& A+ Graded Answers
The provider learns that a patient is taking herbal supplements for a variety of reasons. What is
an important point to discuss with this patient about taking such supplements? - correct answer
✔✔Many supplements lack clear clinical evidence of efficacy
Which assessments of care providers are performed as part of the Value Based Purchasing
initiative? - correct answer ✔✔Appraising costs per case of care for Medicare patients
Assessing patients' satisfaction with hospital care
Monitoring mortality rates of all patients with pneumonia
Which dietary supplements have shown some effectiveness in reducing blood pressure in
patients with hypertension? - correct answer ✔✔CoQ10
Garlic extract
L-arginine
A patient reports abdominal and back pain with anorexia and nausea. During an exam, the
provider notes a pulsatile abdominal mass. What is the initial action? - correct answer
✔✔Ultrasound of the mass to determine size
A 70-year-old male patient has an aortic aneurysm measuring 5.0cm. The patient has poorly-
controlled hypertension, and decompensated heart failure. What is the recommendation for
treatment for this patient? - correct answer ✔✔Serial ultrasongraphic surveillance of the
aneurysm
According to current research, whic are associated with a decreased incidens of stroke? -
correct answer ✔✔> 7 servings of fruits and vegetables per day
, Intensive insulin therapy in type 1 diabetes
Medicterranean diet
During a rountine health maintenance examination, the provider auscultates a cervical bruit.
The patient denies syncope, weakness, or headache. What will the provider do, based on this
finding? - correct answer ✔✔order a carotid duplex ultrasound
Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular
disease are thos with a history of - correct answer ✔✔a 10 year risk score of 8% with an LDL of
80mg/dL
a low-density lipoprotein (LDL) level > 190mg/dL
previous myocardial infarction
A patient who has heart failure with reduced ejection fraction will have which symptoms? -
correct answer ✔✔pump failure from left ventricular systolic dysfunction
A patient who has been diagnosed with heart failure for over a year reports being comfortable
while at rest and experiences palpitaitons and dyspnea when walking tothe bathroom. Which
classification of heart failure is appropriate based on these symptoms? - correct answer
✔✔Class II
A patient who has class II heart failure is taking an ACE inhibitor and reports a recurrent cough
that does not interfere with sleep or activity. What will the provider do intitaly to manage this
patient? - correct answer ✔✔Provide reassurance that this is a benign side effect
A patient reports persistent nasal blockage, nasal discharge, and facial pain lasting on the right
side for the past 4 months. There is no history of sneezing or eye involvement. The patient has a
history of seasonal allergies ant takes a non-sedating antihistamine. What does the provider
suspect is the cause of these symptoms? - correct answer ✔✔Chronic rhinosinusitis