APEA Review
Black Patient With or Without DM - Thiazide diuretic
Calcium channel blocker
Nonblack Patient With or Without DM - Thiazide diuretic
Calcium channel blocker
ACE ARB
heart murmurs are caused by - turbulent blood flow
through the great vessels or across a heart valve occurs
• Stenotic valves don't - Stenotic valves don't OPEN properly
Regurgitant valves don't - Regurgitant valves don't CLOSE properly
If pravastatin is chosen for Mr. Thibodeaux, how would you manage this? Select all that
apply. - Check liver enzymes prior to initiation of statin.
Start him on 40 mg today and recheck lipids/LFTs in 8 weeks.
htn stop - nsaids naproxen
calf pain with walking. What's going on? - blockage in lower vessels
intermittent claudication
peripheral artery disease
ABI <0.9 or >1.3 is highly suggestive of - pad
What interventions should be initiated to help decrease his triglyceride level (323
mg/dL)? Select all that apply. - . Decreased carbohydrate consumption.
Suppose his triglycerides were 550 mg/dL? How would you treat? - fibrates
lifestyle
If Mrs. Boudreaux were to develop heart failure, which medications would be most
beneficial to discontinue? Select all that apply - amlodopine
naproxine
Heart Failure Clinical Signs and Symptoms - Crackles
, APEA Review
S3 and/or S4 • Peripheral edema may be present
AAA screening - -all men 65-75 who have ever smoked
-abdominal US
1 time only
statins - liver involvement
muscle cramps
What is the cutoff value when treatment for hyperlipidemia is recommended? - 7.5 or
higher
What type of murmur can radiate to the left axilla? - Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in
the mitral area of the chest. The location of the mitral area (fifth intercostal space on the
left side of the midclavicular line) is near the left axilla, so that a loud murmur can
radiate to the left axilla. The causes can be congenital or it may a be sequela of
rheumatic fever, mitral valve prolapse, or papillary muscle dysfunction secondary to
acute or prior myocardial infarction.
pulse deficit - difference between the apical and radial pulse rates
radial - apical
The goal for patients aged 60 years or older is blood pressure less than - 150/90
shows a triglyceride level of 950 mg/dL, - Initiate a prescription of fenofibrate (Tricor)
Prophylaxis treatment for endocarditis is no longer recommended for patients with mitral
valve prolapse (MVP). -
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur
grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side
of the midclavicular line. Which of the following identifications is correct? - Mitral
stenosis
Pulsus paradoxus is best described as: - A decrease in systolic blood pressure on
inspiration
digoxin (Lanoxin) for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her
pulse is 64 beats/min - Order a serum thyroid-stimulating hormone (TSH), digoxin level,
and an electrolyte panel
Black Patient With or Without DM - Thiazide diuretic
Calcium channel blocker
Nonblack Patient With or Without DM - Thiazide diuretic
Calcium channel blocker
ACE ARB
heart murmurs are caused by - turbulent blood flow
through the great vessels or across a heart valve occurs
• Stenotic valves don't - Stenotic valves don't OPEN properly
Regurgitant valves don't - Regurgitant valves don't CLOSE properly
If pravastatin is chosen for Mr. Thibodeaux, how would you manage this? Select all that
apply. - Check liver enzymes prior to initiation of statin.
Start him on 40 mg today and recheck lipids/LFTs in 8 weeks.
htn stop - nsaids naproxen
calf pain with walking. What's going on? - blockage in lower vessels
intermittent claudication
peripheral artery disease
ABI <0.9 or >1.3 is highly suggestive of - pad
What interventions should be initiated to help decrease his triglyceride level (323
mg/dL)? Select all that apply. - . Decreased carbohydrate consumption.
Suppose his triglycerides were 550 mg/dL? How would you treat? - fibrates
lifestyle
If Mrs. Boudreaux were to develop heart failure, which medications would be most
beneficial to discontinue? Select all that apply - amlodopine
naproxine
Heart Failure Clinical Signs and Symptoms - Crackles
, APEA Review
S3 and/or S4 • Peripheral edema may be present
AAA screening - -all men 65-75 who have ever smoked
-abdominal US
1 time only
statins - liver involvement
muscle cramps
What is the cutoff value when treatment for hyperlipidemia is recommended? - 7.5 or
higher
What type of murmur can radiate to the left axilla? - Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in
the mitral area of the chest. The location of the mitral area (fifth intercostal space on the
left side of the midclavicular line) is near the left axilla, so that a loud murmur can
radiate to the left axilla. The causes can be congenital or it may a be sequela of
rheumatic fever, mitral valve prolapse, or papillary muscle dysfunction secondary to
acute or prior myocardial infarction.
pulse deficit - difference between the apical and radial pulse rates
radial - apical
The goal for patients aged 60 years or older is blood pressure less than - 150/90
shows a triglyceride level of 950 mg/dL, - Initiate a prescription of fenofibrate (Tricor)
Prophylaxis treatment for endocarditis is no longer recommended for patients with mitral
valve prolapse (MVP). -
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur
grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side
of the midclavicular line. Which of the following identifications is correct? - Mitral
stenosis
Pulsus paradoxus is best described as: - A decrease in systolic blood pressure on
inspiration
digoxin (Lanoxin) for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her
pulse is 64 beats/min - Order a serum thyroid-stimulating hormone (TSH), digoxin level,
and an electrolyte panel
