Ch. 10 Dunphy Cardiovascular Problems 4th edition
Questions With Complete Solutions
(T/F) ACE inhibitor and ARB can be used safely together in
order to achieve optimal blood pressure results. Correct Answer
F
(T/F) Atherogenesis is mediated by the lower density
lipoproteins. Correct Answer T
(T/F) Beta Blockers are no longer used as initial treatment for
the hypertensive patient. Correct Answer T
(T/F) Cardiac-related syncope is an ominous sign associated
with high rates of mortality Correct Answer T
(T/F) Dyspnea is a common cardiac complaint Correct Answer
T
(T/F) Elevated lipid levels present the greatest risk factor for the
development of coronary artery disease. Correct Answer T
(T/F) HDL cholesterol is deposited on the arterial walls and
contributes to atherogenisis. Correct Answer F. HDL is
EXCRETED from the body and NOT depositied on the arterial
walls. Atherogenic forms of cholesterol-lipoportein complese
include all types of NON-HDL cholesterol
(T/F) if a patient had PAD they should wear compression hose.
Correct Answer F. Compression hose are for Chronic Venous
,insufficiency. People with PAD should not wear constrictive
clothing.
(T/F) In the presence of bilateral renal artery stenosis you should
be sure to dose and ACEI like enalapril, lisinopril (Zesteril)
Correct Answer F. You should NOT dose these drugs and these
drugs should be adjusted in renal insufficiency.
(T/F) Obviously pain will tend to increase BP. Correct Answer
T
(T/F) PAC have clinical significance. Correct Answer F. in
most cases they have no clinical significance
(T/F) PVCs are usually a benign arrhythmia that does not
require pharmacological intervention. Correct Answer T
(unless the rhythm progresses to VT)
(T/F) Routine testing of LFT should be done with all patients on
a statin Correct Answer F. There is no evidence from the Food
and Drug Administration to support routine monitoring of LFTs
during statin therapy unless clinically indicated. pg. 452
(T/F) Since dyspnea is a subjective complaint it should be
verified by the assessment of the clinician Correct Answer F.
The Complaint of dyspnea should be taken as fact.
(T/F) The lastest ACC/AHA guidelines state that there is no
evidence from trials to support treatment to a specific LDL
target. Correct Answer T.
,(T/F) The onset of diatolic HTN with or without systolic
elevation usually occurs after age 60. Correct Answer F
(T/F) There have been multiple studies that show that using
LDL levels is an appropriate indication for prescribing statins.
Correct Answer F. There have actually been NO clinical trials
that have supported using LDL levels as an indication for
prescribing statins!
(T/F) You should not use Alpha-Adrenoceptor Blockers as first-
line or "solo" agents when treating HTN. Correct Answer T. A
higher rate of strok and heart failure is associated.
A BNP that is higher than _____ is indicative of heart failure.
Correct Answer 500 pg/mL
A non-Q-wave MI is now referred to as a Correct Answer
STEMI
A NSTEMI indicates that an infarction is caused by a(n)
(occlusive/nonocclusive) thrombus that (partially/completely)
interrups perfusion of the myocardium and results in an
infarction affecting only part of the myocardial wall, rather than
full thickness Correct Answer nonocclusive
partially
A patient presenting with a headache that occurs on awakening
and is located in the occipital area could mean what related to
HTN? Correct Answer extremely elevated BP
, A Q-wave is now referred to as a Correct Answer NSTEMI
A report of skipped or missed beats especially if the patient c/o a
sensation that the heart stopped momentarily may indicate the
presence of (a type of heartbeat) Correct Answer an atrial or
ventricular ectopic beat
A STEMI is caused by a(n) (occlusive/nonocclusive) thrombus
that (partially/completely) occludes perfusion of the thickness of
the mycardial wall. Correct Answer occlusive
completely
A stress test to assess for CAD is contraindicated in the
following situations. Correct Answer CVD like MI, unstable
angina, heart failure
ACE drugs are effective in the following Correct Answer in the
presence of heart failure and myocardial infarction with systolic
dysfunction because it helps limit myocardial remodeling. These
should be ordered when certain comorbid conditions including
renal insufficiency and DM because it might preserve or
enhance renal function
After a BNP has shown probable heart failure what is the next
diagnostic test that would be helpful? Correct Answer
echocardiogram
After BP control is achieved this should be initiated. Correct
Answer Aspirin therapy. You wait until after control is
Questions With Complete Solutions
(T/F) ACE inhibitor and ARB can be used safely together in
order to achieve optimal blood pressure results. Correct Answer
F
(T/F) Atherogenesis is mediated by the lower density
lipoproteins. Correct Answer T
(T/F) Beta Blockers are no longer used as initial treatment for
the hypertensive patient. Correct Answer T
(T/F) Cardiac-related syncope is an ominous sign associated
with high rates of mortality Correct Answer T
(T/F) Dyspnea is a common cardiac complaint Correct Answer
T
(T/F) Elevated lipid levels present the greatest risk factor for the
development of coronary artery disease. Correct Answer T
(T/F) HDL cholesterol is deposited on the arterial walls and
contributes to atherogenisis. Correct Answer F. HDL is
EXCRETED from the body and NOT depositied on the arterial
walls. Atherogenic forms of cholesterol-lipoportein complese
include all types of NON-HDL cholesterol
(T/F) if a patient had PAD they should wear compression hose.
Correct Answer F. Compression hose are for Chronic Venous
,insufficiency. People with PAD should not wear constrictive
clothing.
(T/F) In the presence of bilateral renal artery stenosis you should
be sure to dose and ACEI like enalapril, lisinopril (Zesteril)
Correct Answer F. You should NOT dose these drugs and these
drugs should be adjusted in renal insufficiency.
(T/F) Obviously pain will tend to increase BP. Correct Answer
T
(T/F) PAC have clinical significance. Correct Answer F. in
most cases they have no clinical significance
(T/F) PVCs are usually a benign arrhythmia that does not
require pharmacological intervention. Correct Answer T
(unless the rhythm progresses to VT)
(T/F) Routine testing of LFT should be done with all patients on
a statin Correct Answer F. There is no evidence from the Food
and Drug Administration to support routine monitoring of LFTs
during statin therapy unless clinically indicated. pg. 452
(T/F) Since dyspnea is a subjective complaint it should be
verified by the assessment of the clinician Correct Answer F.
The Complaint of dyspnea should be taken as fact.
(T/F) The lastest ACC/AHA guidelines state that there is no
evidence from trials to support treatment to a specific LDL
target. Correct Answer T.
,(T/F) The onset of diatolic HTN with or without systolic
elevation usually occurs after age 60. Correct Answer F
(T/F) There have been multiple studies that show that using
LDL levels is an appropriate indication for prescribing statins.
Correct Answer F. There have actually been NO clinical trials
that have supported using LDL levels as an indication for
prescribing statins!
(T/F) You should not use Alpha-Adrenoceptor Blockers as first-
line or "solo" agents when treating HTN. Correct Answer T. A
higher rate of strok and heart failure is associated.
A BNP that is higher than _____ is indicative of heart failure.
Correct Answer 500 pg/mL
A non-Q-wave MI is now referred to as a Correct Answer
STEMI
A NSTEMI indicates that an infarction is caused by a(n)
(occlusive/nonocclusive) thrombus that (partially/completely)
interrups perfusion of the myocardium and results in an
infarction affecting only part of the myocardial wall, rather than
full thickness Correct Answer nonocclusive
partially
A patient presenting with a headache that occurs on awakening
and is located in the occipital area could mean what related to
HTN? Correct Answer extremely elevated BP
, A Q-wave is now referred to as a Correct Answer NSTEMI
A report of skipped or missed beats especially if the patient c/o a
sensation that the heart stopped momentarily may indicate the
presence of (a type of heartbeat) Correct Answer an atrial or
ventricular ectopic beat
A STEMI is caused by a(n) (occlusive/nonocclusive) thrombus
that (partially/completely) occludes perfusion of the thickness of
the mycardial wall. Correct Answer occlusive
completely
A stress test to assess for CAD is contraindicated in the
following situations. Correct Answer CVD like MI, unstable
angina, heart failure
ACE drugs are effective in the following Correct Answer in the
presence of heart failure and myocardial infarction with systolic
dysfunction because it helps limit myocardial remodeling. These
should be ordered when certain comorbid conditions including
renal insufficiency and DM because it might preserve or
enhance renal function
After a BNP has shown probable heart failure what is the next
diagnostic test that would be helpful? Correct Answer
echocardiogram
After BP control is achieved this should be initiated. Correct
Answer Aspirin therapy. You wait until after control is
