Answers [Verified Answers] Plus Rationales
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1. A patient with acute chest pain radiating to
the left arm should be treated as having:
A. GERD only
B. Possible acute coronary syndrome
C. Anxiety only
D. Seasonal allergies
Rationale: Chest pain with radiation may indicate
myocardial ischemia and requires urgent
evaluation.
2. Which diagnostic test should be obtained
rapidly for suspected acute coronary
syndrome?
A. CBC only
B. 12-lead ECG
, C. Chest circumference
D. Urinalysis
Rationale: ECG helps identify ischemia or
infarction quickly.
3. Which cardiac biomarker is most specific for
myocardial injury?
A. Sodium
B. Troponin
C. Hemoglobin
D. Calcium
Rationale: Troponin is highly sensitive and specific
for myocardial damage.
4. Which medication is commonly administered
first for suspected MI if not contraindicated?
A. Amoxicillin
B. Aspirin
C. Levothyroxine
D. Diphenhydramine
,Rationale: Aspirin helps inhibit platelet
aggregation in acute coronary syndrome.
5. Which patient teaching helps prevent coronary
artery disease?
A. Increase smoking
B. Exercise regularly and control lipids
C. Avoid vegetables
D. Sleep 2 hours nightly
Rationale: Lifestyle modification reduces
cardiovascular risk.
6. Which blood pressure reading indicates
hypertensive crisis?
A. 122/78
B. 210/118
C. 130/84
D. 118/70
Rationale: Severely elevated blood pressure may
indicate hypertensive emergency/urgency.
, 7. Which symptom suggests hypertensive
emergency?
A. Dry skin only
B. Severe headache with neurologic changes
C. Mild sneezing only
D. Toenail pain only
Rationale: End-organ symptoms with severe
hypertension are concerning.
8. Which medication class is first-line for many
patients with hypertension?
A. Opioids
B. Thiazide diuretics
C. Antifungals
D. Antihistamines
Rationale: Thiazides are common first-line
antihypertensives.
9. Which electrolyte abnormality may occur with
thiazide use?
A. Hypermagnesemia only