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3P APEA EXAM/review study guide/correct/verified A+/fall 2024

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3P APEA EXAM/review study guide/correct/verified A+/fall 20243P APEA EXAM/review study guide/correct/verified A+/fall 2024 Difference between varicose vein and arteriosclerosis - correct answers-Is the affected vessel Arteriosclerosis affects arteries whereas varicose veins affects veins A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impulse (PMI) - correct answers-5th ICS, left of MCL A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral listening point. There is no audible click. His status has been monitored for the past two years. This murmur is probably - correct answers-mitral stenosis A patient who has diabetes presents with pain in his lower legs when he walks and pain resolution with rest. When specifically asked about his pain in his lower leg, he likely will report pain - correct answers-in the calf muscle A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as "sloughing of skin" and hospitalization. Which medication is contraindicated in this patient? - correct answers-hydrochlorothiazide A 75 year old patient who has aortic stenosis wants to know what symptoms indicate worsening of his stenosis. the NP replies: - correct answers-shortness of breath and syncope A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk factor for PAD? - correct answers-diabetes Benazepril should be d/c immediately if - correct answers-pregnancy occurs aortic regurgitation characteristics - correct answers-long asymptomatic period follow by exercise intolerance, then dyspnea at rest DVT classic symptoms - correct answers-swelling, pain, and discoloration of lower extremity Characteristic of ACE-induced cough is that? - correct answers-usually begins two weeks of starting therapy Valve most commonly involved in chronic rheumatic heart disease - correct answers-mitral Medication that can exacerbate HF - correct answers-naproxen Patient taking ACE inhibitors should avoid? - correct answers-potassium supplements Grade 3 murmur indication for a referral - correct answers-a fixed split Group of meds used to treat HF - correct answers-fosinopril, HCTZ, verapamil Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0. the NP should: - correct answers-stop the warfarin today and repeat INR tomorrow According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that is, which risk factor places the pt. as a CHD risk similar to a hx of CHD - correct answers-diabetes mellitus good drug to reduce morbidity and mortality in mild HF - correct answers-metoprolol A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of fatigue, weakness, and muscle aches in his lower back, arms, legs for the past 3 days. it is not improved with rest How should this be evaluated? - correct answers-Stop the atorvastatin immediately symptom not indicative of HF - correct answers-headache What class of meds is preferred to normalized lipid levels and reduce risk of cardiac events - correct answers-HMG CoA reductase inhibitors Highest sensitivity in diagnosing HF - correct answers-BNP The NP is caring for a 74-year-old who had an acute coronary syndrome 6 weeks ago. What medications should be part of his regimen unless contraindicated - correct answers-ACE, ASA, beta blockers, and statin patient with the highest systolic B/P - correct answers-75-year-old male test that is most cost effective to screen for abdominal aortic aneurysm - correct answers-abdominal ultra

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3P APEA EXAM/review study guide/corre
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ct/verified A+/fall 2024 gs gs

Differencegsbetweengsvaricosegsveingsandgsarteriosclerosisgs-gscorrectgsanswers-
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Agspatientgshasgspoorlygscontrolledgshypertensiongsforgsmoregsthangs10gsyears.gsIndicategsthegsm
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Ags43gsyeargsoldgsHispanicgsmalegshasgsangsaudiblegsdiastolicgsmurmurgsbestgsheardgsingsthegsmitr
algslisteninggspoint.gsTheregsisgsnogsaudiblegsclick.gsHisgsstatusgshasgsbeengsmonitoredgsforgsthegsp
astgstwogsyears.gsThisgsmurmurgsisgsprobablygs-gscorrectgsanswers-mitralgsstenosis
Agspatientgswhogshasgsdiabetesgspresentsgswithgspaingsingshisgslowergslegsgswhengshegswalksgsand
gspaingsresolutiongswithgsrest.gsWhengsspecificallygsaskedgsaboutgshisgspaingsingshisgslowergsleg,gsh

egslikelygswillgsreportgspaings-gscorrectgsanswers-ingsthegscalfgsmuscle
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cgsasgs"sloughinggsofgsskin"gsandgshospitalization.gsWhichgsmedicationgsisgscontraindicatedgsingst
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Ags75gsyeargsoldgspatientgswhogshasgsaorticgsstenosisgswantsgstogsknowgswhatgssymptomsgsindica
tegsworseninggsofgshisgsstenosis.gsthegsNPgsreplies:gs-gscorrectgsanswers-
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Ags74gsyeargsoldgspatientgshasgsPAD.gsWhichgsitemgslistedgsbelowgsisgsangsimportantgsnonmodifia
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Benazeprilgsshouldgsbegsd/cgsimmediatelygsifgs-gscorrectgsanswers-pregnancygsoccurs
aorticgsregurgitationgscharacteristicsgs-gscorrectgsanswers-
longgsasymptomaticgsperiodgsfollowgsbygsexercisegsintolerance,gsthengsdyspneagsatgsrest
DVTgsclassicgssymptomsgs-gscorrectgsanswers-
swelling,gspain,gsandgsdiscolorationgsofgslowergsextremity
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usuallygsbeginsgstwogsweeksgsofgsstartinggstherapy
Valvegsmostgscommonlygsinvolvedgsingschronicgsrheumaticgsheartgsdiseasegs-
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, MedicationgsthatgscangsexacerbategsHFgs-gscorrectgsanswers-naproxen
PatientgstakinggsACEgsinhibitorsgsshouldgsavoid?gs-gscorrectgsanswers-
potassiumgssupplements
Gradegs3gsmurmurgsindicationgsforgsagsreferralgs-gscorrectgsanswers-agsfixedgssplit
GroupgsofgsmedsgsusedgstogstreatgsHFgs-gscorrectgsanswers-fosinopril,gsHCTZ,gsverapamil
Mr.gsSmithgsisgsags72-year-oldgspatientgswhogstakesgswarfaringsforgschronicgsA-
fib.gsINRgstodaygsisgs4.0.gsthegsNPgsshould:gs-gscorrectgsanswers-
stopgsthegswarfaringstodaygsandgsrepeatgsINRgstomorrow
AccordinggstogsthegsNHLBI,gswhichgscharacteristicgsisgsagscoronarygsheartgsdiseasegsriskgsequiv
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s-gscorrectgsanswers-diabetesgsmellitus

goodgsdruggstogsreducegsmorbiditygsandgsmortalitygsingsmildgsHFgs-gscorrectgsanswers-metoprolol
Agspt.gstakinggsatorvastatingsnewlygsdiagnosedgswithgsdyslipidemiagscomplaintsgsofgsfatigue,gsw
eakness,gsandgsmusclegsachesgsingshisgslowergsback,gsarms,gslegsgsforgsthegspastgs3gsdays.gsitgsisgs
notgsimprovedgswithgsrestgsHowgsshouldgsthisgsbegsevaluated?gs-gscorrectgsanswers-
Stopgsthegsatorvastatingsimmediately
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Whatgsclassgsofgsmedsgsisgspreferredgstogsnormalizedgslipidgslevelsgsandgsreducegsriskgsofgscardia
cgseventsgs-gscorrectgsanswers-HMGgsCoAgsreductasegsinhibitors
HighestgssensitivitygsingsdiagnosinggsHFgs-gscorrectgsanswers-BNP
ThegsNPgsisgscaringgsforgsags74-year-
oldgswhogshadgsangsacutegscoronarygssyndromegs6gsweeksgsago.gsWhatgsmedicationsgsshouldgsb
egspartgsofgshisgsregimengsunlessgscontraindicatedgs-gscorrectgsanswers-
ACE,gsASA,gsbetagsblockers,gsandgsstatin
patientgswithgsthegshighestgssystolicgsB/Pgs-gscorrectgsanswers-75-year-oldgsmale
testgsthatgsisgsmostgscostgseffectivegstogsscreengsforgsabdominalgsaorticgsaneurysmgs-
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ags74-year-
oldgspatientgshasgshadgsangsincreasegsingsb/pgssincegsthegslastgsexam.gshisgsb/pgshasgsincreasedgsfr
omgs144/90gstogsreadinggsingsthegsuppergs160's/uppergs80's.gsIfgsmedicationgsisgstogsbegsstartedgso
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Calciumgschannelgsblocker
FactorgscontributinggstogsthegsdevelopmentgsofgsAAAgs-gscorrectgsanswers-cigarettegssmoking

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