(2026/2027)
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,A patient is being followed for type 2 diabetes mellitus He should avoid dietary iron supplements
and hypertension. He also has a diagnosis of
polycythemia vera and has regular phlebotomies for
management. Which of the following statements about
this patient is correct?
The phlebotomies will improve his glycosylated
hemoglobin levels
The phlebotomies will increase his blood pressure
He should increase dietary iron supplements
He should avoid dietary iron supplements
As the nurse practitioner working in a primary care Ordering a new transthoracic echocardiogram and Lifevest if EF is less than
clinic, you have been notified from a hospitalist that 35%
your 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 Holter monitor for 7 days post-discharge
Ordering a new transthoracic echocardiogram and
Lifevest if EF is less than 35%
Ordering aspirin and clopidogrel for 3 months at
discharge
Ordering a new transthoracic echocardiogram and
order a Lifevest if EF is less than 45%
A 70-year-old man with a history of atrial fibrillation Stroke
presents with sudden-onset left-sided weakness and
slurred speech. What is the most likely diagnosis?
Stroke
Transient ischemic attack (TIA)
Myocardial infarction (MI)
Seizure
, A 55 year-old female patient with no previous cardiac High intensity statin therapy
history and no family history of hyperlipidemia with an
acute myocardial infarction is treated successfully with
a drug-eluting stent during a recent hospitalization. As
their long-term care provider, you anticipate they were
most likely to be also started on which of the following
lipid-lowering agents at discharge?
Ezetimibe prior to initiating statin therapy
PCSK9 inhibitor therapy
High intensity statin therapy
Moderate intensity statin therapy
Which of the following medications is not considered Diltiazem (Cardizem)
part of optimal medical therapy for a 54 year-old male
patient with a diagnosis of heart failure with reduced
ejection fraction (HFrEF) with an EF of 30%, known
coronary artery disease, and normal renal function?
Aspirin
Carvedilol (Coreg)
Diltiazem (Cardizem)
Spironolactone (Aldactone)
An older adult with diabetes mellitus presents with leg Intermittent claudication
cramps. She states that the cramps were worst when
walking to the supermarket. If she stops to rest, the pain
subsides. The nurse practitioner knows that this patient
needs a workup for:
Popliteal aneurism
Deep vein thrombosis
Benign nocturnal leg cramps
Intermittent claudication
What is the key long-term benefit of using carvedilol Potential increase in ejection fraction
for patients with coronary artery disease and heart
failure with reduced ejection fraction (HFrEF)?
Baseline reduction of blood pressure
Increase in libido
Potential increase in ejection fraction
Reduce in cardiac output
An otherwise healthy patient reports episodes of Paroxysmal supraventricular tachycardia
palpitations lasting less than 5 minutes and occurring 3-
5 times daily. The patient describes a substernal flip-
flop sensation with a sudden rapid heart rate, ending
with a forceful beat. Holter monitoring would most
likely document:
Premature ventricular contraction (extrasystole)
Paroxysmal supraventricular tachycardia
Sinus tachycardia
Atrial flutter