What is the chamber which directly pumps blood into the ascending aorta?
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle
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d. Left ventricle
Which of the following people groups represent the least risk of cardiac disease?
a. Native Hawaiians
b. Caucasians
c. African Americans
d. American Indians
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b. Caucasians
A 65-year-old woman with osteoporosis presents with acute onset of severe back pain
after lifting a heavy object. What is the most likely diagnosis?
a. Vertebral compression fracture
b. Herniated disc
c. Degenerative disc disease
d. Lumbar strain
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a. Vertebral compression fracture
A vertebral compression fracture can occur after lifting a heavy object.
Symptoms of a vertebral compression fracture may include sudden onset of
back pain, which can be severe and worsen with movement or weight-bearing.
There may also be limited spinal mobility and height loss.
As the nurse practitioner on call on at a long term care facility, a nurse calls you to notify
you that your patient who was in normal sinus rhythm has started to have extra
premature beats noted on bedside telemetry. The nurse states these extra beats occur
approximately every 6 normal beats and has an inverted p wave located after the narrow
QRS complex which appears otherwise identical to the normal sinus rhythm QRS
complex. What is this nurse likely describing?
a. Premature Junctional Contractions
b. Premature Ventricular Contractions
c. Sinus Exit Block
d. Premature Atrial Contractions
, Give this one a go later!
a. Premature Junctional Contractions
Sinus exit block does have a pause, but no change in P wave morphology.
PACs will maintain an early but otherwise normal P wave/QRS. PJCs will have
absent, inverted or retrograde P waves(after the QRS) and be otherwise
narrow complex QRS. PVCs will be absent of any P wave and have a wide
complex QRS.
Which of the following do not represent possible causes of a prothrombotic state?
a. Presence of factor V Leyden
b. Inhibition of factor Xa
c. Deficiency of protein C
d. Deficiency of protein S
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Inhibition of factor Xa
Protein C and S are the body's natural anticoagulants and a deficit of these
would make the patient more prone to clot. Factor V Leyden is a genetic
mutation that makes the blood more prone to clot. Factor X when activated
(Xa) is the beginning of stable clot formation. Inhibition of this would represent
an anticoagulated state. (Oral anticoagulants such as rivaroxaban and
apixaban use this mechanism).
A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on
her face. What is the most appropriate initial management in primary care?
a. Antivirals
b. Referral to rheumatology
a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle
Give this one a go later!
d. Left ventricle
Which of the following people groups represent the least risk of cardiac disease?
a. Native Hawaiians
b. Caucasians
c. African Americans
d. American Indians
,Give this one a go later!
b. Caucasians
A 65-year-old woman with osteoporosis presents with acute onset of severe back pain
after lifting a heavy object. What is the most likely diagnosis?
a. Vertebral compression fracture
b. Herniated disc
c. Degenerative disc disease
d. Lumbar strain
Give this one a go later!
a. Vertebral compression fracture
A vertebral compression fracture can occur after lifting a heavy object.
Symptoms of a vertebral compression fracture may include sudden onset of
back pain, which can be severe and worsen with movement or weight-bearing.
There may also be limited spinal mobility and height loss.
As the nurse practitioner on call on at a long term care facility, a nurse calls you to notify
you that your patient who was in normal sinus rhythm has started to have extra
premature beats noted on bedside telemetry. The nurse states these extra beats occur
approximately every 6 normal beats and has an inverted p wave located after the narrow
QRS complex which appears otherwise identical to the normal sinus rhythm QRS
complex. What is this nurse likely describing?
a. Premature Junctional Contractions
b. Premature Ventricular Contractions
c. Sinus Exit Block
d. Premature Atrial Contractions
, Give this one a go later!
a. Premature Junctional Contractions
Sinus exit block does have a pause, but no change in P wave morphology.
PACs will maintain an early but otherwise normal P wave/QRS. PJCs will have
absent, inverted or retrograde P waves(after the QRS) and be otherwise
narrow complex QRS. PVCs will be absent of any P wave and have a wide
complex QRS.
Which of the following do not represent possible causes of a prothrombotic state?
a. Presence of factor V Leyden
b. Inhibition of factor Xa
c. Deficiency of protein C
d. Deficiency of protein S
Give this one a go later!
Inhibition of factor Xa
Protein C and S are the body's natural anticoagulants and a deficit of these
would make the patient more prone to clot. Factor V Leyden is a genetic
mutation that makes the blood more prone to clot. Factor X when activated
(Xa) is the beginning of stable clot formation. Inhibition of this would represent
an anticoagulated state. (Oral anticoagulants such as rivaroxaban and
apixaban use this mechanism).
A 35-year-old woman presents with fatigue, joint pain, and a butterfly-shaped rash on
her face. What is the most appropriate initial management in primary care?
a. Antivirals
b. Referral to rheumatology