A health care provider in a clinic finds a pa ent in a room, unresponsive and pale. Which sign
should be used to iden fy the need to ini ate cardiopulmonary resuscita on (CPR)?
Evalua on of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarc on
Determina on of pulselessness or bradycardia
Assessment of gasping breaths or not breathing -correct answers Assessment of gasping breaths
or not breathing
An African-American pa ent who is being treated with a thiazide diure c for chronic
hypertension reports blurred vision and shortness of breath. The provider notes a blood
pressure of 185/115. What is the recommended ac on for this pa ent?
Increase the dose of the thiazide medica on
Add a beta blocker to the pa ent's regimen
Admit to the hospital for evalua on and treatment
Prescribe a calcium channel blocker -correct answers Admit to the hospital for evalua on and
treatment
A pa ent reports sustained, irregular heart palpita ons. What is the most likely cause of these
symptoms?
Atrial fibrilla on
Anemia
,Extrasystole
Paroxysmal a acks -correct answers Atrial fibrilla on
A pa ent has a cardiac murmur that peaks in midsystole and is best heard along the le sternal
border. The provider determines that the murmur decreases in intensity when the pa ent
changes from standing to squa ng and increases in intensity with the Valsalva maneuver.
Which cause will the provider suspect for this murmur?
Aor c stenosis
Tricuspid regurgita on
Hypertrophic cardiomyopathy
Mitral valve prolapse -correct answers Hypertrophic cardiomyopathy
A pa ent is brought to an emergency department with symptoms of acute ST-segment eleva on
MI (STEMI). The nearest hospital that can perform percutaneous coronary interven on (PCI) is 3
hours away. What is the ini al treatment for this pa ent?
Give the pa ent an oral beta blocker
Transfer to the PCI-capable ins tu on
Administer heparin
Ini ate fibrinoly c treatment -correct answers Ini ate fibrinoly c treatment
Pa ents who meet the criteria for sta n therapy to help prevent atherosclero c cardiovascular
disease are those with a history of (Select all that apply.)
previous myocardial infarc on.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL. -correct answers previous myocardial
infarc on.
,a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
A 75-year-old pa ent reports pain and a feeling of redness in both legs that only relieves a er
si ng for 30 minutes or more. What the does provider suspect as the cause for these
symptoms?
Buerger's disease
Cauda equina syndrome
Diabe c neuropathy
Peripheral arterial disease -correct answers Cauda equina syndrome
Which are causes of secondary hypertension? (Select all that apply.)
Oral contracep ves
Isome c excercises
NSAIDS
Sleep apnea
Increased salt intake -correct answers Oral contracep ves
NSAIDS
Sleep apnea
A young female pa ent has known mitral valve prolapse. During a rou ne health maintenance
exam, the provider notes an apical systolic murmur and a midsystolic click on ausculta on. The
pa ent denies chest pain, syncope, or palpita ons. What will the provider do?
Reassure the pa ent that these findings are expected
Con nue to monitor the pa ent every 3 years
Admit the pa ent to the hospital for evalua on and treatment
, Consult with cardiology to determine appropriate diagnos c tests -correct answers Consult with
cardiology to determine appropriate diagnos c tests
A pa ent reports abdominal and back pain with anorexia and nausea. During an exam, the
provider notes a pulsa le abdominal mass. What is the ini al ac on?
Scheduling an MRI to evaluate for aor c disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography -correct answers US of the mass to determine size
A pa ent is brought to an emergency department with symptoms of acute ST-segment
eleva ons MI (STEMI). The nearest hospital that can perform percutaneous coronary
interven on (PCI) is 3 hours away. What is the ini al treatment for this pa ent?
Give the pa ent an oral beta blocker
Ini ate fibrinoly c treatment
Administer heparin
Transfer to the PCI-capable ins tu on -correct answers Ini ate fibrinoly c treatment
A 55-year-old pa ent has a blood pressure of 138/85 on three occasions. The pa ent denies
headaches, palpita ons, snoring, muscle weakness, and nocturia and does not take any
medica ons. What will the provider do next to evaluate this pa ent?
Con nue to monitor blood pressure at each health maintenance visit
Assess serum cor sol levels
Order urinalysis, CBC, BUN and crea nine
Refer to specialist for sleep study -correct answers Order urinalysis, CBC, BUN and crea nine
should be used to iden fy the need to ini ate cardiopulmonary resuscita on (CPR)?
Evalua on of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarc on
Determina on of pulselessness or bradycardia
Assessment of gasping breaths or not breathing -correct answers Assessment of gasping breaths
or not breathing
An African-American pa ent who is being treated with a thiazide diure c for chronic
hypertension reports blurred vision and shortness of breath. The provider notes a blood
pressure of 185/115. What is the recommended ac on for this pa ent?
Increase the dose of the thiazide medica on
Add a beta blocker to the pa ent's regimen
Admit to the hospital for evalua on and treatment
Prescribe a calcium channel blocker -correct answers Admit to the hospital for evalua on and
treatment
A pa ent reports sustained, irregular heart palpita ons. What is the most likely cause of these
symptoms?
Atrial fibrilla on
Anemia
,Extrasystole
Paroxysmal a acks -correct answers Atrial fibrilla on
A pa ent has a cardiac murmur that peaks in midsystole and is best heard along the le sternal
border. The provider determines that the murmur decreases in intensity when the pa ent
changes from standing to squa ng and increases in intensity with the Valsalva maneuver.
Which cause will the provider suspect for this murmur?
Aor c stenosis
Tricuspid regurgita on
Hypertrophic cardiomyopathy
Mitral valve prolapse -correct answers Hypertrophic cardiomyopathy
A pa ent is brought to an emergency department with symptoms of acute ST-segment eleva on
MI (STEMI). The nearest hospital that can perform percutaneous coronary interven on (PCI) is 3
hours away. What is the ini al treatment for this pa ent?
Give the pa ent an oral beta blocker
Transfer to the PCI-capable ins tu on
Administer heparin
Ini ate fibrinoly c treatment -correct answers Ini ate fibrinoly c treatment
Pa ents who meet the criteria for sta n therapy to help prevent atherosclero c cardiovascular
disease are those with a history of (Select all that apply.)
previous myocardial infarc on.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL. -correct answers previous myocardial
infarc on.
,a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
A 75-year-old pa ent reports pain and a feeling of redness in both legs that only relieves a er
si ng for 30 minutes or more. What the does provider suspect as the cause for these
symptoms?
Buerger's disease
Cauda equina syndrome
Diabe c neuropathy
Peripheral arterial disease -correct answers Cauda equina syndrome
Which are causes of secondary hypertension? (Select all that apply.)
Oral contracep ves
Isome c excercises
NSAIDS
Sleep apnea
Increased salt intake -correct answers Oral contracep ves
NSAIDS
Sleep apnea
A young female pa ent has known mitral valve prolapse. During a rou ne health maintenance
exam, the provider notes an apical systolic murmur and a midsystolic click on ausculta on. The
pa ent denies chest pain, syncope, or palpita ons. What will the provider do?
Reassure the pa ent that these findings are expected
Con nue to monitor the pa ent every 3 years
Admit the pa ent to the hospital for evalua on and treatment
, Consult with cardiology to determine appropriate diagnos c tests -correct answers Consult with
cardiology to determine appropriate diagnos c tests
A pa ent reports abdominal and back pain with anorexia and nausea. During an exam, the
provider notes a pulsa le abdominal mass. What is the ini al ac on?
Scheduling an MRI to evaluate for aor c disease
Immediate referral to a thoracic surgeon
US of the mass to determine size
Ordering CT angiography -correct answers US of the mass to determine size
A pa ent is brought to an emergency department with symptoms of acute ST-segment
eleva ons MI (STEMI). The nearest hospital that can perform percutaneous coronary
interven on (PCI) is 3 hours away. What is the ini al treatment for this pa ent?
Give the pa ent an oral beta blocker
Ini ate fibrinoly c treatment
Administer heparin
Transfer to the PCI-capable ins tu on -correct answers Ini ate fibrinoly c treatment
A 55-year-old pa ent has a blood pressure of 138/85 on three occasions. The pa ent denies
headaches, palpita ons, snoring, muscle weakness, and nocturia and does not take any
medica ons. What will the provider do next to evaluate this pa ent?
Con nue to monitor blood pressure at each health maintenance visit
Assess serum cor sol levels
Order urinalysis, CBC, BUN and crea nine
Refer to specialist for sleep study -correct answers Order urinalysis, CBC, BUN and crea nine
