QUESTIONS WITH CORRECT DETAILED
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<BRAND NEW VERSION>
[Q1] Your initial approach in assessing a patient with a BP of 200/100 is to:
determine baseline blood pressure and rate of increase
do multiple confirmations of BP in all 4 extremities
assess for target organ damage
determine blood pressure goal - ANS-All the above
[Q2] John, a 50-year-old male arrives in the ED complaining of lethargy, nausea, blurred vision and chest
pain. BP is 210/144 mm/Hg. He takes clonidine hydrochloride (Catapres) but hasn't taken it for 2 days.
Your goal is to bring John's BP back to normal levels (120/70) as quickly as possible? - ANS-False
[Q3] Which drug is the best choice in treating John's blood pressure (50-year-old male brought to ED
with lethargy, nausea, blurred vision, chest pain, BP 210/144mmHg)? - ANS-labetalol (alpha/beta
blocker)
[Q4] What drug is the best choice for treating hypertension related to a cocaine overdose? - ANS-
labetalol (alpha/beta blocker)
[Q5] A patient presents to the emergency department with HR 98 and BP 190/120 mmHg associated
with acute onset of chest and back pain. He looks to be in extremis and you are concerned for aortic
dissection. The best choice for initial antihypertensive agent to reduce sheer stress would be: - ANS-
esmolol infusion
[Q7] JR is a 70-year-old male with symptoms of fatigue and palpitations that started one month ago. An
ECG reveals atrial fibrillation with heart rate in the 90s. As this is a new finding, your goal is to restore
normal sinus rhythm.
JR is successfully cardioverted. Your plan for anticoagulation is to: - ANS-continue anticoagulation for 4
weeks.
, [Q8] Max is a 75-year-old male presenting with atrial fibrillation and a heart rate of 150. He is
experiencing extreme shortness of breath. His BP is 80/40. Your initial action is to: - ANS-cardiovert him
immediately.
[Q9] The indication for use of dabigatran (Pradaxa) for anticoagulation in the setting of atrial fibrillation
is: - ANS-non-valvular atrial fibrillation
[Q11] Mr. J. had a recent myocardial infarction (MI). His left ventricular function is normal. He has not
had percutaneous coronary intervention or stent placement. In addition to daily aspirin, what other
medications would you definitely consider?
Clopidogrel (Plavix)
Beta blockers
Calcium channel blockers
HMG-CoA reductase inhibitors (statins) - ANS-2, 4
[Q12] Mr. T has been having chest discomfort that he describes as midsternal chest pressure, usually
brought on when he is stressed at work and is relieved by rest. You know he is describing symptoms
suggestive of: - ANS-typical angina
[Q13] MB is a 60-year-old male who is diagnosed with coronary artery disease. During your work-up,
you see that his LDL is 200. You decide to start him on lipid lowering therapy. Based on the new
guidelines, the best choice is: - ANS-high-intensity statin therapy
[Q14] Mrs. Cribbins, age 75, presents with symptoms of heart failure. A priority in developing an optimal
management plan for her is to:
[Q15] Which diagnostic study is most needed to provide information related to Mrs. Cribbins's heart
function? - ANS-establish the etiology
echocardiogram
[Q16] A potential adverse effect of an angiotensin converting enzyme inhibitor (ACE-I) when used with
spironolactone therapy is: - ANS-hyperkalemia.
[Q18] Mr. Jack has a history of hypertension and Type II Diabetes but no signs of heart failure. An
echocardiogram reveals a left ventricular ejection fraction of 35%. Which medication is most
appropriate in reducing the risk of developing heart failure? - ANS-lisinopril [angiotensin converting
enzyme inhibitor (ACE-I)]
[Q19] Physical examination reveals an abdominal bruit and palpation of a pulsatile mass at the level of
the umbilicus. The next step in your work-up includes: - ANS-ordering an abdominal ultrasound
[Q20] A patient has an abdominal aortic aneurysm (AAA) that measures 5.0 cm. You know that the 5-
year risk of rupture is approximately: - ANS-25%
Conservative management of AAA includes: - ANS-controlling hypertension.
Screening for AAA includes: - ANS-direct blood relatives of a patient with an AAA starting at age 60