APEA Review Questions with Correct
Answers 100% Verified
Black Patient With or Without DM v v Thiazide diuretic
Calcium channel blocker
Nonblack Patient With or Without DM vV Thiazide diuretic
Calcium channel blocker
ACE ARB
heart murmurs are caused by v’ turbulent blood flow
through the great vessels or across a heart valve occurs
« Stenotic valves don't vV Stenotic valves don't OPEN properly
Regurgitant valves don't v' v/ Regurgitant valves don't CLOSE properly
If pravastatin is chosen for Mr. Thibodeaux, how would you manage this? Select all that apply.
VvV Check liver enzymes prior to initiation of statin.
Start him on 40 mg today and recheck lipids/LFTs in 8 weeks.
htn stop v/v'nsaids naproxen
,calf pain with walking. What's going on? v'v'blockage in lower vessels
intermittent claudication
peripheral artery disease
ABI <0.9 or >1.3 is highly suggestive of v'v/pad
‘What interventions should be initiated to help decrease his triglyceride level (323 mg/dL)? Select
all that apply. v V. Decreased carbohydrate consumption.
Suppose his triglycerides were 550 mg/dL? How would you treat? v fibrates
lifestyle
If Mrs. Boudreaux were to develop heart failure, which medications would be most beneficial to
discontinue? Select all that apply v'v'amlodopine
naproxine
Heart Failure Clinical Signs and Symptoms v/ Crackles
S3 and/or S4 ¢ Peripheral edema may be present
AAA screening v/ v'-all men 65-75 who have ever smoked
-abdominal US
1 time only
, statins v/ Vliver involvement
muscle cramps
What is the cutoff value when treatment for hyperlipidemia is recommended? v' V7.5 or higher
What type of murmur can radiate to the left axilla? v'v'Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in the
mitral area of the chest. The location of the mitral area (fifth intercostal space on the left side of
the midclavicular line) is near the left axilla, so that a loud murmur can radiate to the left axilla.
The causes can be congenital or it may a be sequela of rheumatic fever, mitral valve prolapse, or
papillary muscle dysfunction secondary to acute or prior myocardial infarction.
pulse deficit vV difference between the apical and radial pulse rates
radial - apical
The goal for patients aged 60 years or older is blood pressure less than v'v'150/90
shows a triglyceride level of 950 mg/dL, v/ VInitiate a prescription of fenofibrate (Tricor)
Prophylaxis treatment for endocarditis is no longer recommended for patients with mitral valve
prolapse (MVP). vV
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur grade
2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of the
midclavicular line. Which of the following identifications is correct? v v Mitral stenosis
Pulsus paradoxus is best described as: V'V A decrease in systolic blood pressure on inspiration
Answers 100% Verified
Black Patient With or Without DM v v Thiazide diuretic
Calcium channel blocker
Nonblack Patient With or Without DM vV Thiazide diuretic
Calcium channel blocker
ACE ARB
heart murmurs are caused by v’ turbulent blood flow
through the great vessels or across a heart valve occurs
« Stenotic valves don't vV Stenotic valves don't OPEN properly
Regurgitant valves don't v' v/ Regurgitant valves don't CLOSE properly
If pravastatin is chosen for Mr. Thibodeaux, how would you manage this? Select all that apply.
VvV Check liver enzymes prior to initiation of statin.
Start him on 40 mg today and recheck lipids/LFTs in 8 weeks.
htn stop v/v'nsaids naproxen
,calf pain with walking. What's going on? v'v'blockage in lower vessels
intermittent claudication
peripheral artery disease
ABI <0.9 or >1.3 is highly suggestive of v'v/pad
‘What interventions should be initiated to help decrease his triglyceride level (323 mg/dL)? Select
all that apply. v V. Decreased carbohydrate consumption.
Suppose his triglycerides were 550 mg/dL? How would you treat? v fibrates
lifestyle
If Mrs. Boudreaux were to develop heart failure, which medications would be most beneficial to
discontinue? Select all that apply v'v'amlodopine
naproxine
Heart Failure Clinical Signs and Symptoms v/ Crackles
S3 and/or S4 ¢ Peripheral edema may be present
AAA screening v/ v'-all men 65-75 who have ever smoked
-abdominal US
1 time only
, statins v/ Vliver involvement
muscle cramps
What is the cutoff value when treatment for hyperlipidemia is recommended? v' V7.5 or higher
What type of murmur can radiate to the left axilla? v'v'Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in the
mitral area of the chest. The location of the mitral area (fifth intercostal space on the left side of
the midclavicular line) is near the left axilla, so that a loud murmur can radiate to the left axilla.
The causes can be congenital or it may a be sequela of rheumatic fever, mitral valve prolapse, or
papillary muscle dysfunction secondary to acute or prior myocardial infarction.
pulse deficit vV difference between the apical and radial pulse rates
radial - apical
The goal for patients aged 60 years or older is blood pressure less than v'v'150/90
shows a triglyceride level of 950 mg/dL, v/ VInitiate a prescription of fenofibrate (Tricor)
Prophylaxis treatment for endocarditis is no longer recommended for patients with mitral valve
prolapse (MVP). vV
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur grade
2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of the
midclavicular line. Which of the following identifications is correct? v v Mitral stenosis
Pulsus paradoxus is best described as: V'V A decrease in systolic blood pressure on inspiration
