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Acute and Episodic Exam 1 Questions with Detailed
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Quiz: A health care provider in a clinic finds a patient in a room,
unresponsive and pale. Which sign should be used to identify the need
to initiate cardiopulmonary resuscitation (CPR)?
Evaluation of peripheral perfusion and level of consciousness
Obtaining a history of previous myocardial infarction
Determination of pulselessness or bradycardia
Assessment of gasping breaths or not breathing
Ans: Assessment of gasping breaths or not breathing
Quiz: An African-American patient who is being treated with a thiazide
diuretic for chronic hypertension reports blurred vision and shortness of
breath. The provider notes a blood pressure of 185/115. What is the
recommended action for this patient?
Increase the dose of the thiazide medication
Add a beta blocker to the patient's regimen
Admit to the hospital for evaluation and treatment
Prescribe a calcium channel blocker
18:36:59
,Ans: Admit to the hospital for evaluation and treatment
Quiz: A patient reports sustained, irregular heart palpitations. What is
the most likely cause of these symptoms?
Atrial fibrillation
Anemia
Extrasystole
Paroxysmal attacks
Ans: Atrial fibrillation
Quiz: A patient has a cardiac murmur that peaks in midsystole and is
best heard along the left sternal border. The provider determines that
the murmur decreases in intensity when the patient changes from
standing to squatting and increases in intensity with the Valsalva
maneuver. Which cause will the provider suspect for this murmur?
Aortic stenosis
Tricuspid regurgitation
Hypertrophic cardiomyopathy
Mitral valve prolapse
Ans: Hypertrophic cardiomyopathy
Quiz: A patient is brought to an emergency department with symptoms
of acute ST-segment elevation MI (STEMI). The nearest hospital that can
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,perform percutaneous coronary intervention (PCI) is 3 hours away.
What is the initial treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment
Ans: Initiate fibrinolytic treatment
Quiz: Patients who meet the criteria for statin therapy to help prevent
atherosclerotic cardiovascular disease are those with a history of
(Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL.
Ans: previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
Quiz: A 75-year-old patient reports pain and a feeling of tiredness in
both legs that only relieves after sitting for 30 minutes or more. What the
does provider suspect as the cause for these symptoms?
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, Buerger's disease
Cauda equina syndrome
Diabetic neuropathy
Peripheral arterial disease
Ans: Cauda equina syndrome
Quiz: Which are causes of secondary hypertension? (Select all that
apply.)
Oral contraceptives
Isometic excercises
NSAIDS
Sleep apnea
Increased salt intake
Ans: Oral contraceptives
NSAIDS
Sleep apnea
Quiz: A young female patient has known mitral valve prolapse. During
a routine health maintenance exam, the provider notes an apical
systolic murmur and a midsystolic click on auscultation. The patient
denies chest pain, syncope, or palpitations. What will the provider do?
Reassure the patient that these findings are expected
Continue to monitor the patient every 3 years
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