Dunphy cardiology(with solved solutions)
For the routine management of heart failure, which one of the following medications classes
would not be recommended? correct answersA. ACEI
B. Beta blockers
C. Diuretic
D. Calcium channel blocker's
D
When auscultating a clients heart, do you know a short, high frequency click after S2 during the
beginning of diastole. What could this indicate? correct answersA. Nothing, it is normal
B.Mitral regurgitation
C. Aortic regurgitation
D. Mitral stenosis
D
Jonathan, a 57-year-old control diabetic patient presented at the clinic for his annual wellness
visit. Per JNC8 recommended guidelines, what would be the recommended blood pressure for
Jonathan? correct answersLess than 140/90
Martin, at age 56, has hypertension and has been taking antihypertensive medication for about 10
years. He has been very stable. You have not seen him in about six months. His examination
Tatian specifically?
A. Include a discussion of weaning him off his blood pressure medication
B. Be a focus examination limited to the respiratory and cardiovascular systems
C. Include a funduscopic examination
D. Include only a blood pressure measurement with the client seated comfortably correct
answersC
During pregnancy, many women develop which cardiovascular change?
A. Bradycardia
Hypertension
Systolic murmur
diastolic murmur correct answersHypertension
What are the initial recommendations when treating high triglycerides?
A. Use a bile acids sequestrant
B. Aggressively treat with Finofibrates
C. Focus on lifestyle changes as initial therapy
D. Treatment should be with combination therapy with a stand or fenofibrate correct
answersFocus on lifestyle changes as initial therapy
,The most common cause of elevated total and low density lipoprotein cholesterol levels in the
United States
A. Heredity
B. Hypothyroidism
C. Diabetics
D. A diet high in Saturated fats correct answersD
Which of the following is usually indicative of an abdominal aortic aneurysm?
A. Ascites
B. Positive bruit or wide, diffuse pulsation in Epigastric area
C. Venous hum in abdomen
D. RUQ tenderness correct answersB
According to the American College of obstetrics and gynecology, blood pressure readings
greater than 140 systolic and greater than 90 diastolic prior to pregnancy, before 20 weeks
gestation, or be on 12 weeks postpartum is
A. Gestational hypertension
B. Chronic
C. Primary
D. Preeclampsia correct answersB
Sam, age 70, originally had symptoms of syncope and then symptomatic ventricular tachycardia
with a boarded sudden death. He is now treated pharmacology. He asked you when he can
resume driving. How do you respond?
A. You may drive again in 1 month
B. As this may occur again, let's wait until you are free from symptoms for 1 year
C.You should not drive again for six months
D. You probably shouldn't drive anymore correct answersC
Which of the following drug should be considered as first line therapy for a client with
hypertension and heart failure?
A. Enalapril
B. Diltiazem
C. Metoprolol
D. Atenolol correct answersA
Which of the following statements is true but hypertension during pregnancy?
A. Beta blockers are safe during pregnancy
B. Beta blockers are safe only in the first trimester
, C. ACEI are safe during all trimesters
D. Methyldopa is the drug of choice for control of mild to moderate hypertension and pregnancy
correct answersD
To determine the presence of target organ damage other risk factors in the client with
hypertension, basic diagnostic test should be ordered include
Echocardiogram
Renal arteriogram
Chest x-ray, electrocardio gram, urine analysis, complete blood count, chemistry profile, lipid
profile, and TSH levels
Plasma renin activity correct answersC
Sheila, 878, presents with a chief complaint of waking up during the night coughing. You
examine her and find an S3 heart sound, pulmonary crackles they do not clear with coughing,
and peripheral Edema. What do you suspect?
Heart failure
Valvular disease
Asthma
Nocturnal allergies correct answersHeart failure
An active 68-year-old man under your care has known acquired valvular aortic stenosis in macho
regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs
elective replacement of his aortic valve. When he comes in, you discover that has 10 remaining
teeth and poor repair. Your recommendation would be to to
Coordination with his cardiac and oral
Surgeons
Instruct the client to have dental extraction
Suggest that he consult with his oral surgeon about removing all the teeth at once and receiving
appropriate antibiotic prophylaxis
Defer any further dental work correct answersSuggest that he consult with his oral surgeon about
removing all the teeth at once and receiving appropriate antibiotic prophylaxis
Greg has just been given a diagnosis of congestive heart failure. Which of the following
medication should be discontinued?
For the routine management of heart failure, which one of the following medications classes
would not be recommended? correct answersA. ACEI
B. Beta blockers
C. Diuretic
D. Calcium channel blocker's
D
When auscultating a clients heart, do you know a short, high frequency click after S2 during the
beginning of diastole. What could this indicate? correct answersA. Nothing, it is normal
B.Mitral regurgitation
C. Aortic regurgitation
D. Mitral stenosis
D
Jonathan, a 57-year-old control diabetic patient presented at the clinic for his annual wellness
visit. Per JNC8 recommended guidelines, what would be the recommended blood pressure for
Jonathan? correct answersLess than 140/90
Martin, at age 56, has hypertension and has been taking antihypertensive medication for about 10
years. He has been very stable. You have not seen him in about six months. His examination
Tatian specifically?
A. Include a discussion of weaning him off his blood pressure medication
B. Be a focus examination limited to the respiratory and cardiovascular systems
C. Include a funduscopic examination
D. Include only a blood pressure measurement with the client seated comfortably correct
answersC
During pregnancy, many women develop which cardiovascular change?
A. Bradycardia
Hypertension
Systolic murmur
diastolic murmur correct answersHypertension
What are the initial recommendations when treating high triglycerides?
A. Use a bile acids sequestrant
B. Aggressively treat with Finofibrates
C. Focus on lifestyle changes as initial therapy
D. Treatment should be with combination therapy with a stand or fenofibrate correct
answersFocus on lifestyle changes as initial therapy
,The most common cause of elevated total and low density lipoprotein cholesterol levels in the
United States
A. Heredity
B. Hypothyroidism
C. Diabetics
D. A diet high in Saturated fats correct answersD
Which of the following is usually indicative of an abdominal aortic aneurysm?
A. Ascites
B. Positive bruit or wide, diffuse pulsation in Epigastric area
C. Venous hum in abdomen
D. RUQ tenderness correct answersB
According to the American College of obstetrics and gynecology, blood pressure readings
greater than 140 systolic and greater than 90 diastolic prior to pregnancy, before 20 weeks
gestation, or be on 12 weeks postpartum is
A. Gestational hypertension
B. Chronic
C. Primary
D. Preeclampsia correct answersB
Sam, age 70, originally had symptoms of syncope and then symptomatic ventricular tachycardia
with a boarded sudden death. He is now treated pharmacology. He asked you when he can
resume driving. How do you respond?
A. You may drive again in 1 month
B. As this may occur again, let's wait until you are free from symptoms for 1 year
C.You should not drive again for six months
D. You probably shouldn't drive anymore correct answersC
Which of the following drug should be considered as first line therapy for a client with
hypertension and heart failure?
A. Enalapril
B. Diltiazem
C. Metoprolol
D. Atenolol correct answersA
Which of the following statements is true but hypertension during pregnancy?
A. Beta blockers are safe during pregnancy
B. Beta blockers are safe only in the first trimester
, C. ACEI are safe during all trimesters
D. Methyldopa is the drug of choice for control of mild to moderate hypertension and pregnancy
correct answersD
To determine the presence of target organ damage other risk factors in the client with
hypertension, basic diagnostic test should be ordered include
Echocardiogram
Renal arteriogram
Chest x-ray, electrocardio gram, urine analysis, complete blood count, chemistry profile, lipid
profile, and TSH levels
Plasma renin activity correct answersC
Sheila, 878, presents with a chief complaint of waking up during the night coughing. You
examine her and find an S3 heart sound, pulmonary crackles they do not clear with coughing,
and peripheral Edema. What do you suspect?
Heart failure
Valvular disease
Asthma
Nocturnal allergies correct answersHeart failure
An active 68-year-old man under your care has known acquired valvular aortic stenosis in macho
regurgitation. He also has a history of infectious endocarditis. He has recently been told he needs
elective replacement of his aortic valve. When he comes in, you discover that has 10 remaining
teeth and poor repair. Your recommendation would be to to
Coordination with his cardiac and oral
Surgeons
Instruct the client to have dental extraction
Suggest that he consult with his oral surgeon about removing all the teeth at once and receiving
appropriate antibiotic prophylaxis
Defer any further dental work correct answersSuggest that he consult with his oral surgeon about
removing all the teeth at once and receiving appropriate antibiotic prophylaxis
Greg has just been given a diagnosis of congestive heart failure. Which of the following
medication should be discontinued?
