NSG 6001 Midterm Exam – Question and Answers
1. Question : Your patient is morbidly obese and cannot sit on a bicycle or walk a
treadmill. She also has marked and severe emphysema. You need to make
an assessment of the risk of significant CAD and your patient’s family says
that their relative had their diagnosis based on an ultrasound
echocardiography. What facts would influence your decision regarding the
family request for echo assessment?
Student Answer:
Specificity would be increased because of obesity
Sensitivity would be reduced because of obesity and lung
disease (Sensitivity would be reduced because of obesity and lung disease.)
Sensitivity would be increased because of lung disease
Specificity would be reduced because of obesity and lung disease
2. Question : Medicaid is mandated to be provided by each state through federal codes.
Each state must offer Medicaid exactly as the federal government
prescribes. True or false?
Student Answer:
False (Medicaid is mandated to be provided by each state, however,
Mediciad is not required to be delivered by any certain formula. Each state
has autonomy to deliver Mediciad services under its own guidelines,
provided that each state meets the federal guidelines for Medicaid
coverage. )
True
3. Question : By standard criteria, how is a positive stress test defined?
Student Answer:
Development of a horizontal or down sloping ST-segment depression
of 10mm
Development of a horizontal or down sloping ST-segment depression
of 1mm (A positive stress test is defined as the development of a horizontal
or down sloping ST-segment depression of 1mm. )
Upward sloping ST-segment measured at the J point of the QRS
Down sloping of the ST-segment at the J point of the QRS
4. Question : Population disease management is a term used to describe:
Student Answer:
Low prevalence specific diseases
High prevalence specific diseases (Population disease management is a
term used to describe the high prevalence of specific diseases. )
, Low specificity diseases states
High specificity disease states
5. Question : What are two of the most common forms of Exercise Stress Tests used
today?
Student Answer:
Bicycle and treadmill (Bicycle and treadmill are the two most common
forms of exercise stress tests used today. )
Unicycle and Running in pace
Thallium and Dobutamine
Bicycle and rowing machine
6. Question : You are counseling a patient diagnosed with stress-induced ischemia. You
base your discussion on your knowledge that stress-induced ischemia is
thought to be caused by what phenomena?
Student Answer:
Too many carbonated drinks
Diet and exercise
Endothelial dysfunction of the microvascular (You base your
discussion on your knowledge that stress-induced ischemia is thought to be
caused by endothelial dysfunction of the microvascular.)
Heart muscle dysfunction
7. Question : Narrowed coronary arteries or plague rupture within the arteries of the
coronary system may directly cause which condition?
Student Answer:
Venous Statis
Diabetes
Hypertension
Coronary artery disease (Narrowed coronary arteries, plague rupture,
and sometimes even spasms of the coronary arteries are the three most
common direct causes for the diagnosis of coronary artery disease. )
8. Question : Of the following, which is the best answer when asked for an advantage of
echocardiogram exercise testing over thallium stress testing?
Student Answer:
Results are available more quickly (Echocardiogram exercise test
results are available more quickly.)
Does not depend on operator experience
1. Question : Your patient is morbidly obese and cannot sit on a bicycle or walk a
treadmill. She also has marked and severe emphysema. You need to make
an assessment of the risk of significant CAD and your patient’s family says
that their relative had their diagnosis based on an ultrasound
echocardiography. What facts would influence your decision regarding the
family request for echo assessment?
Student Answer:
Specificity would be increased because of obesity
Sensitivity would be reduced because of obesity and lung
disease (Sensitivity would be reduced because of obesity and lung disease.)
Sensitivity would be increased because of lung disease
Specificity would be reduced because of obesity and lung disease
2. Question : Medicaid is mandated to be provided by each state through federal codes.
Each state must offer Medicaid exactly as the federal government
prescribes. True or false?
Student Answer:
False (Medicaid is mandated to be provided by each state, however,
Mediciad is not required to be delivered by any certain formula. Each state
has autonomy to deliver Mediciad services under its own guidelines,
provided that each state meets the federal guidelines for Medicaid
coverage. )
True
3. Question : By standard criteria, how is a positive stress test defined?
Student Answer:
Development of a horizontal or down sloping ST-segment depression
of 10mm
Development of a horizontal or down sloping ST-segment depression
of 1mm (A positive stress test is defined as the development of a horizontal
or down sloping ST-segment depression of 1mm. )
Upward sloping ST-segment measured at the J point of the QRS
Down sloping of the ST-segment at the J point of the QRS
4. Question : Population disease management is a term used to describe:
Student Answer:
Low prevalence specific diseases
High prevalence specific diseases (Population disease management is a
term used to describe the high prevalence of specific diseases. )
, Low specificity diseases states
High specificity disease states
5. Question : What are two of the most common forms of Exercise Stress Tests used
today?
Student Answer:
Bicycle and treadmill (Bicycle and treadmill are the two most common
forms of exercise stress tests used today. )
Unicycle and Running in pace
Thallium and Dobutamine
Bicycle and rowing machine
6. Question : You are counseling a patient diagnosed with stress-induced ischemia. You
base your discussion on your knowledge that stress-induced ischemia is
thought to be caused by what phenomena?
Student Answer:
Too many carbonated drinks
Diet and exercise
Endothelial dysfunction of the microvascular (You base your
discussion on your knowledge that stress-induced ischemia is thought to be
caused by endothelial dysfunction of the microvascular.)
Heart muscle dysfunction
7. Question : Narrowed coronary arteries or plague rupture within the arteries of the
coronary system may directly cause which condition?
Student Answer:
Venous Statis
Diabetes
Hypertension
Coronary artery disease (Narrowed coronary arteries, plague rupture,
and sometimes even spasms of the coronary arteries are the three most
common direct causes for the diagnosis of coronary artery disease. )
8. Question : Of the following, which is the best answer when asked for an advantage of
echocardiogram exercise testing over thallium stress testing?
Student Answer:
Results are available more quickly (Echocardiogram exercise test
results are available more quickly.)
Does not depend on operator experience
