NSG 6001 MIDTERM EXAM
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
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
