1
, Final Exams) NR 603 CEA Chamberlain - Complete
Package Bundle
1. A 58-year-old male with hypertension and diabetes
presents with substernal chest pressure radiating to the
jaw, relieved by rest. What is the most likely diagnosis?
A. Unstable angina
B. Stable angina
C. NSTEMI
D. Pericarditis
Correct Answer: B
Rationale: Stable angina is provoked by exertion/stress
and relieved by rest or nitroglycerin. Unstable angina
occurs at rest; NSTEMI has elevated troponins; pericarditis
pain is positional.
2. Which EKG finding is most specific for acute
pericarditis?
A. ST elevation in all leads except aVR and V1
B. Hyperacute T waves
2
,C. ST depression in V2–V4
D. Pathologic Q waves
Correct Answer: A
Rationale: Pericarditis causes diffuse ST elevations
(concave up) without reciprocal changes. Hyperacute T
waves suggest hyperkalemia or early MI; Q waves
indicate prior MI.
3. A 72-year-old with heart failure and EF 35% is on
lisinopril, metoprolol, and furosemide. He develops a dry
cough. Which medication is most likely the cause?
A. Metoprolol
B. Lisinopril
C. Furosemide
D. Digoxin
Correct Answer: B
Rationale: ACE inhibitors (lisinopril) cause bradykinin-
mediated dry cough. Metoprolol causes bradycardia;
3
, furosemide causes electrolyte imbalances; digoxin causes
k k k k k
k nausea/vision changes. k
4. Whatis the first-line drugfor rate controlin atrial
k k k k k k k k k
fibrillationwithheartfailure(EF<40%)?
k k k k k k
A. Digoxin
B. Amiodarone
C. Metoprolol
D. Diltiazem
k Correct Answer: C
k k
Rationale: Beta-blockers (metoprolol) are first-line for
k k k k k
rate control and mortality benefit in HFrEF. Digoxin is
k k k k k k k k k
k second-line; amiodarone for rhythm control; diltiazem
k k k k k
k avoided in HFrEF. k k
5. A45-year-oldpresentswithsudden,severe“tearing”
k k k k k k
chest pain radiating to the back, unequal BP in arms. Most
k k k k k k k k k k k
likelydiagnosis?
k k
A. Pulmonary embolism k
B. Myocardial infarction k
4
, Final Exams) NR 603 CEA Chamberlain - Complete
Package Bundle
1. A 58-year-old male with hypertension and diabetes
presents with substernal chest pressure radiating to the
jaw, relieved by rest. What is the most likely diagnosis?
A. Unstable angina
B. Stable angina
C. NSTEMI
D. Pericarditis
Correct Answer: B
Rationale: Stable angina is provoked by exertion/stress
and relieved by rest or nitroglycerin. Unstable angina
occurs at rest; NSTEMI has elevated troponins; pericarditis
pain is positional.
2. Which EKG finding is most specific for acute
pericarditis?
A. ST elevation in all leads except aVR and V1
B. Hyperacute T waves
2
,C. ST depression in V2–V4
D. Pathologic Q waves
Correct Answer: A
Rationale: Pericarditis causes diffuse ST elevations
(concave up) without reciprocal changes. Hyperacute T
waves suggest hyperkalemia or early MI; Q waves
indicate prior MI.
3. A 72-year-old with heart failure and EF 35% is on
lisinopril, metoprolol, and furosemide. He develops a dry
cough. Which medication is most likely the cause?
A. Metoprolol
B. Lisinopril
C. Furosemide
D. Digoxin
Correct Answer: B
Rationale: ACE inhibitors (lisinopril) cause bradykinin-
mediated dry cough. Metoprolol causes bradycardia;
3
, furosemide causes electrolyte imbalances; digoxin causes
k k k k k
k nausea/vision changes. k
4. Whatis the first-line drugfor rate controlin atrial
k k k k k k k k k
fibrillationwithheartfailure(EF<40%)?
k k k k k k
A. Digoxin
B. Amiodarone
C. Metoprolol
D. Diltiazem
k Correct Answer: C
k k
Rationale: Beta-blockers (metoprolol) are first-line for
k k k k k
rate control and mortality benefit in HFrEF. Digoxin is
k k k k k k k k k
k second-line; amiodarone for rhythm control; diltiazem
k k k k k
k avoided in HFrEF. k k
5. A45-year-oldpresentswithsudden,severe“tearing”
k k k k k k
chest pain radiating to the back, unequal BP in arms. Most
k k k k k k k k k k k
likelydiagnosis?
k k
A. Pulmonary embolism k
B. Myocardial infarction k
4
