APEA Cardiac Exam Questions And
Verified Answers
\.A common side effect of thiazide diuretics is: - Answer-erectile dysfunction
\.Mrs. Brandy is having contrast dye nest week for a heart catheterization. What drug does NOT
need to be stopped prior to her catheterization? - Answer-Losartan
\.Pharmacologic treatment for children who have hypertension should be initiated for: -
Answer-Diabetics with hypertension
\.A 75-year-old patient with longstanding hypertension takes an ACE inhibitor and a thiazide
daily. He has developed dyspnea on exertion and peripheral edema over the past several days.
This probably indicates: - Answer-Development of heart failure
\.Which class of medication is frequently used to improve long-term outcomes in patients with
systolic dysfunction - Answer-ACE inhibitors
\.The usual clinical course of mitral valve prolapse - Answer-is benign
\.A characteristic of an ACE inhibitor induced cough is that it: - Answer-usually begins within 2
weeks of starting therapy
\.Warfarin treatment is greatly influenced by a patient's food and medication intake. Which
group listed can potentially decrease INR in an outpatient who takes warfarin - Answer-
Sucralfate and cholestyramine
, \.A 77-year-old patient has had an increase in blood pressure since the last exam. THe blood
pressure readings are provided. If medication is to be started on this patient, what would be a
good first choice:
BP: 144/90 to 168/88 - Answer-Calcium channel blocker
\.The carotid arteries are auscultated for bruits because: - Answer-this is indicative of
generalized atherosclerosis
\.A decrease in blood pressure can occur in men who take sildenafil (Viagra) and: - Answer-any
antihypertensive medication
\.A 74-year-old who retired as a store clerk last year would like to start an exercise program. She
tells the nurse practitioner that she would like to start walking 15-20 min daily. Which statement
is correct regarding the patient - Answer-She does not need any testing because she is
asymptomatic
\.Which medication listed below could potentially exacerbate heart failure in a susceptible
patient - Answer-Metoprolol
\.Mr. Brown a 45-year old African American male has the following lab values. What should the
NP do next:
LDL 180
HDL 37
Cholesterol 250
Triglycerides 140 - Answer-A thyroid stimulating hormone (TSH) level
\.According to the national heart, lung and blood institute, which characteristic listed below is a
coronary heard disease risk equivalent; that is, which risk factor places the patient at a CHD risk
similar to a history of CHD - Answer-Diabetes mellitus
Verified Answers
\.A common side effect of thiazide diuretics is: - Answer-erectile dysfunction
\.Mrs. Brandy is having contrast dye nest week for a heart catheterization. What drug does NOT
need to be stopped prior to her catheterization? - Answer-Losartan
\.Pharmacologic treatment for children who have hypertension should be initiated for: -
Answer-Diabetics with hypertension
\.A 75-year-old patient with longstanding hypertension takes an ACE inhibitor and a thiazide
daily. He has developed dyspnea on exertion and peripheral edema over the past several days.
This probably indicates: - Answer-Development of heart failure
\.Which class of medication is frequently used to improve long-term outcomes in patients with
systolic dysfunction - Answer-ACE inhibitors
\.The usual clinical course of mitral valve prolapse - Answer-is benign
\.A characteristic of an ACE inhibitor induced cough is that it: - Answer-usually begins within 2
weeks of starting therapy
\.Warfarin treatment is greatly influenced by a patient's food and medication intake. Which
group listed can potentially decrease INR in an outpatient who takes warfarin - Answer-
Sucralfate and cholestyramine
, \.A 77-year-old patient has had an increase in blood pressure since the last exam. THe blood
pressure readings are provided. If medication is to be started on this patient, what would be a
good first choice:
BP: 144/90 to 168/88 - Answer-Calcium channel blocker
\.The carotid arteries are auscultated for bruits because: - Answer-this is indicative of
generalized atherosclerosis
\.A decrease in blood pressure can occur in men who take sildenafil (Viagra) and: - Answer-any
antihypertensive medication
\.A 74-year-old who retired as a store clerk last year would like to start an exercise program. She
tells the nurse practitioner that she would like to start walking 15-20 min daily. Which statement
is correct regarding the patient - Answer-She does not need any testing because she is
asymptomatic
\.Which medication listed below could potentially exacerbate heart failure in a susceptible
patient - Answer-Metoprolol
\.Mr. Brown a 45-year old African American male has the following lab values. What should the
NP do next:
LDL 180
HDL 37
Cholesterol 250
Triglycerides 140 - Answer-A thyroid stimulating hormone (TSH) level
\.According to the national heart, lung and blood institute, which characteristic listed below is a
coronary heard disease risk equivalent; that is, which risk factor places the patient at a CHD risk
similar to a history of CHD - Answer-Diabetes mellitus
