE Answer ACEi 17. The volume of air in the lungs at max inflation is Answer TLC (total lung capacity) 18. Preferred amount of exercise for older adults is Answer 30min/day of aerobic exer- cise 5 days a week 19. You know the following statements regarding th pain of acute coronary syndrome are true except Answer Present atypically more often in men than women 20. Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate >100. Patient also has a new tremor in both hands. Which of the following would you suspect Answer Hyperthyroidism 21. Which patient is more likely to have osteoporosis Answer 80 y/o. Underweight male who smokes and has been on steroids for psoriasis
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