Fitzgerald; Cardiovascular Exam Review
Questions And Answers
You examine a 38-year-old woman who has presented for an initial
examination and Papanicolaou test. She has no complaint. Her
blood pressure (BP) is 154/98 mm Hg bilaterally and her body mass
index (BMI) is 31 kg/m 2. The rest of her physical examination is
unremarkable. Your next best action is to:
A. initiate antihypertensive therapy.
B. arrange for at least two additional BP measurements during the
next 2 weeks.
C. order blood urea nitrogen, creatinine, and potassium ion
measurements and urinalysis.
D. advise her to reduce her sodium intake. -
correct answer ✅B. arrange for at least two additional BP
measurements during the next 2 weeks.
You see a 68-year-old woman as a patient who is transferring care
into your practice. She has a 10-year history of hypertension,
diabetes mellitus, and hyperlipidemia. Current medications include
hydrochlorothiazide (HCTZ), glipizide, metformin, simvastatin, and
daily low-dose aspirin. Today's BP reading is 158/92 mm Hg, and
the rest of her history and examination are unremarkable.
Documentation from her former healthcare provider indicates that
her BP has been in the range for the past 12 months. Your next best
action is to:
,Fitzgerald; Cardiovascular Exam Review
Questions And Answers
A. prescribe an angiotensin-converting enzyme inhibitor (ACEI).
B. have her return for a BP check in 1 week.
C. advise that her current therapy is adequate.
D. add therapy with an aldosterone antagonist. -
correct answer ✅A. prescribe an angiotensin-converting enzyme
inhibitor (ACEI).
You examine a 78-year-old woman with long-standing, poorly
controlled hypertension. When evaluating her for hypertensive
target organ damage, you look for evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders. -
correct answer ✅C. left ventricular hypertrophy.
Diagnostic testing for a patient with newly diagnosed primary
hypertension should include all of the following except:
A. hematocrit.
B. uric acid.
C. creatinine.
, Fitzgerald; Cardiovascular Exam Review
Questions And Answers
D. potassium. -
correct answer ✅B. uric acid.
In the person with hypertension, the nurse practitioner (NP)
recommends all of the following to potentially reduce BP in a
patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day.
C. regular aerobic physical activity, such as 30-40 minutes of brisk
walking most days of the week.
D. consuming at least 1-2 servings of alcohol. -
correct answer ✅D. consuming at least 1-2 servings of alcohol.
Match the antihypertension medication with its appropriate class:
amlodipine
diltiazem
trandolapril
telmisartan
pindolol
Questions And Answers
You examine a 38-year-old woman who has presented for an initial
examination and Papanicolaou test. She has no complaint. Her
blood pressure (BP) is 154/98 mm Hg bilaterally and her body mass
index (BMI) is 31 kg/m 2. The rest of her physical examination is
unremarkable. Your next best action is to:
A. initiate antihypertensive therapy.
B. arrange for at least two additional BP measurements during the
next 2 weeks.
C. order blood urea nitrogen, creatinine, and potassium ion
measurements and urinalysis.
D. advise her to reduce her sodium intake. -
correct answer ✅B. arrange for at least two additional BP
measurements during the next 2 weeks.
You see a 68-year-old woman as a patient who is transferring care
into your practice. She has a 10-year history of hypertension,
diabetes mellitus, and hyperlipidemia. Current medications include
hydrochlorothiazide (HCTZ), glipizide, metformin, simvastatin, and
daily low-dose aspirin. Today's BP reading is 158/92 mm Hg, and
the rest of her history and examination are unremarkable.
Documentation from her former healthcare provider indicates that
her BP has been in the range for the past 12 months. Your next best
action is to:
,Fitzgerald; Cardiovascular Exam Review
Questions And Answers
A. prescribe an angiotensin-converting enzyme inhibitor (ACEI).
B. have her return for a BP check in 1 week.
C. advise that her current therapy is adequate.
D. add therapy with an aldosterone antagonist. -
correct answer ✅A. prescribe an angiotensin-converting enzyme
inhibitor (ACEI).
You examine a 78-year-old woman with long-standing, poorly
controlled hypertension. When evaluating her for hypertensive
target organ damage, you look for evidence of:
A. lipid abnormalities.
B. insulin resistance.
C. left ventricular hypertrophy.
D. clotting disorders. -
correct answer ✅C. left ventricular hypertrophy.
Diagnostic testing for a patient with newly diagnosed primary
hypertension should include all of the following except:
A. hematocrit.
B. uric acid.
C. creatinine.
, Fitzgerald; Cardiovascular Exam Review
Questions And Answers
D. potassium. -
correct answer ✅B. uric acid.
In the person with hypertension, the nurse practitioner (NP)
recommends all of the following to potentially reduce BP in a
patient with a BMI of 30 kg/m2 except:
A. 10-kg (22-lb) weight loss.
B. dietary sodium restriction to 2.4 g (6 g NaCl) per day.
C. regular aerobic physical activity, such as 30-40 minutes of brisk
walking most days of the week.
D. consuming at least 1-2 servings of alcohol. -
correct answer ✅D. consuming at least 1-2 servings of alcohol.
Match the antihypertension medication with its appropriate class:
amlodipine
diltiazem
trandolapril
telmisartan
pindolol
