APEA Cardiac Exam Questions with Correct Answers (2)

APEA Cardiac Exam Questions with Correct Answers (2) A common side effect of thiazide diuretics is: - Answer-erectile dysfunction Mrs. Brandy is having contrast dye nest week for a heart catheterization. What drug does NOT need to be stopped prior to her catheterization? - Answer-Losartan Pharmacologic treatment for children who have hypertension should be initiated for: - Answer-Diabetics with hypertension A 75-year-old patient with longstanding hypertension takes an ACE inhibitor and a thiazide daily. He has developed dyspnea on exertion and peripheral edema over the past several days. This probably indicates: - Answer-Development of heart failure Which class of medication is frequently used to improve long-term outcomes in patients with systolic dysfunction - Answer-ACE inhibitors The usual clinical course of mitral valve prolapse - Answer-is benign A characteristic of an ACE inhibitor induced cough is that it: - Answer-usually begins within 2 weeks of starting therapy Warfarin treatment is greatly influenced by a patient's food and medication intake. Which group listed can potentially decrease INR in an outpatient who takes warfarin - Answer-Sucralfate and cholestyramine A 77-year-old patient has had an increase in blood pressure since the last exam. THe blood pressure readings are provided. If medication is to be started on this patient, what would be a good first choice: BP: 144/90 to 168/88 - Answer-Calcium channel blocker The carotid arteries are auscultated for bruits because: - Answer-this is indicative of generalized atherosclerosis A decrease in blood pressure can occur in men who take sildenafil (Viagra) and: - Answer-any antihypertensive medication A 74-year-old who retired as a store clerk last year would like to start an exercise program. She tells the nurse practitioner that she would like to start walking 15-20 min daily. Which statement is correct regarding the patient - Answer-She does not need any testing because she is asymptomatic Which medication listed below could potentially exacerbate heart failure in a susceptible patient - Answer-Metoprolol Mr. Brown a 45-year old African American male has the following lab values. What should the NP do next: LDL 180 HDL 37 Cholesterol 250 Triglycerides 140 - Answer-A thyroid stimulating hormone (TSH) level According to the national heart, lung and blood institute, which characteristic listed below is a coronary heard disease risk equivalent; that is, which risk factor places the patient at a CHD risk similar to a history of CHD - Answer-Diabetes mellitus An otherwise healthy two-year-old presents with a heart rate that varies with inspiration and expiration. Which statement is true - Answer-This is a normal exam A medication that may produce exercise intolerance in a patient who has hypertension is: - Answer-metoprolol Three of the following medications warrant monitoring of potassium levels. Which one does NOT - Answer-Amlodipine A patient will be screened for hyperlipidemia via a serum specimen. He should be told: - Answer-to fast for 12-14 hours A patient is taking an angiotensin receptor blocker (ARB) should avoid - Answer- potassium supplements Many factors can contribute to the risk of congenital heart disease. Which maternal disease carries a higher risk of TGA, VSD, and hypertrophic cardiomyopathy - Answer- diabetes