ACNP II Exam 3- Questions and Answers
What emergent pharmacological therapy should be initiated for symptomatic Bradycardia?
Correct Ans-Atropine 0.5- 2 mg IV
Patient with known CHF show evidence of hypotension, poor perfusion with cool extremities,
worsening fatigue and AMS. What pharmacological therapy are indicated? Correct Ans-ACE
or BB
Patient with know CHF has persistent complaint of orthopnea and PND despite therapy of ACE
inhibitor and BB. What intervention should be done next? Correct Ans-increase diuretics
You are managing patient with CHF. What lab findings may indicate advancing heart failure?
Correct Ans-worsening BUN/Creat, hyponatremia, hypoalbuminemia, elevated serum
bilirubin
Right heart catheterization is used to document cardiac filling pressures of a CHF patient. What
values indicated worsening cardiac dysfunction? Correct Ans-mean cap wedge pressure >20
mmHg or right atrial pressure > 12
What medication should be considered to prevent anemia that can worsen heart failure
symptoms? Correct Ans-Epogen
You are considering a combination drug for CHF management. What medication has proven
more effective than an ACE alone? Correct Ans-Entresto (Valsartan + sacubitril)
, You've decided that a CHF patient requires inotropic support. What medication should be
initiated for long term use and better tolerated? Correct Ans-milrinone
Patient with known CHF presents with severe hypertension. To decrease systemic vascular
resistance, what therapy should be initiated> Correct Ans-vasodilator
Patient with CHF presents with signs of congestion, indicative of severe pulmonary edema. He
was treated with furosemide 40 mg IV but there is little or no response. What should be done
next? Correct Ans-Double the dose and schedule q12 or q6 hours.
DC ACE or ARB
What is the most common pathogen of infective endocarditis? Correct Ans-S. aureus
You are suspecting a patient with chest pain and acute HF has myocarditis caused by enterovirus.
What tests should be done to confirm this diagnosis? Correct Ans-Endomyocardial biopsy
and viral PCR
What is the most reliable diagnostic criteria for infective endocarditis of a patient with hx of IV
drug use? Correct Ans-persistent bacteremia
What emergent pharmacological therapy should be initiated for symptomatic Bradycardia?
Correct Ans-Atropine 0.5- 2 mg IV
Patient with known CHF show evidence of hypotension, poor perfusion with cool extremities,
worsening fatigue and AMS. What pharmacological therapy are indicated? Correct Ans-ACE
or BB
Patient with know CHF has persistent complaint of orthopnea and PND despite therapy of ACE
inhibitor and BB. What intervention should be done next? Correct Ans-increase diuretics
You are managing patient with CHF. What lab findings may indicate advancing heart failure?
Correct Ans-worsening BUN/Creat, hyponatremia, hypoalbuminemia, elevated serum
bilirubin
Right heart catheterization is used to document cardiac filling pressures of a CHF patient. What
values indicated worsening cardiac dysfunction? Correct Ans-mean cap wedge pressure >20
mmHg or right atrial pressure > 12
What medication should be considered to prevent anemia that can worsen heart failure
symptoms? Correct Ans-Epogen
You are considering a combination drug for CHF management. What medication has proven
more effective than an ACE alone? Correct Ans-Entresto (Valsartan + sacubitril)
, You've decided that a CHF patient requires inotropic support. What medication should be
initiated for long term use and better tolerated? Correct Ans-milrinone
Patient with known CHF presents with severe hypertension. To decrease systemic vascular
resistance, what therapy should be initiated> Correct Ans-vasodilator
Patient with CHF presents with signs of congestion, indicative of severe pulmonary edema. He
was treated with furosemide 40 mg IV but there is little or no response. What should be done
next? Correct Ans-Double the dose and schedule q12 or q6 hours.
DC ACE or ARB
What is the most common pathogen of infective endocarditis? Correct Ans-S. aureus
You are suspecting a patient with chest pain and acute HF has myocarditis caused by enterovirus.
What tests should be done to confirm this diagnosis? Correct Ans-Endomyocardial biopsy
and viral PCR
What is the most reliable diagnostic criteria for infective endocarditis of a patient with hx of IV
drug use? Correct Ans-persistent bacteremia
