APEA REVIEWED EXAM WITH COMPLETE SOLUTIONS

APEA REVIEWED EXAM WITH COMPLETE SOLUTIONS Black Patient With or Without DM - CORRECT ANSWER-Thiazide diuretic Calcium channel blocker Nonblack Patient With or Without DM - CORRECT ANSWER-Thiazide diuretic Calcium channel blocker ACE ARB heart murmurs are caused by - CORRECT ANSWER-turbulent blood flow through the great vessels or across a heart valve occurs • Stenotic valves don't - CORRECT ANSWER-Stenotic valves don't OPEN properly Regurgitant valves don't - CORRECT ANSWER-Regurgitant valves don't CLOSE properly If pravastatin is chosen for Mr. Thibodeaux, how would you manage this? Select all that apply. - CORRECT ANSWER-Check liver enzymes prior to initiation of statin. Start him on 40 mg today and recheck lipids/LFTs in 8 weeks. htn stop - CORRECT ANSWER-nsaids naproxen calf pain with walking. What's going on? - CORRECT ANSWER-blockage in lower vessels intermittent claudication peripheral artery disease ABI <0.9 or >1.3 is highly suggestive of - CORRECT ANSWER-pad What interventions should be initiated to help decrease his triglyceride level (323 mg/dL)? Select all that apply. - CORRECT ANSWER-. Decreased carbohydrate consumption. Suppose his triglycerides were 550 mg/dL? How would you treat? - CORRECT ANSWER-fibrates lifestyle If Mrs. Boudreaux were to develop heart failure, which medications would be most beneficial to discontinue? Select all that apply - CORRECT ANSWER-amlodopine naproxine Heart Failure Clinical Signs and Symptoms - CORRECT ANSWER-Crackles S3 and/or S4 • Peripheral edema may be present AAA screening - CORRECT ANSWER--all men 65-75 who have ever smoked -abdominal US 1 time only statins - CORRECT ANSWER-liver involvement muscle cramps What is the cutoff value when treatment for hyperlipidemia is recommended? - CORRECT ANSWER-7.5 or higher What type of murmur can radiate to the left axilla? - CORRECT ANSWER-Mitral regurgitation The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in the mitral area of the chest. The location of the mitral area (fifth intercostal space on the left side of the midclavicular line) is near the left axilla, so that a loud murmur can radiate to the left axilla. The causes can be congenital or it may a be sequela of rheumatic fever, mitral valve prolapse, or papillary muscle dysfunction secondary to acute or prior myocardial infarction. pulse deficit - CORRECT ANSWER-difference between the apical and radial pulse rates radial - apical The goal for patients aged 60 years or older is blood pressure less than - CORRECT ANSWER-150/90 shows a triglyceride level of 950 mg/dL, - CORRECT ANSWER-Initiate a prescription of fenofibrate (Tricor)