GUIDELINES IN PRIMARY CARE, 4TH EDITION
r r r r r
AmelierHollier
,ClinicalrGuidelinesrinrPrimaryrCarer4thrEditionrHollierrTestrBank
TablerofrContents
Chapterr1:rCardiovascularrDisorders
Chapterr2:rDermatologicrDisorders
Chapterr3:rEarrNoser&rThroatrDisorders
Chapterr4:rEndocrinerDisorders
Chapterr5:rGastrointestinalrDisorders
Chapterr6:rGeneticrDisorders
Chapterr7:rHealthrPromotionr-rPediatric
Chapterr8:rHematologicrDisorders
Chapterr9:rLactationrandrBreastfeeding
Chapterr10:rMen’srHealthrDisorders
Chapterr11:rNeurologicrDisorders
Chapterr12:rOphthalmicrDisorders
Chapterr13:rOrthopedicrDisorders
Chapterr14:rPregnancy
Chapterr15:rPsychiatricrDisorders,rViolence,rAbuse,rNeglect
Chapterr16:rPulmonaryrDisorders
Chapterr17:rSexuallyrTransmittedrDiseases
Chapterr18:rUrologicrDisorders
Chapterr19:rWomen’srHealthrDisorders
,Chapterr1:rCardiovascularrDisorders
ClinicalrGuidelinesrinrPrimaryrCarer4thrEditionrTestrbank
MULTIPLErCHOICE
1. Thernurserisrawarerthatrthermusclerlayerrofrtherheart,rwhichrisrresponsiblerforrtherheartsrcont
raction,risrthe:
a. endocardium.
b. pericardium.
c. mediastinum.
d. myocardium.
ANS:rD
Thermyocardiumrisrtherspecializedrmusclerlayerrthatrallowsrtherheartrtorcontract.
2. Thernurserclarifiesr thatrthermasterrpacemakerrofrtherheartrisr the:
a. leftrventricle.
b. atrioventricularr(AV)rnode.
c. sinoatrialr(SA)rnode.
d. bundlerofrHis.
ANS:rC
TherSArnoderisrthermasterrpacemakerrofrtherheart.
3. Thernurserisrawarerthatrthersymptomsrofranrimpendingrmyocardialrinfarctionr(MI)rdifferrinrwom
enrbecauseracuterchestrpainrisr notrpresent.rWomenrarerfrequentlyrmisdiagnosedrasrhaving:
a. hepatitisrA.
b. indigestion.
c. urinaryrinfection.
d. menopausalrcomplications.
, ANS:rB
Indigestion,rgallbladderrattack,ranxietyrattack,randrdepressionrarerfrequentrmisdiagnosesrforrwome
nrhavingranrMI.
4. ThernurseridentifiesrtherLUBBrsoundrofrtherLUBB/DUBBrofrthercardiacrcyclerasrthersoundrofrthe:
a. AVrvalvesrclosing.
b. closurerofrthersemilunarrvalves.
c. contractionrofrtherpapillaryrmuscles.
d. contractionrofrtherventricles.
ANS:rA
TherLUBBrisrtherfirstrsoundrofrarlowrpitchrheardrwhenrtherAVrvalvesrclose.
5. Arpatientrisradmittedrfromrtheremergencyrdepartment.rTheremergencyrdepartmentrphysicianrno
tesrtherpatientrhasrardiagnosisrofrheartrfailurerwithrarNewrYorkrHeartrAssociationr(NYHA)rclassif
icationrofrIV.rThisrindicatesrtherpatientsrconditionras:
a. moderaterheartrfailure.
b. severerheartrfailure.
c. congestiverheartrfailure.
d. negligiblerheartrfailure.
ANS:rB
ClassrIV:rSevere;rpatientrunablertorperformranyrphysicalractivityrwithoutrdiscomfort.rAnginarorrsy
mptomsrofrcardiacrinefficiencyrmayrdevelopratrrest.
6. Thernurserassessesrthatrtherhomerhealthrpatientrhasrnorsignsrorrsymptomsrofrheartrfailure,rbutrdoes
haverarhistoryrofrrheumaticrfeverrandrhasrbeenrrecentlyrdiagnosedrwithrdiabetesrmellitus.rThernurs
r
erisrawarerthatrusingrtherAmericanrCollegerofrCardiologyrandrtherAmericanrHeartrAssociationr(A
CC/AHA)rstaging,rthisrpatientrwouldrbera:
a. stagerA.
b. stagerB.
c. stagerC.
d. stagerD.
ANS:rA
TherACC/AHArstagingrdescribesrstagerArasrarpersonrwithoutrsymptomsrofrheartrfailure,rbutrwithrpri
maryrconditionsrassociatedrwithrtherdevelopmentrofrtherdisease.