Cardiovascular Review Questions-Leik
A 55-year-old male patient describes an episode of chest tightness in his substernal area that
radiated to his back while he was jogging. It was relieved immediately when he stopped. His
symptoms are highly suggestive of which condition?
A. angina pectoris
B. acute MI
C. GERD
D. acute costochondritis - ANSA
A 55-year-old male patient describes an episode of chest tightness in his substernal area that
radiated to his back while he was jogging. It was relieved immediately when he stopped. His
symptoms are highly suggestive of which condition? Which of the following would you
recommend to this patient?
A. start an exercise program with walking instead of jogging
B. consult with a cardiologist for further eval
C. consult with a GI to rule out acute cholecystitis
D. take advil 600 mg for pain every 4-6 hours as needed - ANSB
A 63-year-old patient with a 10-year history of poorly controlled HTN presents with a cluster of
physical exam findings. Which of the following clusters indicates the target organ damage
commonly seen in hypertensive patients?
A. pedal edema, hepatomegaly, and enlarged kidneys
B. AV nicking, left ventricular hypertrophy, and stroke
C. renal infection, S3 heart sound, neuromuscular abnormalities
D. glaucoma, jugular vein atrophy, HF - ANSB
When evaluating a case of temporal arteritis, the ESR is expected to be
A. normal
B. lower than normal
C. elevated
D. indeterminate - ANSC
While performing a routine physical exam on a 60-year-old man, the NP notices a soft bruit over
the carotid area on the left side of the neck. The pt has a history of HTN. The pt is at higher risk
for
A. temporal arteritis and brain aneurysms
, B. dizziness and headaches
C. abdominal aneurysm and CHF
D. stroke and CAD - ANSD
Which of the following drugs does the JNC 8 2014 evidence-based guideline for the
management of high blood pressure in adults recommend for the initial treatment for white
adults with microalbuminuria?
A. ACEIs
B. diuretics
C. CCBs
D. BBs - ANSA
During a sports physical exam, a 16-year-old patient is noted to have a few beats of horizontal
nystagmus on extreme lateral gaze that disappear when the eyes move back toward midline.
Which statement best describes this clinical finding?
A. this is abnormal, should be evaluated by cardiologist
B. normal finding in some young athletes
C. stress test should be ordered
D. echo should be ordered - ANSB
The 2013 ACC/AHA ASCVD risk calculator measures the risk of a CV event within 10 years
after measurement. What is the cutoff value when treatment for hyperlipidemia is
recommended?
A. 6.5% or higher
B. 7.5% or higher
C. 8% or higher
D. 10% or higher - ANSB
A 20 year old woman reports that for several years, she has had random episodes of
palpitations and shortness of breath that resolve spontaneously. She denies chest pain, arm
pain, and syncope. Her past medical and family histories are negative for CAD, stroke, or lung
disease. During the cardiac exam, the NP notices a grade 3/6 murmur that is accompanied by a
mid-systolic click, which is heard best at the apical area. The apical pulse is 78, BP is 120/60,
and temp is 98.6. The cardiac exam is highly suggestive of which condition?
A. MVP
B. aortic stenosis
C. atrial septal defect
D. pulmonary regurgitation - ANSA
A 55-year-old male patient describes an episode of chest tightness in his substernal area that
radiated to his back while he was jogging. It was relieved immediately when he stopped. His
symptoms are highly suggestive of which condition?
A. angina pectoris
B. acute MI
C. GERD
D. acute costochondritis - ANSA
A 55-year-old male patient describes an episode of chest tightness in his substernal area that
radiated to his back while he was jogging. It was relieved immediately when he stopped. His
symptoms are highly suggestive of which condition? Which of the following would you
recommend to this patient?
A. start an exercise program with walking instead of jogging
B. consult with a cardiologist for further eval
C. consult with a GI to rule out acute cholecystitis
D. take advil 600 mg for pain every 4-6 hours as needed - ANSB
A 63-year-old patient with a 10-year history of poorly controlled HTN presents with a cluster of
physical exam findings. Which of the following clusters indicates the target organ damage
commonly seen in hypertensive patients?
A. pedal edema, hepatomegaly, and enlarged kidneys
B. AV nicking, left ventricular hypertrophy, and stroke
C. renal infection, S3 heart sound, neuromuscular abnormalities
D. glaucoma, jugular vein atrophy, HF - ANSB
When evaluating a case of temporal arteritis, the ESR is expected to be
A. normal
B. lower than normal
C. elevated
D. indeterminate - ANSC
While performing a routine physical exam on a 60-year-old man, the NP notices a soft bruit over
the carotid area on the left side of the neck. The pt has a history of HTN. The pt is at higher risk
for
A. temporal arteritis and brain aneurysms
, B. dizziness and headaches
C. abdominal aneurysm and CHF
D. stroke and CAD - ANSD
Which of the following drugs does the JNC 8 2014 evidence-based guideline for the
management of high blood pressure in adults recommend for the initial treatment for white
adults with microalbuminuria?
A. ACEIs
B. diuretics
C. CCBs
D. BBs - ANSA
During a sports physical exam, a 16-year-old patient is noted to have a few beats of horizontal
nystagmus on extreme lateral gaze that disappear when the eyes move back toward midline.
Which statement best describes this clinical finding?
A. this is abnormal, should be evaluated by cardiologist
B. normal finding in some young athletes
C. stress test should be ordered
D. echo should be ordered - ANSB
The 2013 ACC/AHA ASCVD risk calculator measures the risk of a CV event within 10 years
after measurement. What is the cutoff value when treatment for hyperlipidemia is
recommended?
A. 6.5% or higher
B. 7.5% or higher
C. 8% or higher
D. 10% or higher - ANSB
A 20 year old woman reports that for several years, she has had random episodes of
palpitations and shortness of breath that resolve spontaneously. She denies chest pain, arm
pain, and syncope. Her past medical and family histories are negative for CAD, stroke, or lung
disease. During the cardiac exam, the NP notices a grade 3/6 murmur that is accompanied by a
mid-systolic click, which is heard best at the apical area. The apical pulse is 78, BP is 120/60,
and temp is 98.6. The cardiac exam is highly suggestive of which condition?
A. MVP
B. aortic stenosis
C. atrial septal defect
D. pulmonary regurgitation - ANSA
