NR667 CHAMBERLAIN CEA WEEK 8 EXIT EXAM WITH
VERIFIED ANSWERS
1.Blood dFlow: dLungs d® dPulmonary dVeins d® dLeft dAtrium d® y dTissues
dAorta d® dBod dVena dCava d® dRight dAtrium d® dRight d® dungs
dVentricle d® dPulmonary dArteries d® dL
2.Symptoms dwith dright dvs dleft dside dheart dblockage: d· dBlockage don dthe
dleft dside dof dthe dheart dbacks dup dand dcauses dlung dsymptoms
· dBlockage don dthe dright dside dof dthe dheart dbacks dup dand dcauses dbody
dsymptoms d(peripheral dedema)
3.HNC8 dHTN dGuidelines: dDefined das
d140/90 dTreatment dalgorithm:
Less dthan d60 dyears dold d- d140/90
> d60 dyears dold d- dDefined das d150/90 d(more dleniency db/c dwe ddo dnot
dwant dto ddrop dtheir dBP dtoo dlow)
4.What dhypertension dmedication dshould dsomeone dwith dDM dand/or
dCKD dbe don?: dACE dor dARB d(protects dkidneys)
5.What dHTN dmedication dshould dan dAfrican dAmerican dpt dbe don?: dCCB
6.What dHTN dmedications dshould dbe dused din dpatients dwith dheart dfailure?:
1 d/
d38
,dCarve- ddiolol dand dThiazide ddiuretics
7.Common dside deffects dfrom dACE dinhibitors: dcough, dangioedema
8.What dHTN dmedication dis dcontraindicated dif dan dACE dinhibitor
dcaused dan- dgioedema?: dARB
9.What dHTN dmedication dshould da dheart dfailure dpt dNEVER dbe don?:
dCCB d(These dcause dthe dheart dto d"relax" dwhich dis dnot dgood din
dHF dpts)
10.2 dtypes dof dCCBs: dDihydropyridines d& dNon-dihydropyridines
11.What dare ddihydropyridine dCCBs dused dfor?: dBP dcontrol
12.Example dof da ddihydropyridine dCCB dand dside deffects:
dAmlodipine dBradycardic dside deffects, dperipheral dedema,
dconstipation
13.What dare dnon-dihydropyridine dCCBs dused dfor?: darrhythmias
14.Example dof da dnon-dihydropyridine dCCB dand dside deffects:
dcardizem dTachycardic dside deffects/palpitations d- dthese dmeds dwere
dperipherally dand dhave da drebound dtachycardia
15.The datria d(top dchambers dof dthe dheart) dwork don dwhich
delectrolytes?: dK+ d(potassium) dand dCa d(calcium)
16. The dventricles d(bottom dchambers dof dthe dheart) dwork don dwhich
delectrolytes?-
: dNa d(sodium) dand dK+ d(potassium)
17.Conditions din dthe datria dneeds dmedications dthat dwork don dK+ dor dCa
dsuch das
..: dCardizem d(CCB) dor dAmiodarone d(potassium dchannel dblocker)
2 d/
d38
,18.Conditions din dthe dventricles dneeds dmedications dthat dwork don dK+ dor dNa
dsuch das d..: dAmiodarone d(potassium dchannel dblocker)
19.What dclass dof dmedications dcould dbe dused dfor datrial dand dventricular
dcondi- dtions?: dBeta-blockers dor dpotassium dchannel dblocker
d(Amiodarone)
20.What dis dthe dpercentage dof dEF dfor dsomeone dwith dHF dwith dreduced
dEF?: d< d40%
21.What dis dthe dpercentage dof dEF dfor dsomeone dwith dHF dwith dpreserved
dEF?: d40 dor dgreater
22.HF dpatients dwith dreduced dEF dneed dto dbe don dwhat dmedications?:
dCarvedilol, dloop ddiuretic, dACE, dor dARB
23.What dtype dof ddiuretics dare dmore dpotent?: dLoop ddiuretics
24.Which dhypertensive dmedications dare d"cardio-protective"?: dACEs dand
dARBs
25.Functional dclasses dof dHF d(NYHA)::
26.: dI: dNo dsx
II: dSx dw/ dmoderate
dexertion dIII: dSx dw dADLs
IV: dSx dat drest
27.What dis dthe dASCVD drisk dscore?: dmeasurement dof da dpt's d10 dyr drisk
dof dan dadverse dcardiac devent
28.What dare dthe dhigh-intensity dstatins?: dAtorvastatin d40-
80 dmg dRosuvastatin d20-40 dmg
29.What dhappens dduring dS1 dheart dsounds?: dmitral dvalve dcloses dand
daortic dvalve dopens
30.Which dstructural dheart dcondition dcan dcause dsyncope dor dnear-syncope
d-
Aortic d stenosis
31.Which dstructural dheart dcondition dcause da dharsh, dhigh-pitches dsound
dthat dcan dbe dheard din dthe dneck dor don dthe dright dside dof dthe dchest dnear
dthe d2nd dintercostal dspace?: dAortic dregurgitation/insufficiency
32. Which dstructural dheart dcondition dis dvery dloud dand dcan dbe dheard don
dthe dlower dleft dside dof dthe dchest?: dMitral dregurgitation/insufficiency
33.What dare dthe d2 dmost dcommon dplaces dfor da dAAA?: dinfra-renal dand
dascending daorta
34.Which daortic daneurysm drequires dsurgery dright daway?: dStanford dA
d(ascend- ding)
35.Which daortic daneurysm dis doften dtreated dmedically dor dwith da dpossible
dgraft d(but ddoes dnot doften dneed dsurgery)?: dStanford dB d(descending)
3 d/
d38
, 36.What dis da dmedical dintervention dthat dshould dbe ddone dfor da dpatient
dwith da dStanford dB daneurysm?: dKeep dBP dlow
4 d/
d38
VERIFIED ANSWERS
1.Blood dFlow: dLungs d® dPulmonary dVeins d® dLeft dAtrium d® y dTissues
dAorta d® dBod dVena dCava d® dRight dAtrium d® dRight d® dungs
dVentricle d® dPulmonary dArteries d® dL
2.Symptoms dwith dright dvs dleft dside dheart dblockage: d· dBlockage don dthe
dleft dside dof dthe dheart dbacks dup dand dcauses dlung dsymptoms
· dBlockage don dthe dright dside dof dthe dheart dbacks dup dand dcauses dbody
dsymptoms d(peripheral dedema)
3.HNC8 dHTN dGuidelines: dDefined das
d140/90 dTreatment dalgorithm:
Less dthan d60 dyears dold d- d140/90
> d60 dyears dold d- dDefined das d150/90 d(more dleniency db/c dwe ddo dnot
dwant dto ddrop dtheir dBP dtoo dlow)
4.What dhypertension dmedication dshould dsomeone dwith dDM dand/or
dCKD dbe don?: dACE dor dARB d(protects dkidneys)
5.What dHTN dmedication dshould dan dAfrican dAmerican dpt dbe don?: dCCB
6.What dHTN dmedications dshould dbe dused din dpatients dwith dheart dfailure?:
1 d/
d38
,dCarve- ddiolol dand dThiazide ddiuretics
7.Common dside deffects dfrom dACE dinhibitors: dcough, dangioedema
8.What dHTN dmedication dis dcontraindicated dif dan dACE dinhibitor
dcaused dan- dgioedema?: dARB
9.What dHTN dmedication dshould da dheart dfailure dpt dNEVER dbe don?:
dCCB d(These dcause dthe dheart dto d"relax" dwhich dis dnot dgood din
dHF dpts)
10.2 dtypes dof dCCBs: dDihydropyridines d& dNon-dihydropyridines
11.What dare ddihydropyridine dCCBs dused dfor?: dBP dcontrol
12.Example dof da ddihydropyridine dCCB dand dside deffects:
dAmlodipine dBradycardic dside deffects, dperipheral dedema,
dconstipation
13.What dare dnon-dihydropyridine dCCBs dused dfor?: darrhythmias
14.Example dof da dnon-dihydropyridine dCCB dand dside deffects:
dcardizem dTachycardic dside deffects/palpitations d- dthese dmeds dwere
dperipherally dand dhave da drebound dtachycardia
15.The datria d(top dchambers dof dthe dheart) dwork don dwhich
delectrolytes?: dK+ d(potassium) dand dCa d(calcium)
16. The dventricles d(bottom dchambers dof dthe dheart) dwork don dwhich
delectrolytes?-
: dNa d(sodium) dand dK+ d(potassium)
17.Conditions din dthe datria dneeds dmedications dthat dwork don dK+ dor dCa
dsuch das
..: dCardizem d(CCB) dor dAmiodarone d(potassium dchannel dblocker)
2 d/
d38
,18.Conditions din dthe dventricles dneeds dmedications dthat dwork don dK+ dor dNa
dsuch das d..: dAmiodarone d(potassium dchannel dblocker)
19.What dclass dof dmedications dcould dbe dused dfor datrial dand dventricular
dcondi- dtions?: dBeta-blockers dor dpotassium dchannel dblocker
d(Amiodarone)
20.What dis dthe dpercentage dof dEF dfor dsomeone dwith dHF dwith dreduced
dEF?: d< d40%
21.What dis dthe dpercentage dof dEF dfor dsomeone dwith dHF dwith dpreserved
dEF?: d40 dor dgreater
22.HF dpatients dwith dreduced dEF dneed dto dbe don dwhat dmedications?:
dCarvedilol, dloop ddiuretic, dACE, dor dARB
23.What dtype dof ddiuretics dare dmore dpotent?: dLoop ddiuretics
24.Which dhypertensive dmedications dare d"cardio-protective"?: dACEs dand
dARBs
25.Functional dclasses dof dHF d(NYHA)::
26.: dI: dNo dsx
II: dSx dw/ dmoderate
dexertion dIII: dSx dw dADLs
IV: dSx dat drest
27.What dis dthe dASCVD drisk dscore?: dmeasurement dof da dpt's d10 dyr drisk
dof dan dadverse dcardiac devent
28.What dare dthe dhigh-intensity dstatins?: dAtorvastatin d40-
80 dmg dRosuvastatin d20-40 dmg
29.What dhappens dduring dS1 dheart dsounds?: dmitral dvalve dcloses dand
daortic dvalve dopens
30.Which dstructural dheart dcondition dcan dcause dsyncope dor dnear-syncope
d-
Aortic d stenosis
31.Which dstructural dheart dcondition dcause da dharsh, dhigh-pitches dsound
dthat dcan dbe dheard din dthe dneck dor don dthe dright dside dof dthe dchest dnear
dthe d2nd dintercostal dspace?: dAortic dregurgitation/insufficiency
32. Which dstructural dheart dcondition dis dvery dloud dand dcan dbe dheard don
dthe dlower dleft dside dof dthe dchest?: dMitral dregurgitation/insufficiency
33.What dare dthe d2 dmost dcommon dplaces dfor da dAAA?: dinfra-renal dand
dascending daorta
34.Which daortic daneurysm drequires dsurgery dright daway?: dStanford dA
d(ascend- ding)
35.Which daortic daneurysm dis doften dtreated dmedically dor dwith da dpossible
dgraft d(but ddoes dnot doften dneed dsurgery)?: dStanford dB d(descending)
3 d/
d38
, 36.What dis da dmedical dintervention dthat dshould dbe ddone dfor da dpatient
dwith da dStanford dB daneurysm?: dKeep dBP dlow
4 d/
d38
