The major impact of the physiological changes that occur with aging is:
a. impaired immunological response
b. reduced physiological reserve
c. reduced homeostatic mechanisms
d. all options are correct - answerd. all options are correct
A 65-year old caucasian female presented to your clinic with the following history and
symptoms: mitral valve stenosis, physical exam unremarkable. The NP knows this
patients stage of heart failure is:
a. Stage D
b. Stage C
c. Stage B
d. Stage A - answerc. Stage B
According to the 2017 American College of Cardiology (ACC) hypertension guidelines,
a normal blood pressure is:
a. <120/80
b. <130/90
c. <140/80
d. <140/90 - answera. <120/80
The aging process causes what normal physiological changes in the heart?
a. hypertrophy of the right ventricle
b. dilatation of the right ventricle occurs with sclerosis of pulmonic and tricuspid valves
c. cardiology occurs along with prolapse of the mitral valve and regurgitation.
d. the heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis -
answerd. the heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
All of the following statements are true about laboratory values in older adults except:
a. reference values are not necessarily acceptable values
b. abnormal findings are often due to physiological aging
c. Reference rages are preferable - answerb. abnormal findings are often due to
physiological aging
The best recommendation for a patient who states they have no equipment to exercise
would be:
a. improvise with recommended objects at home
b. have a personal trainer come to the home three times a week
c. borrow free weights from friends or family
, d. sign a contract for a years membership to a local gym - answera. improvise with
recommended objects at home
The organism most commonly responsible for community aquired pneumonia in older
adults is:
a. streptococcus pneumonia
b. staphylococcus aureus
c. pseudomonas aeruginoa
d. proteus mirabilis - answera. streptococcus pneumonia
JM presents to the office today with CP. He is asymptomatic, his ekg is normal, and his
exam is normal. According to the ACC/AHA guidelines, the provider should classify JM's
HF as:
a. stage B
b. stage D
c. Stage C
d. Stage A - answerd. Stage A
According to the 2017 American College of Cardiology (ACC) hypertension guidelines
the recommended blood pressure goal for a 65-year old African American woman with a
history of HTN and Diabetes and no history of chronic kidney disease is:
a. <120/80
b. <140/80
c. 140/90
d. <130/80 - answerd. <130/80
What is the most common valvular heart disease in the older adult
a. aortic stenosis
b. mitral stenosis
c. mitral regurgitation
d. aortic regurgitation - answera. aortic stenosis
A 60-year old woman with a 30-pack year history, presents to your primary care practice
for evaluation of a persistent, daily cough with increased sputum production, worse in
the morning, occurring over the past three months. She tells you, I have the same thing,
year after year. which of the following choices would you consider strongly in your
critical thinking process
a. seasonal allergies
b. acute bronchitis
c. bronchial asthma
d. cant see the answer - answerd. cant see the answer
MJ presents to the clinic with the following history and presentation: history of structural
damage with current signs and symptoms of heart failure. Treatment will be based on
MJ's stage of heart failure which is:
a. Stage A