D118: Unit 5 OA Study Guide
An adult develops chronic cough with episodes of wheezing and shortness of breath.
The primary care provider performs chest radiography and other tests and rules out
infection, upper respiratory, and gastroesophageal causes.
Which test will the provider order initially to evaluate the possibility of asthma as the
cause of these symptoms? - ✔Spirometry
Recommended at the time of initial assessment to confirm the diagnosis of asthma
Which test is most diagnostic for chronic obstructive pulmonary disease (COPD)? -
✔Spirometry for FVC and FEV1
Spirometry testing is the gold standard for diagnosis and assessment of COPD because
it is reproducible and objective
What is the recommended treatment for a 70-year-old male patient with an aortic
aneurysm measuring 5.0 cm, poorly-controlled hypertension, and decompensated heart
failure? - ✔Serial US surveillance of the aneurysm
Patient's aneurysm is less than 5.5cm, so repair is not necessary at this time
Serial US of the aneurysm is necessary to continue to evaluate its size
An adult patient reports frequent episodes of syncope and lightheadedness. The
primary care provider notes a heart rate of 70 beats per minute.
What will the provider do next? - ✔evaluate the patient's orthostatis VS
Orthostatic VS are helpful to exclude orthostatic hypotension as a cause of syncope and
is easily performed in the clinic
A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient
denies headaches, palpitations, snoring, muscle weakness, and nocturia, and does not
take any medications.
What will the primary care provider do next to evaluate this patient? - ✔Order urinalysis,
CBC, BUN, and creatine
Patient has preHTN levels and should be evaluated
UA, CBC, BUN, and creatinine help to evaluate renal function and are in the initial
workup
A previously healthy patient develops myocarditis and presents with sudden onset of
dyspnea, fatigue, and orthopnea. A family history is negative. The primary care provider
suspects myocarditis.
, What is the most likely etiology for this patient? - ✔Viral infection
Viral infection is the most common cause of myocarditis
A patient is diagnosed with peripheral arterial disease (PAD) and elects not to have
angioplasty after an angiogram reveals partial obstruction in the patient's lower
extremity arteries.
What will the primary care provider recommend to help with relief of symptoms in this
patient? - ✔Walking to the point of pain each day
Studies have demonstrated than an exercise program involving walking to the point of
pain is as effective as angioplasty
What is the best treatment for H. pylori-related peptic ulcer disease? - ✔PPI and
clarithromycin for 14 days
Documented improved effectiveness over other regimens in treating H. pylori-related
peptic ulcer disease
A 50-year-old, previously healthy patient has developed chronic gastritis.
What is the most likely cause of this condition, assuming the patient is from the United
States? - ✔H. pylori infection
In the US, H. pylori accounts for nearly 100 percent of chronic superficial gastritis and
approximately 90 to 95 percent of duodenal ulcers and 89% of gastric ulcers
Which medication will be prescribed initially for a patient who is diagnosed with
ulcerative colitis (UC)? - ✔Sulfasalazine
It is a 5-aminosalicylic acid used to induce remission UC and is a first-line medication
A 43 year old male presents to the primary care clinic with complaints of a cough that
has persisted for 6 weeks. How with the APRN classify this patient's cough? -
✔Subacute cough
acute (lasting <3 weeks)
Subactue (lasting 3-8 weeks
Chronic (persisting beyond 8 weeks
Which statement below regarding chronic cough is true? - ✔A postinfectious cough, by
definition, lasts NO LONGER than 8 weeks, chest radiograph findings are normal,
cough eventually revolves, generally without intervention
The pathogenic triad of chronic cough in immunocompetent nonsmoking adults includes
all but the following - ✔Use of ACE inhibitors
An adult develops chronic cough with episodes of wheezing and shortness of breath.
The primary care provider performs chest radiography and other tests and rules out
infection, upper respiratory, and gastroesophageal causes.
Which test will the provider order initially to evaluate the possibility of asthma as the
cause of these symptoms? - ✔Spirometry
Recommended at the time of initial assessment to confirm the diagnosis of asthma
Which test is most diagnostic for chronic obstructive pulmonary disease (COPD)? -
✔Spirometry for FVC and FEV1
Spirometry testing is the gold standard for diagnosis and assessment of COPD because
it is reproducible and objective
What is the recommended treatment for a 70-year-old male patient with an aortic
aneurysm measuring 5.0 cm, poorly-controlled hypertension, and decompensated heart
failure? - ✔Serial US surveillance of the aneurysm
Patient's aneurysm is less than 5.5cm, so repair is not necessary at this time
Serial US of the aneurysm is necessary to continue to evaluate its size
An adult patient reports frequent episodes of syncope and lightheadedness. The
primary care provider notes a heart rate of 70 beats per minute.
What will the provider do next? - ✔evaluate the patient's orthostatis VS
Orthostatic VS are helpful to exclude orthostatic hypotension as a cause of syncope and
is easily performed in the clinic
A 55-year-old patient has a blood pressure of 138/85 on three occasions. The patient
denies headaches, palpitations, snoring, muscle weakness, and nocturia, and does not
take any medications.
What will the primary care provider do next to evaluate this patient? - ✔Order urinalysis,
CBC, BUN, and creatine
Patient has preHTN levels and should be evaluated
UA, CBC, BUN, and creatinine help to evaluate renal function and are in the initial
workup
A previously healthy patient develops myocarditis and presents with sudden onset of
dyspnea, fatigue, and orthopnea. A family history is negative. The primary care provider
suspects myocarditis.
, What is the most likely etiology for this patient? - ✔Viral infection
Viral infection is the most common cause of myocarditis
A patient is diagnosed with peripheral arterial disease (PAD) and elects not to have
angioplasty after an angiogram reveals partial obstruction in the patient's lower
extremity arteries.
What will the primary care provider recommend to help with relief of symptoms in this
patient? - ✔Walking to the point of pain each day
Studies have demonstrated than an exercise program involving walking to the point of
pain is as effective as angioplasty
What is the best treatment for H. pylori-related peptic ulcer disease? - ✔PPI and
clarithromycin for 14 days
Documented improved effectiveness over other regimens in treating H. pylori-related
peptic ulcer disease
A 50-year-old, previously healthy patient has developed chronic gastritis.
What is the most likely cause of this condition, assuming the patient is from the United
States? - ✔H. pylori infection
In the US, H. pylori accounts for nearly 100 percent of chronic superficial gastritis and
approximately 90 to 95 percent of duodenal ulcers and 89% of gastric ulcers
Which medication will be prescribed initially for a patient who is diagnosed with
ulcerative colitis (UC)? - ✔Sulfasalazine
It is a 5-aminosalicylic acid used to induce remission UC and is a first-line medication
A 43 year old male presents to the primary care clinic with complaints of a cough that
has persisted for 6 weeks. How with the APRN classify this patient's cough? -
✔Subacute cough
acute (lasting <3 weeks)
Subactue (lasting 3-8 weeks
Chronic (persisting beyond 8 weeks
Which statement below regarding chronic cough is true? - ✔A postinfectious cough, by
definition, lasts NO LONGER than 8 weeks, chest radiograph findings are normal,
cough eventually revolves, generally without intervention
The pathogenic triad of chronic cough in immunocompetent nonsmoking adults includes
all but the following - ✔Use of ACE inhibitors
