CMN 571 FINAL EXAM QUESTIONS AND
CORRECT ANSWERS ALREADY PASSED
/. USPSTF - Daily ASA regimens are recommended for what age groups? Men and
Women - Answer-Men - 45-79 (to prevent MI)
Women - 55-79 (to prevent ischemic CVA)
/.USPSTF - Who should be screened for AAA? And how? - Answer-Men 65-75 by U/S
/.USPSTF - Diagnostic workup of HTN includes which labs? - Answer-U/A, BG, Hct,
Lipid panel, K, Cr, Ca.
Optional: Urinary albumin/cr ratio.
/.USPSTF - Major CVD Risk factor includes GFR < ? - Answer-GFR < 60
/.USPSTF - Identifiable causes of HTN? - Answer-Sleep apnea • Drug induced/related •
Chronic kidney disease • Primary aldosteronism • Renovascular disease • Cushing's
syndrome or steroid therapy • Pheochromocytoma • Coarctation of aorta •
Thyroid/parathyroid disease
/.JNC-7 recommends what 5 lifestyle modifications to manage HTN? - Answer-- Wt.
reduction
- DASH diet
- Na reduction
- Physical activity
- Moderation of alcohol consumption
/.JNC-7 daily sodium consumption recommendation? - Answer-2.4 grams
/.JNC-7 Normal BP is.. - Answer-<120 SBP/<80 DBP
/.JNC-7 PreHTN is... - Answer-120-139 SBP
80-89 DBP
/.JNC-7 Stage 1 HTN is... - Answer-140-159 SBP
90-99 DBP
/.JNC-7 Stage 2 HTN is... - Answer-≥160 SBP
≥ 100 DBP
/.DASH diet recommended daily Cholesterol intake?
a. 100 mg
,b. 125 mg
c. 150 mg
d. 175 mg - Answer-c. 150 mg
/.DASH diet recommended daily Sodium intake for a middle-aged black man with HTN?
a. 1000 mg
b. 1500 mg
c. 2000 mg
d. 2300 mg - Answer-b. 1500 mg
/.DASH diet recommends daily Sodium intake for the young adult with B/P 110/50?
a. 1000 mg
b. 1500 mg
c. 2000 mg
d. 2300 mg - Answer-d. 2300 mg
/.DASH diet recommended daily Potassium intake?
a. 1700 mg
b. 2700 mg
c. 3700 mg
d. 4700 mg - Answer-d. 4700 mg
/.DASH diet recommended daily Calcium intake?
a. 1000 mg
b. 1250 mg
c. 1500 mg
d. 1750 mg - Answer-b. 1250 mg
/.DASH diet recommended daily Magnesium intake?
a. 500 mg
b. 750 mg
c. 1000 mg
d. 1250 mg - Answer-a. 500 mg
/.DASH diet recommended daily Fiber intake?
a. 15 gm
b. 30 gm
c. 45 gm
d. 60 gm - Answer-b. 30 gm
/.Cancer screening in women focuses on...
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention - Answer-b. secondary prevention
,/.The Framingham risk calculator is used to estimate a woman's 10-year risk of CHD
based on what 4 things? - Answer-- Age
- B/P
- Cholesterol
- Smoking
/.NCEP recommends all women over what age be screened for hyperlipidemia?
a. 20
b. 35
c. 45
d. 55 - Answer-a. 20
/.Which of the following is more predictive of CHD risk in women?
a. Elevated LDL
b. Low HDL
c. Elevated TC
d. Elevated Triglycerides - Answer-b. Low HDL
/.All of the following increase a woman's risk for breast CA, EXCEPT..
a. Age
b. Family History
c. Alcohol Intake
d. Dietary Intake - Answer-d. Dietary Intake
/.Which of the following has NOT been found to reduce breast cancer mortality?
a. Screening mammography
b. Clinical breast exam
c. Self-breast exam
d. All of the above reduce breast CA mortality. - Answer-c. Self-breast exam
- USPSTF does NOT recommend teaching women to do BSEs.
/.Define primary prevention - Answer-aims to remove or reduce disease risk factors
ie. immunizations, giving up or not start smoking
/.Define secondary prevention - Answer-promotes early detection of disease or
precursor states
ie. cervical Pap screening
/.Define teritiary prevention - Answer-limit the impact of established disease
ie. partial mastectomy and radiation therapy to remove and control localized breast Ca
/.What are the 3 top leading causes of death in the U.S.? - Answer-1. Heart dz
2. malignant neoplasms
3. chronic lower respiratory dz
, /.In the ASYMPTOMATIC HIV-infected patient what modifications would you make to
their scheduled vaccinations? - Answer-The clinician would not give the ACTIVATED
form of poliomyelitis vaccine. Only the inactivated version is indicated. All other
vaccines are okay.
/.In the SYMPTOMATIC HIV-infectied patient what modifications would you make to
their scheduled vaccinations? - Answer-Avoid all live virus vaccines.
/.Your patient comes in after an allogenic bone marrow transplant. Which vaccines are
indicated? - Answer-All vaccines are indicated, the pt has host pre-existing immunities.
Oral live polio vaccine should be avoided.
/.Who is the zoster vaccination contraindicated in?
a. people 60 and older
b. immunocompromised
c. women of child-bearing age
d. all of the above - Answer-B. immunocompromised
/.Which of the following patients should be screened for lipid disorder?
a. 32 y.o. male with history of ETOH use
b. 20 y.o. male who smokes
c. 48 y.o. female with a normal HgbA1C
d. none of the above - Answer-B. Beginning at age 20, men with risk factors should be
screened.
Women without risk factors don't have to be screened according to table 1-3.
/.Smoking increases your risk for which of the following diseases
a. osteporosis
b. breast Ca
c. Alzheimer's disease
d. all of the above - Answer-D
/.A patient would like to Bupropion to aid with smoking cessation. Which of the following
is a contraindication?
a. history of seizure disorder
b. depression
c. COPD
d. patients already using a nicotine patch - Answer-A
/.How much calcium supplementation is necessary to decrease fracture risk? - Answer-
1200mg per day or more with or without Vit D
/.A 63 year old women comes into your clinic. You screen for osteoporisis and discover
that she has low bone mineral density. What treatment would you consider and what
are risks of therapy? - Answer-Biphosphonates. These may increase the risk of certain
types of fractures and osteonecrosis of the jaw.
CORRECT ANSWERS ALREADY PASSED
/. USPSTF - Daily ASA regimens are recommended for what age groups? Men and
Women - Answer-Men - 45-79 (to prevent MI)
Women - 55-79 (to prevent ischemic CVA)
/.USPSTF - Who should be screened for AAA? And how? - Answer-Men 65-75 by U/S
/.USPSTF - Diagnostic workup of HTN includes which labs? - Answer-U/A, BG, Hct,
Lipid panel, K, Cr, Ca.
Optional: Urinary albumin/cr ratio.
/.USPSTF - Major CVD Risk factor includes GFR < ? - Answer-GFR < 60
/.USPSTF - Identifiable causes of HTN? - Answer-Sleep apnea • Drug induced/related •
Chronic kidney disease • Primary aldosteronism • Renovascular disease • Cushing's
syndrome or steroid therapy • Pheochromocytoma • Coarctation of aorta •
Thyroid/parathyroid disease
/.JNC-7 recommends what 5 lifestyle modifications to manage HTN? - Answer-- Wt.
reduction
- DASH diet
- Na reduction
- Physical activity
- Moderation of alcohol consumption
/.JNC-7 daily sodium consumption recommendation? - Answer-2.4 grams
/.JNC-7 Normal BP is.. - Answer-<120 SBP/<80 DBP
/.JNC-7 PreHTN is... - Answer-120-139 SBP
80-89 DBP
/.JNC-7 Stage 1 HTN is... - Answer-140-159 SBP
90-99 DBP
/.JNC-7 Stage 2 HTN is... - Answer-≥160 SBP
≥ 100 DBP
/.DASH diet recommended daily Cholesterol intake?
a. 100 mg
,b. 125 mg
c. 150 mg
d. 175 mg - Answer-c. 150 mg
/.DASH diet recommended daily Sodium intake for a middle-aged black man with HTN?
a. 1000 mg
b. 1500 mg
c. 2000 mg
d. 2300 mg - Answer-b. 1500 mg
/.DASH diet recommends daily Sodium intake for the young adult with B/P 110/50?
a. 1000 mg
b. 1500 mg
c. 2000 mg
d. 2300 mg - Answer-d. 2300 mg
/.DASH diet recommended daily Potassium intake?
a. 1700 mg
b. 2700 mg
c. 3700 mg
d. 4700 mg - Answer-d. 4700 mg
/.DASH diet recommended daily Calcium intake?
a. 1000 mg
b. 1250 mg
c. 1500 mg
d. 1750 mg - Answer-b. 1250 mg
/.DASH diet recommended daily Magnesium intake?
a. 500 mg
b. 750 mg
c. 1000 mg
d. 1250 mg - Answer-a. 500 mg
/.DASH diet recommended daily Fiber intake?
a. 15 gm
b. 30 gm
c. 45 gm
d. 60 gm - Answer-b. 30 gm
/.Cancer screening in women focuses on...
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention - Answer-b. secondary prevention
,/.The Framingham risk calculator is used to estimate a woman's 10-year risk of CHD
based on what 4 things? - Answer-- Age
- B/P
- Cholesterol
- Smoking
/.NCEP recommends all women over what age be screened for hyperlipidemia?
a. 20
b. 35
c. 45
d. 55 - Answer-a. 20
/.Which of the following is more predictive of CHD risk in women?
a. Elevated LDL
b. Low HDL
c. Elevated TC
d. Elevated Triglycerides - Answer-b. Low HDL
/.All of the following increase a woman's risk for breast CA, EXCEPT..
a. Age
b. Family History
c. Alcohol Intake
d. Dietary Intake - Answer-d. Dietary Intake
/.Which of the following has NOT been found to reduce breast cancer mortality?
a. Screening mammography
b. Clinical breast exam
c. Self-breast exam
d. All of the above reduce breast CA mortality. - Answer-c. Self-breast exam
- USPSTF does NOT recommend teaching women to do BSEs.
/.Define primary prevention - Answer-aims to remove or reduce disease risk factors
ie. immunizations, giving up or not start smoking
/.Define secondary prevention - Answer-promotes early detection of disease or
precursor states
ie. cervical Pap screening
/.Define teritiary prevention - Answer-limit the impact of established disease
ie. partial mastectomy and radiation therapy to remove and control localized breast Ca
/.What are the 3 top leading causes of death in the U.S.? - Answer-1. Heart dz
2. malignant neoplasms
3. chronic lower respiratory dz
, /.In the ASYMPTOMATIC HIV-infected patient what modifications would you make to
their scheduled vaccinations? - Answer-The clinician would not give the ACTIVATED
form of poliomyelitis vaccine. Only the inactivated version is indicated. All other
vaccines are okay.
/.In the SYMPTOMATIC HIV-infectied patient what modifications would you make to
their scheduled vaccinations? - Answer-Avoid all live virus vaccines.
/.Your patient comes in after an allogenic bone marrow transplant. Which vaccines are
indicated? - Answer-All vaccines are indicated, the pt has host pre-existing immunities.
Oral live polio vaccine should be avoided.
/.Who is the zoster vaccination contraindicated in?
a. people 60 and older
b. immunocompromised
c. women of child-bearing age
d. all of the above - Answer-B. immunocompromised
/.Which of the following patients should be screened for lipid disorder?
a. 32 y.o. male with history of ETOH use
b. 20 y.o. male who smokes
c. 48 y.o. female with a normal HgbA1C
d. none of the above - Answer-B. Beginning at age 20, men with risk factors should be
screened.
Women without risk factors don't have to be screened according to table 1-3.
/.Smoking increases your risk for which of the following diseases
a. osteporosis
b. breast Ca
c. Alzheimer's disease
d. all of the above - Answer-D
/.A patient would like to Bupropion to aid with smoking cessation. Which of the following
is a contraindication?
a. history of seizure disorder
b. depression
c. COPD
d. patients already using a nicotine patch - Answer-A
/.How much calcium supplementation is necessary to decrease fracture risk? - Answer-
1200mg per day or more with or without Vit D
/.A 63 year old women comes into your clinic. You screen for osteoporisis and discover
that she has low bone mineral density. What treatment would you consider and what
are risks of therapy? - Answer-Biphosphonates. These may increase the risk of certain
types of fractures and osteonecrosis of the jaw.
