NR667 CEA Practice Questions with Correct
Answers
Your patient presents with bradycardia, severe nausea, and substernal pain. STEMI
was identified on the EKG. Which region of the heart is most likely involved?
Anterior Wall
Lateral Wall
Inferior Wall
Septal wall
inferior wall
An example of secondary prevention for a diagnosis of coronary artery disease includes
which of the following?
Coronary artery bypass grafting
Practicing yoga and meditation to reduce stress
LDL decreasing from 120 to 98 with healthy diet
Controlling hypertension
Coronary artery bypass grafting
Long-term patient with a history of HFrEF (heart failure with reduced ejection
fraction) with an ejection fraction of 40% two years ago who is also not on optimal
medical therapy has been diagnosed with a myocardial infarction this admission and
received emergent placement of a drug-eluting stent to the left anterior descending
artery. As the patient's medical home who will manage this patient after discharge,
which of the following would you expect to be a priority in the patient's care for their
,heart failure after an acute MI?
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less than
45%
Ordering a Holter monitor for 7 days post-discharge
Ordering aspirin and clopidogrel for 3 months at discharge
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less than
35%
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less than 35%
A 39-year-old male with type 1 DM is seen in the urgent care after a recent
hospitalization for DKA. Treated with IV fluids, IV insulin, and potassium correction,
His BS decreases to 120 mg/dL and is transitioned from IV insulin to Sub Q. After 6
hours he begins vomiting and ABG is done: pH 7.19, CO2 13, K+ 5.5, glucose 180.
Which of the following is the most likely reason for persistent acidosis?
Lack of absorption of Sub Q insulin
Failure to correct hyperkalemia
Failure to give bicarbonate
Premature discontinuation of insulin drip
,Premature discontinuation of insulin drip
Glucose is only one of the parameters that needs to be followed in DKA. It takes longer for
ketones to clear than glucose to normalize. Insulin drip should be continued until ketonemia
has resolved and the anion gap has closed. If IV insulin is discontinued prematurely the
patient may have rebound acidosis. Bicarbonate replacement has been controversial in DKA.
A patient has a 2 cm pituitary adenoma on MRI. Deficiency of one of the pituitary
hormones can cause immediate hemodynamic instability and has a risk of death. Which
is the most critical hormone deficiency to rule out?
ACTH
Prolactin
FSH/LH
TSH
ACTH
Which of the following gastrointestinal changes is associated with normal aging?
Decreased production of gastric acid
Decreased incidence of gallstones
, Increased esophageal emptying
Increased salivation
Decreased production of gastric acid
A 28-year-old woman presents with abdominal pain, diarrhea, and weight loss. She also
reports occasional bloody stools. Colonoscopy reveals continuous inflammation from
the rectum extending proximally. What is the most likely diagnosis?
Crohn's disease
Diverticulitis
Ulcerative colitis
Celiac disease
Ulcerative colitis
A 39-year-old female is being seen by your service for diarrhea. Patient reports 3-4
loose stools a day. She also reports mild cramping. The patients stool culture was
negative, her fecal occult and ESR were elevated. Which lab would be important to also
test if you are suspecting IBD?
Fecal calprotectin
D-Dimer
CBC, CMP
CRP
Fecal Calprotectin
Answers
Your patient presents with bradycardia, severe nausea, and substernal pain. STEMI
was identified on the EKG. Which region of the heart is most likely involved?
Anterior Wall
Lateral Wall
Inferior Wall
Septal wall
inferior wall
An example of secondary prevention for a diagnosis of coronary artery disease includes
which of the following?
Coronary artery bypass grafting
Practicing yoga and meditation to reduce stress
LDL decreasing from 120 to 98 with healthy diet
Controlling hypertension
Coronary artery bypass grafting
Long-term patient with a history of HFrEF (heart failure with reduced ejection
fraction) with an ejection fraction of 40% two years ago who is also not on optimal
medical therapy has been diagnosed with a myocardial infarction this admission and
received emergent placement of a drug-eluting stent to the left anterior descending
artery. As the patient's medical home who will manage this patient after discharge,
which of the following would you expect to be a priority in the patient's care for their
,heart failure after an acute MI?
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less than
45%
Ordering a Holter monitor for 7 days post-discharge
Ordering aspirin and clopidogrel for 3 months at discharge
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less than
35%
Ordering a new transthoracic echocardiogram and order a Lifevest if EF is less than 35%
A 39-year-old male with type 1 DM is seen in the urgent care after a recent
hospitalization for DKA. Treated with IV fluids, IV insulin, and potassium correction,
His BS decreases to 120 mg/dL and is transitioned from IV insulin to Sub Q. After 6
hours he begins vomiting and ABG is done: pH 7.19, CO2 13, K+ 5.5, glucose 180.
Which of the following is the most likely reason for persistent acidosis?
Lack of absorption of Sub Q insulin
Failure to correct hyperkalemia
Failure to give bicarbonate
Premature discontinuation of insulin drip
,Premature discontinuation of insulin drip
Glucose is only one of the parameters that needs to be followed in DKA. It takes longer for
ketones to clear than glucose to normalize. Insulin drip should be continued until ketonemia
has resolved and the anion gap has closed. If IV insulin is discontinued prematurely the
patient may have rebound acidosis. Bicarbonate replacement has been controversial in DKA.
A patient has a 2 cm pituitary adenoma on MRI. Deficiency of one of the pituitary
hormones can cause immediate hemodynamic instability and has a risk of death. Which
is the most critical hormone deficiency to rule out?
ACTH
Prolactin
FSH/LH
TSH
ACTH
Which of the following gastrointestinal changes is associated with normal aging?
Decreased production of gastric acid
Decreased incidence of gallstones
, Increased esophageal emptying
Increased salivation
Decreased production of gastric acid
A 28-year-old woman presents with abdominal pain, diarrhea, and weight loss. She also
reports occasional bloody stools. Colonoscopy reveals continuous inflammation from
the rectum extending proximally. What is the most likely diagnosis?
Crohn's disease
Diverticulitis
Ulcerative colitis
Celiac disease
Ulcerative colitis
A 39-year-old female is being seen by your service for diarrhea. Patient reports 3-4
loose stools a day. She also reports mild cramping. The patients stool culture was
negative, her fecal occult and ESR were elevated. Which lab would be important to also
test if you are suspecting IBD?
Fecal calprotectin
D-Dimer
CBC, CMP
CRP
Fecal Calprotectin
