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Exam (elaborations)

3P APEA EXAM

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Exam of 7 pages for the course APEA 3p at APEA 3p (3P APEA EXAM)

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3P APEA EXAM

DifferenceVGbetweenVGvaricoseVGveinVGandVGarteriosclerosisVG-VGanswer--
IsVGtheVGaffectedVGvessel
ArteriosclerosisVGaffectsVGarteriesVGwhereasVGvaricoseVGveinsVGaffectsVGveins

AVGpatientVGhasVGpoorlyVGcontrolledVGhypertensionVGforVGmoreVGthanVG10VGyears.VGIndic
ateVGtheVGmostVGlikelyVGpositionVGofVGhisVGpointVGofVGmaximalVGimpulseVG(PMI)VG-
VGanswer--5thVGICS,VGleftVGofVGMCL



AVG43VGyearVGoldVGHispanicVGmaleVGhasVGanVGaudibleVGdiastolicVGmurmurVGbestVGheardV
GinVGtheVGmitralVGlisteningVGpoint.VGThereVGisVGnoVGaudibleVGclick.VGHisVGstatusVGhasVGbe

enVGmonitoredVGforVGtheVGpastVGtwoVGyears.VGThisVGmurmurVGisVGprobablyVG-VGanswer--
mitralVGstenosis

AVGpatientVGwhoVGhasVGdiabetesVGpresentsVGwithVGpainVGinVGhisVGlowerVGlegsVGwhenVGhe
VGwalksVGandVGpainVGresolutionVGwithVGrest.VGWhenVGspecificallyVGaskedVGaboutVGhisVGp

ainVGinVGhisVGlowerVGleg,VGheVGlikelyVGwillVGreportVGpainVG-VGanswer--
inVGtheVGcalfVGmuscle

AVGpatientVGwithVGhypertensionVGdescribesVGaVGpreviousVGallergicVGreactionVGtoVGaVGsulf
aVGantibioticVGasVG"sloughingVGofVGskin"VGandVGhospitalization.VGWhichVGmedicationVGisV
GcontraindicatedVGinVGthisVGpatient?VG-VGanswer--hydrochlorothiazide



AVG75VGyearVGoldVGpatientVGwhoVGhasVGaorticVGstenosisVGwantsVGtoVGknowVGwhatVGsympt
omsVGindicateVGworseningVGofVGhisVGstenosis.VGtheVGNPVGreplies:VG-VGanswer--
shortnessVGofVGbreathVGandVGsyncope

AVG74VGyearVGoldVGpatientVGhasVGPAD.VGWhichVGitemVGlistedVGbelowVGisVGanVGimportantV
GnonmodifiableVGriskVGfactorVGforVGPAD?VG-VGanswer--diabetes



BenazeprilVGshouldVGbeVGd/cVGimmediatelyVGifVG-VGanswer--pregnancyVGoccurs

aorticVGregurgitationVGcharacteristicsVG-VGanswer--
longVGasymptomaticVGperiodVGfollowVGbyVGexerciseVGintolerance,VGthenVGdyspneaVGatVGr
est

DVTVGclassicVGsymptomsVG-VGanswer--
swelling,VGpain,VGandVGdiscolorationVGofVGlowerVGextremity

CharacteristicVGofVGACE-inducedVGcoughVGisVGthat?VG-VGanswer--
usuallyVGbeginsVGtwoVGweeksVGofVGstartingVGtherapy

ValveVGmostVGcommonlyVGinvolvedVGinVGchronicVGrheumaticVGheartVGdiseaseVG-
VGanswer--mitral

, MedicationVGthatVGcanVGexacerbateVGHFVG-VGanswer--naproxen

PatientVGtakingVGACEVGinhibitorsVGshouldVGavoid?VG-VGanswer--
potassiumVGsupplements

GradeVG3VGmurmurVGindicationVGforVGaVGreferralVG-VGanswer--aVGfixedVGsplit

GroupVGofVGmedsVGusedVGtoVGtreatVGHFVG-VGanswer--fosinopril,VGHCTZ,VGverapamil

Mr.VGSmithVGisVGaVG72-year-oldVGpatientVGwhoVGtakesVGwarfarinVGforVGchronicVGA-
fib.VGINRVGtodayVGisVG4.0.VGtheVGNPVGshould:VG-VGanswer--
stopVGtheVGwarfarinVGtodayVGandVGrepeatVGINRVGtomorrow

AccordingVGtoVGtheVGNHLBI,VGwhichVGcharacteristicVGisVGaVGcoronaryVGheartVGdiseaseVGr
iskVGequivalent,VGthatVGis,VGwhichVGriskVGfactorVGplacesVGtheVGpt.VGasVGaVGCHDVGriskVGsi
milarVGtoVGaVGhxVGofVGCHDVG-VGanswer--diabetesVGmellitus

goodVGdrugVGtoVGreduceVGmorbidityVGandVGmortalityVGinVGmildVGHFVG-VGanswer--
metoprolol

AVGpt.VGtakingVGatorvastatinVGnewlyVGdiagnosedVGwithVGdyslipidemiaVGcomplaintsVGofVGf
atigue,VGweakness,VGandVGmuscleVGachesVGinVGhisVGlowerVGback,VGarms,VGlegsVGforVGth
eVGpastVG3VGdays.VGitVGisVGnotVGimprovedVGwithVGrestVGHowVGshouldVGthisVGbeVGevaluate
d?VG-VGanswer--StopVGtheVGatorvastatinVGimmediately

symptomVGnotVGindicativeVGofVGHFVG-VGanswer--headache

WhatVGclassVGofVGmedsVGisVGpreferredVGtoVGnormalizedVGlipidVGlevelsVGandVGreduceVGris
kVGofVGcardiacVGeventsVG-VGanswer--HMGVGCoAVGreductaseVGinhibitors

HighestVGsensitivityVGinVGdiagnosingVGHFVG-VGanswer--BNP

TheVGNPVGisVGcaringVGforVGaVG74-year-
oldVGwhoVGhadVGanVGacuteVGcoronaryVGsyndromeVG6VGweeksVGago.VGWhatVGmedication
sVGshouldVGbeVGpartVGofVGhisVGregimenVGunlessVGcontraindicatedVG-VGanswer--
ACE,VGASA,VGbetaVGblockers,VGandVGstatin

patientVGwithVGtheVGhighestVGsystolicVGB/PVG-VGanswer--75-year-oldVGmale

testVGthatVGisVGmostVGcostVGeffectiveVGtoVGscreenVGforVGabdominalVGaorticVGaneurysmVG-
VGanswer--abdominal VGultrasound



aVG74-year-
oldVGpatientVGhasVGhadVGanVGincreaseVGinVGb/
pVGsinceVGtheVGlastVGexam.VGhisVGb/
pVGhasVGincreasedVGfromVG144/90VGtoVGreadingVGinVGtheVGupperVG160's/
upperVG80's.VGIfVGmedicationVGisVGtoVGbeVGstartedVGonVGthisVGpatient,VGwhatVGwouldVGbeV
GaVGgoodVGfirstVGchoice?VG-VGanswer--CalciumVGchannelVGblocker



FactorVGcontributingVGtoVGtheVGdevelopmentVGofVGAAAVG-VGanswer--cigaretteVGsmoking

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