COMPLETE SOLUTIONS LATEST
UPDATE 2025.
, An adult develops chronic cough with episodes of wheezing and shortness of breath.
The primary care provider performs chest radiography and other tests and rules out
infection, upper respiratory, and gastroesophageal causes.
Which test will the provider order initially to evaluate the possibility of asthma as the
cause of these symptoms? - ANSWERSpirometry
Recommended at the time of initial assessment to confirm the diagnosis of asthma
Which test is most diagnostic for chronic obstructive pulmonary disease (COPD)? -
ANSWERSpirometry for FVC and FEV1
Spirometry testing is the gold standard for diagnosis and assessment of COPD because
it is reproducible and objective
A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient
denies headaches, palpitations, snoring, muscle weakness, and nocturia, and does not
take any medications.
What will the primary care provider do next to evaluate this patient? - ANSWEROrder
urinalysis, CBC, BUN, and creatine
P What is the recommended treatment for a 70-year-old male patient with an aortic
aneurysm measuring 5.0 cm, poorly-controlled hypertension, and decompensated heart
failure? - ANSWERSerial US surveillance of the aneurysm
Patient's aneurysm is less than 5.5cm, so repair is not necessary at this time
Serial US of the aneurysm is necessary to continue to evaluate its size
An adult patient reports frequent episodes of syncope and lightheadedness. The
primary care provider notes a heart rate of 70 beats per minute.
What will the provider do next? - ANSWERevaluate the patient's orthostatis VS
Orthostatic VS are helpful to exclude orthostatic hypotension as a cause of syncope and
is easily performed in the clinic
atient has preHTN levels and should be evaluated
UA, CBC, BUN, and creatinine help to evaluate renal function and are in the initial
workup
A previously healthy patient develops myocarditis and presents with sudden onset of
dyspnea, fatigue, and orthopnea. A family history is negative. The primary care provider
suspects myocarditis.