AGACNP Exam 3 Questions
0.Eight cm2 - ANSAortic stenosis normally does now not reason sizeable signs until the
valvular orifice is restricted to
3 cm2 - ANSthe aortic valve usually opens to
three to 4 days - ANSThe common incubation duration for the organism Neisseria
meningitidis is:
A. 24 hours
B. 3 to four days
C. 12 to fourteen days
D. 21 days
three-mm ST segment elevation in leads V1 to V4 - ANSThrombolytic therapy is indicated in
sufferers with chest pain and EKG changes along with:
A. 1-mm ST phase depression in leads V1 and V3
B. Physiological Q waves in leads aVF, V5, and V6
C. 3-mm ST section elevation in leads V1 to V4
D. T wave inversion in leads aVL and aVR
a 14-yr-old who obtained a primary dose of the same vaccine at 11 years of age - ANSAll of
the following persons must get hold of a dose of the MCV4 meningococcal vaccine besides:
A. A 19-12 months-old who acquired a primary dose at 12 years of age.
B. A 22-year-old who has not obtained the vaccine and will be shifting to a school dormitory.
C. A 35-yr-vintage who could be travelling to a country in which meningococcal disorder is
hyperendemic.
D. A 14-year-antique who received a primary dose of the equal vaccine at 11 years of age.
A 19-year-antique healthful athlete - ANSOf the subsequent people, who is maximum likely
to have a physiological break up S2 coronary heart sound?
A. A 19-year-vintage healthy athlete
B. A 49-12 months-antique with nicely-controlled hypertension
C. A sixty eight-year-old with strong coronary heart failure
D. A seventy eight-yr-old with cardiomyopathy
a fifty four-yr-vintage girl with a prosthetic aortic valve - ANSOf the subsequent patients,
who's in greatest want of endocarditis prophylaxis while making plans dental paintings?
A. A 22-yr-vintage female with MVP with trace mitral regurgitation mentioned on
echocardiogram
B. A fifty four-yr-old lady with a prosthetic aortic valve
,C. A sixty six-12 months-old man with cardiomyopathy
D. A fifty eight-year-old female who had a three-vessel coronary artery bypass graft with
drug-eluting stents 1 yr in the past
a 55-12 months-antique man who become diagnosed with a Still's murmur in the course of
adolescence - ANSOf the subsequent human beings, who has no big multiplied chance for
developing bacterial endocarditis?
A. A 43-year-vintage girl with a bicuspid aortic valve
B. A 55-yr-antique man who was diagnosed with a Still's murmur for the duration of youth
C. A 45-yr-old lady with a history of endocarditis
D. A 75-yr-old man with dilated cardiomyopathy
a 56-year-old guy following coronary artery angioplasty to establish activity tolerance -
ANSRoutine use of the treadmill workout tolerance test is maximum appropriate for:
A. A healthful 34-year-old woman
B. A 56-12 months-antique guy following coronary artery angioplasty to set up activity
tolerance
C. An eighty four-12 months-old guy with strong angina who makes use of a walker
D. A fifty two-year-vintage girl with dyslipidemia and no records of ACS
a 6-minute on foot distance - ANSThe American College of Rheumatology symptom severity
score includes exams of all the following except:
A. Fatigue
B. Waking unrefreshed
C. A 6-minute on foot distance
D. Cognitive symptoms
a blood subculture to come across the infection and a TEE to perceive plant life formation or
inflamed tissue inside the coronary heart. - ANSinfective endocarditis analysis includes
a congenital bicuspid valve or by means of a three-cusp valve with leaflet fusion - ANSAortic
stenosis present in kids and more youthful adults is generally as a result of
a dose of nitroglycerin thru oral spray - ANSYou see a 54-12 months-old guy who reviews
acute angina episodes with widespread exertion. He is presently taking a beta blocker and
clopidogrel. You don't forget the use of which of the subsequent on the start of anginal signs
and symptoms?
A. An oral dose of a calcium channel blocker
B. A dose of nitroglycerin via oral spray
C. An extra dose of the beta blocker
D. A sustained-impact nitroglycerin patch
a mid- to overdue-systolic murmur - ANSIn acting a cardiac examination in a person with
mitral valve prolapse, you anticipate to locate:
, A. An early- to mid-systolic, crescendo-descrendo murmur.
B. A pansystolic murmur
C. A low-pitched, diastolic rumble
D. A mid- to past due-systolic murmur
a mid-systolic click - ANSAdditional findings in MVP (mitral valve prolapse) include:
A. A gap snap
B. A mid-systolic click on
C. A paradoxical splitting of the second one heart sound (S2).
D. A fourth coronary heart sound
a presystolic sound - ANSThe S3 coronary heart sound has all the following characteristics
except:
A. It's miles heard in early diastole
B. A presystolic sound
C. It's miles mentioned in the presence of ventricular overload
D. It is heard high-quality with the bell of the stethoscope
A purpura or petechial rash - ANSWhich of the subsequent signs and signs and symptoms
most likely suggests meningitis reason through Neisseria meningitidis?
A. A purpura or a petechial rash
B. Absence of fever
C. Development of encephalitis
D. Absence of nuchal stress
a result of a congenital defect - ANSAortic stenosis in a fifteen-year-old male is most
probable:
A. A sequela of rheumatic fever
B. A result of a congenital defect
C. Calcific in nature
D. Located with atrial septal defect
about as loud as the S1 coronary heart sound - ANSA grade III systolic coronary heart
murmur is typically:
A. Softer than the S2 coronary heart sound
B. About as loud as the S1 heart sound
C. Accompanied via a thrill
D. Heard across the precordium however with out radiation.
Altered cardiac function that leads to inadequate cardiac output and a resulting lack of ability
to satisfy the oxygen and metabolic needs of the body - ANSHeart failure takes place as a
result of
0.Eight cm2 - ANSAortic stenosis normally does now not reason sizeable signs until the
valvular orifice is restricted to
3 cm2 - ANSthe aortic valve usually opens to
three to 4 days - ANSThe common incubation duration for the organism Neisseria
meningitidis is:
A. 24 hours
B. 3 to four days
C. 12 to fourteen days
D. 21 days
three-mm ST segment elevation in leads V1 to V4 - ANSThrombolytic therapy is indicated in
sufferers with chest pain and EKG changes along with:
A. 1-mm ST phase depression in leads V1 and V3
B. Physiological Q waves in leads aVF, V5, and V6
C. 3-mm ST section elevation in leads V1 to V4
D. T wave inversion in leads aVL and aVR
a 14-yr-old who obtained a primary dose of the same vaccine at 11 years of age - ANSAll of
the following persons must get hold of a dose of the MCV4 meningococcal vaccine besides:
A. A 19-12 months-old who acquired a primary dose at 12 years of age.
B. A 22-year-old who has not obtained the vaccine and will be shifting to a school dormitory.
C. A 35-yr-vintage who could be travelling to a country in which meningococcal disorder is
hyperendemic.
D. A 14-year-antique who received a primary dose of the equal vaccine at 11 years of age.
A 19-year-antique healthful athlete - ANSOf the subsequent people, who is maximum likely
to have a physiological break up S2 coronary heart sound?
A. A 19-year-vintage healthy athlete
B. A 49-12 months-antique with nicely-controlled hypertension
C. A sixty eight-year-old with strong coronary heart failure
D. A seventy eight-yr-old with cardiomyopathy
a fifty four-yr-vintage girl with a prosthetic aortic valve - ANSOf the subsequent patients,
who's in greatest want of endocarditis prophylaxis while making plans dental paintings?
A. A 22-yr-vintage female with MVP with trace mitral regurgitation mentioned on
echocardiogram
B. A fifty four-yr-old lady with a prosthetic aortic valve
,C. A sixty six-12 months-old man with cardiomyopathy
D. A fifty eight-year-old female who had a three-vessel coronary artery bypass graft with
drug-eluting stents 1 yr in the past
a 55-12 months-antique man who become diagnosed with a Still's murmur in the course of
adolescence - ANSOf the subsequent human beings, who has no big multiplied chance for
developing bacterial endocarditis?
A. A 43-year-vintage girl with a bicuspid aortic valve
B. A 55-yr-antique man who was diagnosed with a Still's murmur for the duration of youth
C. A 45-yr-old lady with a history of endocarditis
D. A 75-yr-old man with dilated cardiomyopathy
a 56-year-old guy following coronary artery angioplasty to establish activity tolerance -
ANSRoutine use of the treadmill workout tolerance test is maximum appropriate for:
A. A healthful 34-year-old woman
B. A 56-12 months-antique guy following coronary artery angioplasty to set up activity
tolerance
C. An eighty four-12 months-old guy with strong angina who makes use of a walker
D. A fifty two-year-vintage girl with dyslipidemia and no records of ACS
a 6-minute on foot distance - ANSThe American College of Rheumatology symptom severity
score includes exams of all the following except:
A. Fatigue
B. Waking unrefreshed
C. A 6-minute on foot distance
D. Cognitive symptoms
a blood subculture to come across the infection and a TEE to perceive plant life formation or
inflamed tissue inside the coronary heart. - ANSinfective endocarditis analysis includes
a congenital bicuspid valve or by means of a three-cusp valve with leaflet fusion - ANSAortic
stenosis present in kids and more youthful adults is generally as a result of
a dose of nitroglycerin thru oral spray - ANSYou see a 54-12 months-old guy who reviews
acute angina episodes with widespread exertion. He is presently taking a beta blocker and
clopidogrel. You don't forget the use of which of the subsequent on the start of anginal signs
and symptoms?
A. An oral dose of a calcium channel blocker
B. A dose of nitroglycerin via oral spray
C. An extra dose of the beta blocker
D. A sustained-impact nitroglycerin patch
a mid- to overdue-systolic murmur - ANSIn acting a cardiac examination in a person with
mitral valve prolapse, you anticipate to locate:
, A. An early- to mid-systolic, crescendo-descrendo murmur.
B. A pansystolic murmur
C. A low-pitched, diastolic rumble
D. A mid- to past due-systolic murmur
a mid-systolic click - ANSAdditional findings in MVP (mitral valve prolapse) include:
A. A gap snap
B. A mid-systolic click on
C. A paradoxical splitting of the second one heart sound (S2).
D. A fourth coronary heart sound
a presystolic sound - ANSThe S3 coronary heart sound has all the following characteristics
except:
A. It's miles heard in early diastole
B. A presystolic sound
C. It's miles mentioned in the presence of ventricular overload
D. It is heard high-quality with the bell of the stethoscope
A purpura or petechial rash - ANSWhich of the subsequent signs and signs and symptoms
most likely suggests meningitis reason through Neisseria meningitidis?
A. A purpura or a petechial rash
B. Absence of fever
C. Development of encephalitis
D. Absence of nuchal stress
a result of a congenital defect - ANSAortic stenosis in a fifteen-year-old male is most
probable:
A. A sequela of rheumatic fever
B. A result of a congenital defect
C. Calcific in nature
D. Located with atrial septal defect
about as loud as the S1 coronary heart sound - ANSA grade III systolic coronary heart
murmur is typically:
A. Softer than the S2 coronary heart sound
B. About as loud as the S1 heart sound
C. Accompanied via a thrill
D. Heard across the precordium however with out radiation.
Altered cardiac function that leads to inadequate cardiac output and a resulting lack of ability
to satisfy the oxygen and metabolic needs of the body - ANSHeart failure takes place as a
result of
