1. Which of the following microorganisms are most Streptococcus
pneumoniae and
frequently associated with acute bacterial Haemophilus influenzae
rhi- no-sinusitis?
2. A 38-year-old patient who is Vietnamese tells the hepatitis B.
family nurse practitioner that their
parent died in their 40s from liver cancer.
The nurse practitioner assesses that the
patient is at risk for:
3. Effective long-term treatment of Prescribing
systolic heart failure with reduced valsartan/sacubitril (Entresto)
ejection fraction should in- clude which unless contraindicated on
of the following? discharge
*Angiotensin Receptor and
Neprilysin Inhibition is
consid- ered goal-directed
therapy for pa- tients with
reduced systolic heart
function
4. Which of the following medications is not
con- sidered part of optimal medical Diltiazem (cardizem)
therapy for a 54 year-old male patient
with a diagnosis of heart failure with *Cardizem is not indicated for
reduced ejection fraction (HFrEF) with an pa- tients with heart failure it
EF of 30%, known coronary artery dis- decreas- es myocardial
ease, and normal renal function? contractility, fluid retention,
and lower cardiac out- put.
Appropriate for patient with
HFrEF, CAD, and normal renal
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44
, CEA Final Exam Study Questions.
function are spironolactone (al- dactone), Carvedilol (Coreg). and
Aspirin
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44
, CEA Final Exam Study Questions.
5. A 55 year-old female patient with no Patients with drug-eluting
previous cardiac history and no family stents should take a lipid-
history of hy- perlipidemia with an lowering agent at
acute myocardial infarc- tion is treated discharge.
successfully with a drug-eluting stent
during a recent hospitalization. As **The high intensity statin
their therapy
long-term care provider, you anticipate they were is first line.
most likely to be also started on
which of the following lipid-lowering PCSK9 therapy is indicated if
agents at discharge? fa- milial history of HLD or
cardiac disease with failed
statin therapy
6. Your patient with a diagnosis of A non modifiable risk factor of
peripheral ar- terial disease asks you pe- ripheral artery disease is
what is considered a family
non-modifiable risk factor. Which of the following history of peripheral
artery dis-
represent the best answer for his ease
question?
Modifiable risk factors of
periph- eral artery disease are
smoking, DM control, and
medication com- pliance
7. What is the chamber which directly pumps blood The left ventricle
pumps directly
into the ascending aorta? for evaluation.
You perform a
8. A patient has been complaining of 12 lead EKG
palpitations for the past week and and identify
presents to you at an urgent care clinic atrial
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44
, CEA Final Exam Study Questions.
fibrillation with a heart rate of 122 beats the ascending aorta
per minute. What is your next order?
Order a stat echocardiogram
(identify a clot burden) and
pre- pare for patient to be
transported to nearest
hospital
9. Your patient with a history of two coronary stents PCSK9
Inhibitors.
and a LDL of 190 has been started on lipid-low-
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