NR 601 Midterm EXAM - MOSTLY TESTED QUESTIONS -
GUARANTEED PASS!!
The percentage of the FVC expired in one second is - (answers)FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart - (answers)The
heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing
a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? -
(answers)Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on
his stage of HF which is - (answers)Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you
know her stage of HF is - (answers)Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is -
(answers)Echocardiogram
Chronic pain can have major impact on patients ability to function and have profound
impact on overall QOL. Ongoing pain may be linked to - (answers)Depression, sleep
disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in patients -
(answers)>65 y/o
All of the following statements are true about lab values in older adults except -
(answers)Abnormal findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African
American woman with a h/o HTN and DM and no h/o CKD is - (answers)<140/80
,THe pathophysiology of HF is due to - (answers)Inadequate cardiac output to meet the
metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal effort is -
(answers)FVC
According it the 2017 ACC HTN guidelines, normal BP is - (answers)<120/80
Functional abilities are best assessed by - (answers)Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of
target organ damage. During your eval you will assess for evidence of - (answers)Left
ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with - (answers)ACEi
The volume of air in the lungs at max inflation is - (answers)TLC (total lung capacity)
Preferred amount of exercise for older adults is - (answers)30min/day of aerobic exercise 5
days a week
You know the following statements regarding th pain of acute coronary syndrome are true
except - (answers)Present atypically more often in men than women
Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with
rate >100. Patient also has a new tremor in both hands. Which of the following would you
suspect - (answers)Hyperthyroidism
Which patient is more likely to have osteoporosis - (answers)80 y/o. Underweight male who
smokes and has been on steroids for psoriasis
, Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action
info statement would indicate she understood your instructions regarding this med? -
(answers)Take med with full glass of water when up in the AM 30 min before other food and
meds
60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him
about his modifiable cardiac risk factors which include - (answers)DM, obesity,
hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following except -
(answers)Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable
diagnostic study would be - (answers)Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait described as -
(answers)Antalgic
Which of the following best describes pain associated with OA - (answers)Begins upon
arising and after prolonged weight bearing and or use of the joint
Joint effusions typically occurs later in the course of OA, especially in the - (answers)Knee
You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2 clinical
findings are common in patients with PMR - (answers)Normochromic, normocytic anemia
and thrombocytosis
You suspect your patient has PMR and now are concerned that they may have Giant Cell
Arteritis too. Which of the following 2 symptoms are most indicative of GCA and PMR -
(answers)Scalp tenderness and aching in shoulder and pelvic girdle
GUARANTEED PASS!!
The percentage of the FVC expired in one second is - (answers)FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart - (answers)The
heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing
a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? -
(answers)Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on
his stage of HF which is - (answers)Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you
know her stage of HF is - (answers)Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is -
(answers)Echocardiogram
Chronic pain can have major impact on patients ability to function and have profound
impact on overall QOL. Ongoing pain may be linked to - (answers)Depression, sleep
disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in patients -
(answers)>65 y/o
All of the following statements are true about lab values in older adults except -
(answers)Abnormal findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African
American woman with a h/o HTN and DM and no h/o CKD is - (answers)<140/80
,THe pathophysiology of HF is due to - (answers)Inadequate cardiac output to meet the
metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal effort is -
(answers)FVC
According it the 2017 ACC HTN guidelines, normal BP is - (answers)<120/80
Functional abilities are best assessed by - (answers)Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of
target organ damage. During your eval you will assess for evidence of - (answers)Left
ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with - (answers)ACEi
The volume of air in the lungs at max inflation is - (answers)TLC (total lung capacity)
Preferred amount of exercise for older adults is - (answers)30min/day of aerobic exercise 5
days a week
You know the following statements regarding th pain of acute coronary syndrome are true
except - (answers)Present atypically more often in men than women
Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with
rate >100. Patient also has a new tremor in both hands. Which of the following would you
suspect - (answers)Hyperthyroidism
Which patient is more likely to have osteoporosis - (answers)80 y/o. Underweight male who
smokes and has been on steroids for psoriasis
, Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action
info statement would indicate she understood your instructions regarding this med? -
(answers)Take med with full glass of water when up in the AM 30 min before other food and
meds
60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him
about his modifiable cardiac risk factors which include - (answers)DM, obesity,
hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following except -
(answers)Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable
diagnostic study would be - (answers)Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait described as -
(answers)Antalgic
Which of the following best describes pain associated with OA - (answers)Begins upon
arising and after prolonged weight bearing and or use of the joint
Joint effusions typically occurs later in the course of OA, especially in the - (answers)Knee
You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2 clinical
findings are common in patients with PMR - (answers)Normochromic, normocytic anemia
and thrombocytosis
You suspect your patient has PMR and now are concerned that they may have Giant Cell
Arteritis too. Which of the following 2 symptoms are most indicative of GCA and PMR -
(answers)Scalp tenderness and aching in shoulder and pelvic girdle
