NSG 6001 MIDTERM EXAM 2 – QUESTION AND ANSWERS

NSG 6001 MIDTERM EXAM 2 – QUESTION AND ANSWERS Question 1. Question : A 35 year old female arrives at your clinic. She has had diabetes and peripheral artery disease for the past 5 years. You decide to obtain an ETT. The insurance company argues that this is inappropriate. You justify the ETT because you are planning secondary strategies to prevent future heart disease. Where could one find the supporting data for these guidelines? Medicare guidelines xFramingham risk score (These guidelines come from the Framingham risk score.) Medicaid guidelines Do not exist Question 2. You are counseling a patient diagnosed with stress-induced ischemia. You base your discussion on your knowledge that stress-induced ischemia is thought to be caused by what phenomena? Diet and exercise Heart muscle dysfunction Too many carbonated drinks xEndothelial dysfunction of the microvascular (You base your discussion on your knowledge that stress-induced ischemia is thought to be caused by endothelial dysfunction of the microvascular.) Question 3. What happens to coronary flow related to CAD? Hyper profusion of the myocardium Cerebral vascular infarction xHypo profusion of the myocardium (Because of the restrictive flow of blook through the coronary arteries, hypo profusion of the myocardium results from coronary flow related to CAD which causes the presenting symptoms) Functional systolic pressures Question 4: A 47-year old female with general complaints of fatigue and shortness of breath shows up in your clinic as a referral from another nurse practitioner. Several blood tests and chest x-rays have been completed