DUNPHY CARE STUDY GUIDE ANSWERS AND
QUESTIONS SET A+
✔✔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 previous coronary artery bypass graft (CABG). - ✔✔d. A previous coronary artery
bypass graft (CABG).
✔✔The clinical risk factors for deep vein thrombosis (DVT), which include venous
insufficiency, poststroke, and heart failure, fit into which of Virchow's Triad for being a
causative factor for DVT?
a. Venous stasis c. Hypercoagulability
b. Vessel injury - ✔✔a. Venous stasis
✔✔George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of
280 mg/dL, has a systolic blood pressure (BP) of 158, and is being treated for
hypertension. You are doing a Framingham Risk Assessment on him. Which
assessment factor would give him the highest number of points on the scale?
a. His age
b. His cholesterol level
c. His systolic BP
d. The fact that he is on antihypertensive medication - ✔✔a. His age- gives him 10
points. Cholesterol level gives him 3 points based on his age.
✔✔Which pain characteristic is usually indicative of cardiac pathology?
a. Fleeting c. Diffuse
b. Moving d. Localized - ✔✔c. Diffuse
✔✔What percentage of patients with angina pectoris will have simultaneous dyspnea,
caused by transient increase in pulmonary venous pressures that accompany
ventricular stiffening during an episode of myocardial ischemia?
, a. About 20% c. About 50%
b. About 30% d. Almost all - ✔✔b. About 30%
✔✔Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or
one spray should be used under the tongue every 5 minutes for three doses. What
should be done if the pain has not been relieved after three doses?
a. 911 should be called, and the patient should be transported immediately to the
emergency department (ED).
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. A portable defibrillator should be located to ascertain the cardiac rhythm. - ✔✔a. 911
should be called, and the patient should be transported immediately to the emergency
department (ED).
✔✔For the best therapeutic effect after a myocardial infarction (MI), thrombolytics
should be administered within the first 3 hours (ideally 30 minutes) of presentation of
symptoms. Studies have shown that thrombolytic therapy, however, can be of benefit up
to how many hours after the initial presentation of symptoms of MI?
a. 6 hours c. 10 hours
b. 8 hours d. 12 hours - ✔✔d. 12 hours
✔✔When teaching patients post myocardial infarction (MI) about their nitroglycerine
tablets, the clinician should stress that the tablets should remain in the light-resistant
bottle in which they are packaged and not be put in another pill box or remain in areas
that are or could become warm and humid. Once opened, the bottle must be dated and
discarded after how many months?
a. 1 month
b. 3 months
c. 6 months
d. As long as they are kept in this special bottle, they will last forever. - ✔✔c. 6 months
✔✔There are four stages of heart failure classified as A to D that describe the evolution
and progression of disease. Patients in which stage have refractory symptoms of heart
failure at rest despite medical therapy, are hospitalized, or require specialized
interventions or hospice care?
a. Stage A c. Stage C
b. Stage B d. Stage D - ✔✔d. Stage D
✔✔Which of the following is abundant in the heart and rapidly rises in the bloodstream
in the presence of heart failure which makes it a good diagnostic test?
a. B-type natriuretic peptide (BNP)
b. C-reactive protein (CRP)
c. Serum albumin
d. Erythrocyte sedimentation rate (ESR) - ✔✔B-type natriuretic peptide (BNP)
QUESTIONS SET A+
✔✔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 previous coronary artery bypass graft (CABG). - ✔✔d. A previous coronary artery
bypass graft (CABG).
✔✔The clinical risk factors for deep vein thrombosis (DVT), which include venous
insufficiency, poststroke, and heart failure, fit into which of Virchow's Triad for being a
causative factor for DVT?
a. Venous stasis c. Hypercoagulability
b. Vessel injury - ✔✔a. Venous stasis
✔✔George has cardiovascular disease (CVD), is 64 years old, has a total cholesterol of
280 mg/dL, has a systolic blood pressure (BP) of 158, and is being treated for
hypertension. You are doing a Framingham Risk Assessment on him. Which
assessment factor would give him the highest number of points on the scale?
a. His age
b. His cholesterol level
c. His systolic BP
d. The fact that he is on antihypertensive medication - ✔✔a. His age- gives him 10
points. Cholesterol level gives him 3 points based on his age.
✔✔Which pain characteristic is usually indicative of cardiac pathology?
a. Fleeting c. Diffuse
b. Moving d. Localized - ✔✔c. Diffuse
✔✔What percentage of patients with angina pectoris will have simultaneous dyspnea,
caused by transient increase in pulmonary venous pressures that accompany
ventricular stiffening during an episode of myocardial ischemia?
, a. About 20% c. About 50%
b. About 30% d. Almost all - ✔✔b. About 30%
✔✔Nitroglycerine (NTG) is given for a patient having ischemic chest pain. One tablet or
one spray should be used under the tongue every 5 minutes for three doses. What
should be done if the pain has not been relieved after three doses?
a. 911 should be called, and the patient should be transported immediately to the
emergency department (ED).
b. One more dose of NTG may be tried.
c. The person should be given two aspirin to chew.
d. A portable defibrillator should be located to ascertain the cardiac rhythm. - ✔✔a. 911
should be called, and the patient should be transported immediately to the emergency
department (ED).
✔✔For the best therapeutic effect after a myocardial infarction (MI), thrombolytics
should be administered within the first 3 hours (ideally 30 minutes) of presentation of
symptoms. Studies have shown that thrombolytic therapy, however, can be of benefit up
to how many hours after the initial presentation of symptoms of MI?
a. 6 hours c. 10 hours
b. 8 hours d. 12 hours - ✔✔d. 12 hours
✔✔When teaching patients post myocardial infarction (MI) about their nitroglycerine
tablets, the clinician should stress that the tablets should remain in the light-resistant
bottle in which they are packaged and not be put in another pill box or remain in areas
that are or could become warm and humid. Once opened, the bottle must be dated and
discarded after how many months?
a. 1 month
b. 3 months
c. 6 months
d. As long as they are kept in this special bottle, they will last forever. - ✔✔c. 6 months
✔✔There are four stages of heart failure classified as A to D that describe the evolution
and progression of disease. Patients in which stage have refractory symptoms of heart
failure at rest despite medical therapy, are hospitalized, or require specialized
interventions or hospice care?
a. Stage A c. Stage C
b. Stage B d. Stage D - ✔✔d. Stage D
✔✔Which of the following is abundant in the heart and rapidly rises in the bloodstream
in the presence of heart failure which makes it a good diagnostic test?
a. B-type natriuretic peptide (BNP)
b. C-reactive protein (CRP)
c. Serum albumin
d. Erythrocyte sedimentation rate (ESR) - ✔✔B-type natriuretic peptide (BNP)
