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CLINICAL MANAGEMENT 1 TEST 4
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 54
Clinical Management 1 Test 4
What is the most appropriate pharmacologic intervention to slow the
expansion of a small abdominal aortic aneurysm (AAA) in a patient with
Marfan’s syndrome?
A. Statin therapy
B. Beta-blockers
C. ACE inhibitors
D. Calcium channel blockers
B. Beta-blockers
A patient with a known history of hyperlipidemia and coronary artery disease
presents with chest pain that has increased in frequency and now occurs at
rest. This change in symptoms is most consistent with which of the following
conditions?
A. Stable angina
B. Unstable angina
C. Variant angina
D. Prinzmetal angina
B. Unstable angina
During an exam, you detect a diastolic rumble best heard in the left lateral
decubitus position. This murmur is most likely associated with which of the
following conditions?
A. Mitral stenosis
B. Aortic stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation
A. Mitral stenosis
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Which class of medications is recommended as the first-line therapy for a
patient with newly diagnosed chronic stable angina, assuming no
contraindications?
A. Calcium channel blockers
B. Beta-blockers
C. Long-acting nitrates
D. ACE inhibitors
B. Beta-blockers
Which of the following diagnostic criteria is essential for diagnosing
pericarditis?
A. Elevated BNP levels
B. Right bundle branch block on ECG
C. Pericardial friction rub
D. Positive blood culture
C. Pericardial friction rub
A 72-year-old male with a history of mitral valve prolapse presents with fatigue
and new onset of a holosystolic murmur heard at the apex, radiating to the
axilla. This finding is most consistent with which condition?
A. Mitral stenosis
B. Mitral regurgitation
C. Aortic regurgitation
D. Tricuspid stenosis
B. Mitral regurgitation
In assessing a patient with suspected infective endocarditis, which of the
following physical findings would support this diagnosis?
A. Pulsus paradoxus
B. Hepatomegaly
C. Osler's nodes
D. Muffled heart sounds
C. Osler's nodes
A 55-year-old patient with hyperlipidemia is started on statin therapy. Which
lab test should be monitored periodically due to a common adverse effect of
statins?
A. Serum calcium
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B. Liver enzymes
C. Serum creatinine
D. Potassium levels
B. Liver enzymes
In a patient with rheumatic heart disease, which of the following heart valves is
most commonly affected?
A. Aortic valve
B. Pulmonic valve
C. Mitral valve
D. Tricuspid valve
C. Mitral valve
A 63-year-old patient has a chronic history of aortic regurgitation but is
asymptomatic. When should this patient undergo surgery?
A. When symptoms of heart failure develop
B. When blood pressure increases above 140/90 mmHg
C. Only if ejection fraction falls below 30%
D. When serum potassium rises above 5.5 mEq/L
A. When symptoms of heart failure develop
Which medication class is used to prevent recurrence of acute pericarditis?
A. ACE inhibitors
B. Beta-blockers
C. Colchicine
D. Statins
C. Colchicine
A patient is suspected of having a pulmonary embolism (PE) based on clinical
presentation and Wells score. The next step is to perform a D-dimer test. A low
D-dimer level would indicate which of the following?
A. PE is ruled out
B. PE is confirmed
C. Further imaging is needed
D. High risk of bleeding
A. PE is ruled out
Which of the following symptoms would most likely be associated with an
aortic aneurysm rupture?
CLINICAL MANAGEMENT 1 TEST 4
Download now
Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
, Page 2 of 54
Clinical Management 1 Test 4
What is the most appropriate pharmacologic intervention to slow the
expansion of a small abdominal aortic aneurysm (AAA) in a patient with
Marfan’s syndrome?
A. Statin therapy
B. Beta-blockers
C. ACE inhibitors
D. Calcium channel blockers
B. Beta-blockers
A patient with a known history of hyperlipidemia and coronary artery disease
presents with chest pain that has increased in frequency and now occurs at
rest. This change in symptoms is most consistent with which of the following
conditions?
A. Stable angina
B. Unstable angina
C. Variant angina
D. Prinzmetal angina
B. Unstable angina
During an exam, you detect a diastolic rumble best heard in the left lateral
decubitus position. This murmur is most likely associated with which of the
following conditions?
A. Mitral stenosis
B. Aortic stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation
A. Mitral stenosis
, Page 3 of 54
Which class of medications is recommended as the first-line therapy for a
patient with newly diagnosed chronic stable angina, assuming no
contraindications?
A. Calcium channel blockers
B. Beta-blockers
C. Long-acting nitrates
D. ACE inhibitors
B. Beta-blockers
Which of the following diagnostic criteria is essential for diagnosing
pericarditis?
A. Elevated BNP levels
B. Right bundle branch block on ECG
C. Pericardial friction rub
D. Positive blood culture
C. Pericardial friction rub
A 72-year-old male with a history of mitral valve prolapse presents with fatigue
and new onset of a holosystolic murmur heard at the apex, radiating to the
axilla. This finding is most consistent with which condition?
A. Mitral stenosis
B. Mitral regurgitation
C. Aortic regurgitation
D. Tricuspid stenosis
B. Mitral regurgitation
In assessing a patient with suspected infective endocarditis, which of the
following physical findings would support this diagnosis?
A. Pulsus paradoxus
B. Hepatomegaly
C. Osler's nodes
D. Muffled heart sounds
C. Osler's nodes
A 55-year-old patient with hyperlipidemia is started on statin therapy. Which
lab test should be monitored periodically due to a common adverse effect of
statins?
A. Serum calcium
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B. Liver enzymes
C. Serum creatinine
D. Potassium levels
B. Liver enzymes
In a patient with rheumatic heart disease, which of the following heart valves is
most commonly affected?
A. Aortic valve
B. Pulmonic valve
C. Mitral valve
D. Tricuspid valve
C. Mitral valve
A 63-year-old patient has a chronic history of aortic regurgitation but is
asymptomatic. When should this patient undergo surgery?
A. When symptoms of heart failure develop
B. When blood pressure increases above 140/90 mmHg
C. Only if ejection fraction falls below 30%
D. When serum potassium rises above 5.5 mEq/L
A. When symptoms of heart failure develop
Which medication class is used to prevent recurrence of acute pericarditis?
A. ACE inhibitors
B. Beta-blockers
C. Colchicine
D. Statins
C. Colchicine
A patient is suspected of having a pulmonary embolism (PE) based on clinical
presentation and Wells score. The next step is to perform a D-dimer test. A low
D-dimer level would indicate which of the following?
A. PE is ruled out
B. PE is confirmed
C. Further imaging is needed
D. High risk of bleeding
A. PE is ruled out
Which of the following symptoms would most likely be associated with an
aortic aneurysm rupture?
