MN 566 MIDTERM EXAM 3 UNIT 5 COMPREHENSIVE SCRIPT
2026 FULL SOLUTION STUDY GUIDE
◉ The aging process causes what normal physiological changes in the
heart. Answer: The heart valve thickens and becomes rigid, secondary to
fibrosis and sclerosis
◉ A 55 yo Caucasian male follows up after referral to cardiologist. He
thinks his med is causing a cough and sometimes he has difficulty
breathing. Which med was most likely prescribed?. Answer: Lisinopril
◉ MJ presents with h/o structural damage with current s/s of HF.
Treatment will be based on his stage of HF which is. Answer: Stage C
◉ 65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is. Answer: Stage B
◉ The best way to diagnose structural heart disease/dysfunction
noninvasively is. Answer: Echocardiogram
◉ Chronic pain can have major impact on patients ability to function
and have profound impact on overall QOL. Ongoing pain may be linked
to. Answer: Depression, sleep disturbance, decreased socialization
◉ The Beers criteria are appropriate for use in evaluating use of certain
meds in patients. Answer: >65 y/o
,◉ All of the following statements are true about lab values in older
adults except. Answer: Abnormal findings are often due to physiological
aging
◉ According to the 2017 ACC HTN guidelines, the recommended BP
goal for a 65y/o African American woman with a h/o HTN and DM and
no h/o CKD is. Answer: <140/80
◉ THe pathophysiology of HF is due to. Answer: Inadequate cardiac
output to meet the metabolic and O2 demands of the body
◉ The volume of air a patient to exhale for total duration of the test
during maximal effort is. Answer: FVC
◉ According it the 2017 ACC HTN guidelines, normal BP is. Answer:
<120/80
◉ Functional abilities are best assessed by. Answer: Observed
assessment of function
◉ LB is a 77 yo with chronic poorly controlled HTN. You know that
goals include prevention of target organ damage. During your eval you
will assess for evidence of. Answer: Left ventricular hypertrophy
, ◉ Aortic regurgitation requires medical treatment for early signs of HF
with. Answer: ACEi
◉ The volume of air in the lungs at max inflation is. Answer: TLC (total
lung capacity)
◉ Preferred amount of exercise for older adults is. Answer: 30min/day
of aerobic exercise 5 days a week
◉ You know the following statements regarding th pain of acute
coronary syndrome are true except. Answer: Present atypically more
often in men than women
◉ Elderly patient presents with new onset of feeling heart race, fatigue.
EKG reveals Afib with rate >100. Patient also has a new tremor in both
hands. Which of the following would you suspect. Answer:
Hyperthyroidism
◉ Which patient is more likely to have osteoporosis. Answer: 80 y/o.
Underweight male who smokes and has been on steroids for psoriasis
◉ Post menopausal woman with osteoporosis is taking bisphosphonate
daily po. What action info statement would indicate she understood your
instructions regarding this med?. Answer: Take med with full glass of
water when up in the AM 30 min before other food and meds
2026 FULL SOLUTION STUDY GUIDE
◉ The aging process causes what normal physiological changes in the
heart. Answer: The heart valve thickens and becomes rigid, secondary to
fibrosis and sclerosis
◉ A 55 yo Caucasian male follows up after referral to cardiologist. He
thinks his med is causing a cough and sometimes he has difficulty
breathing. Which med was most likely prescribed?. Answer: Lisinopril
◉ MJ presents with h/o structural damage with current s/s of HF.
Treatment will be based on his stage of HF which is. Answer: Stage C
◉ 65 yo Caucasian presents with mitral valve stenosis, physical exam is
unremarkable. you know her stage of HF is. Answer: Stage B
◉ The best way to diagnose structural heart disease/dysfunction
noninvasively is. Answer: Echocardiogram
◉ Chronic pain can have major impact on patients ability to function
and have profound impact on overall QOL. Ongoing pain may be linked
to. Answer: Depression, sleep disturbance, decreased socialization
◉ The Beers criteria are appropriate for use in evaluating use of certain
meds in patients. Answer: >65 y/o
,◉ All of the following statements are true about lab values in older
adults except. Answer: Abnormal findings are often due to physiological
aging
◉ According to the 2017 ACC HTN guidelines, the recommended BP
goal for a 65y/o African American woman with a h/o HTN and DM and
no h/o CKD is. Answer: <140/80
◉ THe pathophysiology of HF is due to. Answer: Inadequate cardiac
output to meet the metabolic and O2 demands of the body
◉ The volume of air a patient to exhale for total duration of the test
during maximal effort is. Answer: FVC
◉ According it the 2017 ACC HTN guidelines, normal BP is. Answer:
<120/80
◉ Functional abilities are best assessed by. Answer: Observed
assessment of function
◉ LB is a 77 yo with chronic poorly controlled HTN. You know that
goals include prevention of target organ damage. During your eval you
will assess for evidence of. Answer: Left ventricular hypertrophy
, ◉ Aortic regurgitation requires medical treatment for early signs of HF
with. Answer: ACEi
◉ The volume of air in the lungs at max inflation is. Answer: TLC (total
lung capacity)
◉ Preferred amount of exercise for older adults is. Answer: 30min/day
of aerobic exercise 5 days a week
◉ You know the following statements regarding th pain of acute
coronary syndrome are true except. Answer: Present atypically more
often in men than women
◉ Elderly patient presents with new onset of feeling heart race, fatigue.
EKG reveals Afib with rate >100. Patient also has a new tremor in both
hands. Which of the following would you suspect. Answer:
Hyperthyroidism
◉ Which patient is more likely to have osteoporosis. Answer: 80 y/o.
Underweight male who smokes and has been on steroids for psoriasis
◉ Post menopausal woman with osteoporosis is taking bisphosphonate
daily po. What action info statement would indicate she understood your
instructions regarding this med?. Answer: Take med with full glass of
water when up in the AM 30 min before other food and meds
