NSG 6440 Predictor Final Exam V1–V3 |
Family Health Practicum IV – Primary Care
| Actual Questions & Verified Answers|Sure
To Pass|Already Graded A+|Latest Release
1. **Question:** The most cost-effective screening test for determining HIV status
is which of the following?
Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test Viral load
**Answer:** Enzyme-linked immunosorbent assay
2. **Question:** Which of the following antihypertensive medications would you
avoid prescribing for an elderly white female with the comorbid diagnosis of
osteoporosis?
a. Beta blockers
b. Calcium channel blockers
c. Ace inhibitors
d. Diuretics
**Answer:** Calcium channel blockers
3. **Question:** Which of the following class of drugs is preferred treatment for a
diabetic with stage II hypertension?
a. Calcium channel blockers
1
, b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics
**Answer:** Angiotensin converting enzyme inhibitor
4. **Question:** You are caring for a 30-year-old white male in your office with a
BP of 144/90. He has never had a diagnosis of hypertension. He doesn't check his
blood pressure at home. He has a family history of hypertension. What are your
recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and return to your
office in 1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if over 140's over
90's, low salt diet, return in 2 weeks.
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel.
**Answer:** Instruct to purchase a BP cuff, record blood pressures, call if over
140's over 90's, low salt diet, return in 2 weeks
5. **Question:** You are treating a young adult female with HTN and migraine
headaches. Which class of medications could you choose to treat both?
Ace inhibitors
Calcium channel blockers
Beta blockers
Angiotensin receptor blockers
**Answer:** Beta blockers
2
,6. **Question:** A 42-year-old male presents with the following lipid profile. He
is not on any medications for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil
**Answer:** Low dose statin
7. **Question:** You are caring for a 68-year-old male who has been taking
atorvastain (Lipitor) for 8 weeks. He complains of fatigue, muscle aches, and dark-
colored urine. Which of the following is the most appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase (CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest.
**Answer:** Order lipid level and serum creatine phosphokinase (CPK, creatine
kinase).
8. **Question:** What would you advise this patient regarding taking his
atrovastatin (Lipitor)?
Continuing taking the medication until the labs are available
3
, Take atorvastatin every other day until labs are available
Take half of the atorvastatin every other day until labs are available
Stop taking the atorvastatin until the labs are available
**Answer:** Stop taking atorvastatin until the labs are available.
9. **Question:** A 58 year old male presents to your office with an episode of
chest tightness in his substernal area that radiated to his back while he was jogging.
It was relieved with rest. Which of the following does this best describe?
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis
**Answer:** Angina pectoris
10. **Question:** What is the most common cause of left ventricular hypertrophy
in the United States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension
**Answer:** Chronic hypertension
11. **Question:** Which of the following heart sounds is associated with heart
failure?
Still's murmer and S4
4
Family Health Practicum IV – Primary Care
| Actual Questions & Verified Answers|Sure
To Pass|Already Graded A+|Latest Release
1. **Question:** The most cost-effective screening test for determining HIV status
is which of the following?
Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test Viral load
**Answer:** Enzyme-linked immunosorbent assay
2. **Question:** Which of the following antihypertensive medications would you
avoid prescribing for an elderly white female with the comorbid diagnosis of
osteoporosis?
a. Beta blockers
b. Calcium channel blockers
c. Ace inhibitors
d. Diuretics
**Answer:** Calcium channel blockers
3. **Question:** Which of the following class of drugs is preferred treatment for a
diabetic with stage II hypertension?
a. Calcium channel blockers
1
, b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics
**Answer:** Angiotensin converting enzyme inhibitor
4. **Question:** You are caring for a 30-year-old white male in your office with a
BP of 144/90. He has never had a diagnosis of hypertension. He doesn't check his
blood pressure at home. He has a family history of hypertension. What are your
recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and return to your
office in 1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if over 140's over
90's, low salt diet, return in 2 weeks.
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel.
**Answer:** Instruct to purchase a BP cuff, record blood pressures, call if over
140's over 90's, low salt diet, return in 2 weeks
5. **Question:** You are treating a young adult female with HTN and migraine
headaches. Which class of medications could you choose to treat both?
Ace inhibitors
Calcium channel blockers
Beta blockers
Angiotensin receptor blockers
**Answer:** Beta blockers
2
,6. **Question:** A 42-year-old male presents with the following lipid profile. He
is not on any medications for cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil
**Answer:** Low dose statin
7. **Question:** You are caring for a 68-year-old male who has been taking
atorvastain (Lipitor) for 8 weeks. He complains of fatigue, muscle aches, and dark-
colored urine. Which of the following is the most appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase (CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest.
**Answer:** Order lipid level and serum creatine phosphokinase (CPK, creatine
kinase).
8. **Question:** What would you advise this patient regarding taking his
atrovastatin (Lipitor)?
Continuing taking the medication until the labs are available
3
, Take atorvastatin every other day until labs are available
Take half of the atorvastatin every other day until labs are available
Stop taking the atorvastatin until the labs are available
**Answer:** Stop taking atorvastatin until the labs are available.
9. **Question:** A 58 year old male presents to your office with an episode of
chest tightness in his substernal area that radiated to his back while he was jogging.
It was relieved with rest. Which of the following does this best describe?
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis
**Answer:** Angina pectoris
10. **Question:** What is the most common cause of left ventricular hypertrophy
in the United States?
Mitral valve prolapse
Chronic atrial fibrillation
Pulmonary hypertension
Chronic hypertension
**Answer:** Chronic hypertension
11. **Question:** Which of the following heart sounds is associated with heart
failure?
Still's murmer and S4
4
