Exam 3 APN 1 questions well
answered graded A+
Benefits of QuantiFERON Gold over TB test - ANS ✔✔Ability to complete in 1 visit
Results in 1-2 days
According to ACC/AHA 2017 guidelines an optimal blood pressure is ... - ANS ✔✔less than
120/80mm Hg
Which class of HTN medications are recommended first line in African American patients
without diabetes? - ANS ✔✔diuretics and calcium channel blockers
After starting antihypertensive therapy, when should B/P be rechecked? - ANS ✔✔1 month
Workup for HTN may include: - ANS ✔✔UA
BUN/creatnine
EKG
Serum potassium
Which body systems are most effected by HTN? - ANS ✔✔Renal
Neurological, renal
Which is NOT a cause of secondary hypertension -
Pheochromocytoma
CHF
,Renal Artery Stenosis
Obstructive Sleep Apnea - ANS ✔✔CHF
ASCVD diagram
Initial labs for Mr. R a Caucasian 59 y/o non-smoker with HTN
VS: 140/92 (dx with HTN on lisinopril) Lipid panel: TC 250mg/dL; LDL 192mgdL; HDL=52mgdL;
HDL 52mgdL; TGs 170mgdL, fasting glucose 122mg/dL, GFR normal, Cr normal, A1c 6.2%
What would the initial recommendations be for Mr. R based on 2018 ACC/AHA guidelines - ANS
✔✔ASCVD diagram
Encourage lifestyle modifications, start High intensity statin
After initiating Mr. R's treatment, when would you recheck Mr. R's lipid panel? - ANS ✔✔4-12
weeks
Based on ACC/AHA guidelines, which of the following would be considered Stage 1 HTN? - ANS
✔✔132/84
Which class of medication is not recommended as first line for anti-hypertensive therapy?
1) Beta blockers
2) Thiazide type diuretic
3) Calcium channel blockers
4) ACE inhibitor
5) ARBs - ANS ✔✔beta blockers
Know most common side effects for each class of 1st line therapy for HTN - ANS ✔✔
,Flushing and peripheral edema are common side effects associated with which class of anti
hypertensives? - ANS ✔✔calcium channel blockers
When starting a patient on an ACE inhibitor you know this to be true regarding monitoring - ANS
✔✔It can retain potassium and elevate creatnine so check metabolic panel
S/S most consistent with a diagnosis of hypertensive emergency are: - ANS ✔✔B/P of 180/130
with papilledema (s/s target organ damage)
Which of the following is an example of a high intensity statin?
Atorvastatin 40
Lovastatin 20
Simvastatin 40
Pravastatin 10 - ANS ✔✔Atorvastatin 40
A 75 year old male with a fib and a CHADSS2VASC score should be on an anticoagulant? - ANS
✔✔SEE end of arrhythmias lecture slides
True men = 2 or more, women, 3 or more
The most common cause of syncope in an otherwise healthy fifteen year old male is,
vasovagal
cardiac
orthostatic hypotension
neurologic - ANS ✔✔vasovagal
A murmur that is audible with the stethoscope off the chest is grade - ANS ✔✔VI. You can hear
it from the room. Make sure you are familiar with the grading system
, The majority of individuals who contract HIV will seroconvert within ...
2 weeks
4 weeks
6 weeks
8 weeks - ANS ✔✔6 weeks
The picture is indicative of which disease (bulls eye rash)? - ANS ✔✔Lymes disease
Which of the following is recommended as first line treatment for erythema migrans or early
Lyme disease?
Cipro
Erythromycin
Doxycycline
Penicillin - ANS ✔✔Doxycycline 100 mg PO BID x 14d
Which ofthe following are risk factors for developing afib
Anything that changes the substrate and causes remodeling
Hypothyroidism
Obesity
Hyperthyroidism
HTN - ANS ✔✔Obesity, hyperthyroidism, HTN
Look at AF risk factors slide for comorbidities
Check thyroid on older people
Chronic alcohol use, check for fib
When assessing a patient's PMI, the NP notices it is deviated to the left of the 6th intercostal
space - ANS ✔✔
answered graded A+
Benefits of QuantiFERON Gold over TB test - ANS ✔✔Ability to complete in 1 visit
Results in 1-2 days
According to ACC/AHA 2017 guidelines an optimal blood pressure is ... - ANS ✔✔less than
120/80mm Hg
Which class of HTN medications are recommended first line in African American patients
without diabetes? - ANS ✔✔diuretics and calcium channel blockers
After starting antihypertensive therapy, when should B/P be rechecked? - ANS ✔✔1 month
Workup for HTN may include: - ANS ✔✔UA
BUN/creatnine
EKG
Serum potassium
Which body systems are most effected by HTN? - ANS ✔✔Renal
Neurological, renal
Which is NOT a cause of secondary hypertension -
Pheochromocytoma
CHF
,Renal Artery Stenosis
Obstructive Sleep Apnea - ANS ✔✔CHF
ASCVD diagram
Initial labs for Mr. R a Caucasian 59 y/o non-smoker with HTN
VS: 140/92 (dx with HTN on lisinopril) Lipid panel: TC 250mg/dL; LDL 192mgdL; HDL=52mgdL;
HDL 52mgdL; TGs 170mgdL, fasting glucose 122mg/dL, GFR normal, Cr normal, A1c 6.2%
What would the initial recommendations be for Mr. R based on 2018 ACC/AHA guidelines - ANS
✔✔ASCVD diagram
Encourage lifestyle modifications, start High intensity statin
After initiating Mr. R's treatment, when would you recheck Mr. R's lipid panel? - ANS ✔✔4-12
weeks
Based on ACC/AHA guidelines, which of the following would be considered Stage 1 HTN? - ANS
✔✔132/84
Which class of medication is not recommended as first line for anti-hypertensive therapy?
1) Beta blockers
2) Thiazide type diuretic
3) Calcium channel blockers
4) ACE inhibitor
5) ARBs - ANS ✔✔beta blockers
Know most common side effects for each class of 1st line therapy for HTN - ANS ✔✔
,Flushing and peripheral edema are common side effects associated with which class of anti
hypertensives? - ANS ✔✔calcium channel blockers
When starting a patient on an ACE inhibitor you know this to be true regarding monitoring - ANS
✔✔It can retain potassium and elevate creatnine so check metabolic panel
S/S most consistent with a diagnosis of hypertensive emergency are: - ANS ✔✔B/P of 180/130
with papilledema (s/s target organ damage)
Which of the following is an example of a high intensity statin?
Atorvastatin 40
Lovastatin 20
Simvastatin 40
Pravastatin 10 - ANS ✔✔Atorvastatin 40
A 75 year old male with a fib and a CHADSS2VASC score should be on an anticoagulant? - ANS
✔✔SEE end of arrhythmias lecture slides
True men = 2 or more, women, 3 or more
The most common cause of syncope in an otherwise healthy fifteen year old male is,
vasovagal
cardiac
orthostatic hypotension
neurologic - ANS ✔✔vasovagal
A murmur that is audible with the stethoscope off the chest is grade - ANS ✔✔VI. You can hear
it from the room. Make sure you are familiar with the grading system
, The majority of individuals who contract HIV will seroconvert within ...
2 weeks
4 weeks
6 weeks
8 weeks - ANS ✔✔6 weeks
The picture is indicative of which disease (bulls eye rash)? - ANS ✔✔Lymes disease
Which of the following is recommended as first line treatment for erythema migrans or early
Lyme disease?
Cipro
Erythromycin
Doxycycline
Penicillin - ANS ✔✔Doxycycline 100 mg PO BID x 14d
Which ofthe following are risk factors for developing afib
Anything that changes the substrate and causes remodeling
Hypothyroidism
Obesity
Hyperthyroidism
HTN - ANS ✔✔Obesity, hyperthyroidism, HTN
Look at AF risk factors slide for comorbidities
Check thyroid on older people
Chronic alcohol use, check for fib
When assessing a patient's PMI, the NP notices it is deviated to the left of the 6th intercostal
space - ANS ✔✔
