study Questions and Answers
Which group would most benefit from statins?
a. Those with a low density lipoprotein-cholesterol greater than 100 mg/dL
b. Individuals with clinical arteriosclerotic cardiovascular disease
c. Individuals with a 10-year risk greater than 10%
d. Individuals of all ages with diabetes mellitus (DM) - ANSWER-B
Sandra has palpitations that occur with muscle twitching, paresthesia, and
fatigue. What specific diagnostic test might help determine the cause?
a. Serum calcium
b. Electrocardiogram (ECG)
c. Thyroid-stimulating hormone test
d. Complete blood cell count - ANSWER-A
If chest pain can be alleviated with time, analgesics, and heat applications,
what might the differential diagnosis be?
a. Peptic ulcer
b. Hiatal hernia
c. Costochondritis
d. Pericarditis - ANSWER-C
A blood pressure (BP) of 150/90 is considered:
a. Stage 2 hypertension
b. Hypertensive
c. Normal in healthy older adults
d. Acceptable if the patient has DM - ANSWER-C
Lifestyle modifications to manage hypertension (HTN) include:
a. Maintaining a body mass index of 17
,b. Restricting dietary sodium to 2 grams per day
c. Engaging in exercise or physical activity for 90 minutes a day
d. Limiting beer intake to 24 ounces per day - ANSWER-D
Mary has hypertension and previously had a stroke. Which hypertensive drug
would you order for her?
a. Angiotensin converting enzyme inhibitor
b. Calcium channel blocker
c. Angiotensin II receptor blocker
d. Beta blocker - ANSWER-A
Which high-density lipoprotein (HDL) level is considered cardioprotective?
a. Greater than 30
b. Greater than 40
c. Greater than 50
d. Greater than 60 - ANSWER-D
You are assessing Sigred for metabolic syndrome. Which of her parameters is
indicative of this syndrome?
a. Her waist is 36 inches.
b. Her triglyceride level is 140 mg/dL.
c. Her BP is 128/84.
d. Her fasting blood sugar (BS) is 108 mg/dL. - ANSWER-A
Which type of angina do you suspect in Harvey, who complains of chest pain
that occurs during sleep and most often in the early morning hours?
a. Stable angina
b. Unstable angina
c. Variant (Prinzmetal's angina)
d. Probably not angina but hiatal hernia - ANSWER-C
Which ECG change is typical of cardiac ischemia?
a. T-wave inversion
, b. ST-segment elevation
c. Significant Q wave
d. U-wave - ANSWER-A
In which type of arterioventricular (AV) block does the pulse rate (PR) interval
lengthen until a beat is dropped?
a. First-degree AV block
b. Second-degree Mobitz I AV block
c. Second-degree Mobitz II AV block
d. Third-degree AV block - ANSWER-B
A Delta wave on the ECG may be present in which condition?
a. Prinzmetal's angina
b. Bundle branch block
c. Wolff-Parkinson-White syndrome
d. Aortic stenosis - ANSWER-C
Which heart sound may be heard with poorly controlled hypertension,
angina, and ischemic heart disease?
a. A physiologic split S2
b. A fixed split S2
c. S3
d. S4 - ANSWER-D
Samuel is going to the dentist for some work and must take endocarditis
prophylaxis because of his history of:
a. Severe asthma
b. A common valvular lesion
c. Severe hypertension
d. A prosthetic heart valve - ANSWER-D
George, age 64, has cardiovascular disease (CVD), a total cholesterol of 280
mg/dL, and a systolic BP of 158. He is being treated for hypertension. You are