ANP 650 MIDTERM EXAM LATEST ACTUAL EXAM TEST BANK
If someone has aortic stenosis, what heart sound do you expect to hear? - ANSWER:
Systolic murmur
Where can you best hear a systolic murmur? - ANSWER: Aortic area (2nd intercostal
space)
What happens in the heart during S1? - ANSWER: Closing of mitral and tricuspid
valve
What happens during S2 - ANSWER: closing of aortic and pulmonic valve
What happens if valves are not closing at the same time? - ANSWER: Unequal
pressure = pulmonary HTN
What medication has a high risk for hypoglycemia - ANSWER: Sulphonylurea
(Glipizide)
What diabetic medication has a high cardiac risk and causes swelling? - ANSWER:
TZD (ACTOS - pioglitazone)
Most common 1st line of treatment for DM because of low cost - ANSWER:
Metformin (Biguanides)
What type of patients should avoid biguanides? - ANSWER: Impaired renal function-
leads to acidosis
What medications are a high risk for hypoglycemia - ANSWER: sulphonylurea and
insulin
How can you diagnose DM - ANSWER: o 2 readings of HgbA1C (> 6.5)
o Fasting BS (>125)
o Random BS (>200)
Complications of DM - ANSWER: - End organ damage
- Ophthalmic issues
- Renal failure
- Stroke
What can cause secondary DM? - ANSWER: - Steroids
- Pregnancy
- Hyper- endocrine disorders (cortisol, androgen, thyroid)
Risks secondary to a-fib - ANSWER: Stroke and TIA
If someone has aortic stenosis, what heart sound do you expect to hear? - ANSWER:
Systolic murmur
Where can you best hear a systolic murmur? - ANSWER: Aortic area (2nd intercostal
space)
What happens in the heart during S1? - ANSWER: Closing of mitral and tricuspid
valve
What happens during S2 - ANSWER: closing of aortic and pulmonic valve
What happens if valves are not closing at the same time? - ANSWER: Unequal
pressure = pulmonary HTN
What medication has a high risk for hypoglycemia - ANSWER: Sulphonylurea
(Glipizide)
What diabetic medication has a high cardiac risk and causes swelling? - ANSWER:
TZD (ACTOS - pioglitazone)
Most common 1st line of treatment for DM because of low cost - ANSWER:
Metformin (Biguanides)
What type of patients should avoid biguanides? - ANSWER: Impaired renal function-
leads to acidosis
What medications are a high risk for hypoglycemia - ANSWER: sulphonylurea and
insulin
How can you diagnose DM - ANSWER: o 2 readings of HgbA1C (> 6.5)
o Fasting BS (>125)
o Random BS (>200)
Complications of DM - ANSWER: - End organ damage
- Ophthalmic issues
- Renal failure
- Stroke
What can cause secondary DM? - ANSWER: - Steroids
- Pregnancy
- Hyper- endocrine disorders (cortisol, androgen, thyroid)
Risks secondary to a-fib - ANSWER: Stroke and TIA
