Question 1 (1.25 points)
A 68-year-old woman with hypertension and diabetes is seen by the
nurse practitioner for a dry cough that worsens at nightwhen she lies
in bed. She has shortness of breath, which worsens when she exerts
herself. The patient’s pulse rate is 90/min and regular. The patient has
gained 6 lbs over the pasttwo months. She is on a nitroglycerine patch
and furosemide daily. The explanation for her symptoms is:
Question 1 options:
a) Kidney failure
b) Congestive heart failure
c) Angiotensin-converting enzyme (ACE) inhibitor induced coughing
d) Thyroid disease
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Question 2 (1.25 points)
How should you determine whether a murmur is systolic or
diastolic?
Question 2 options:
a) Palpate the carotid pulse.
, b) Palpate the radial pulse.
c) Judge the relative length of systole and diastole by auscultation.
d) Correlate the murmur with a bedside heart monitor.
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Question 3 (1.25 points)
You are participating in a health fair and performing cholesterol
screens. One person has a cholesterol level of 225.She is concerned
about her risk for developing heart disease. Which of the following
factors is used to estimate the 10-year risk of developing coronary
heart disease?
Question 3 options:
a) Ethnicity
b) Alcohol intake
c) Gender
d) Asthma
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Question 4 (1.25 points)
When listening to a soft murmur or bruit, which of thefollowing
may be necessary?