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KM (Spring 2024) COPY of Physical & Health Assessment (Spring 2023) > Self Assessment Questions for Exam IV (Erickson) Andy's Cards > Flashcards

Self Assessment Questions for Exam IV (Erickson) Andy's Cards Flashcards

1
Q

Which drug class prolongs the life in patients with a history of coronary artery disease?

A. Nitrates
B. Statins
C. CCB
D. Beta Blockers

A

D. Beta Blockers

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2
Q

The MOST significant predictor of stent thrombosis is the discontinuation of:

A. Statins
B. Aspirin
C. P2Y12 inhibitors

A

C. P2Y12 Inhibitors

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3
Q

Which diagnostic data correlates with the presentation of unstable angina? (SELECT 2)

A. 12 lead ECG without ST-segment elevation
B. 12 lead ECG with ST-segment
C. Negative Troponins
D. Positive Troponins

A

A. 12 lead ECF without ST-segment elevation
C. Negative Troponins

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4
Q

A benefit of aortic valve replacement in patients with aortic stenosis is:

A. Decrease CO
B. Decrease SV
C. Increase EF
D. Increase Ventricular Hypertrophy

A

C. Increase EF

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5
Q

A patient presents to pre-op with a history of active chest pain, hypertension, and diabetes mellitus type 2 for the removal of a left-hand cyst. The BEST plan the RRNA can anticipate is:

A. Perform regional block
B. The surgery being canceled
C. Administering nitroglycerin drip
D. Consult endocrinologist

A

B. The surgery being canceled

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6
Q

An anesthetic goal for mitral regurgitation is:

A. Reducing the stroke volume.
B. Increasing the heart rate.
C. Maintaining slightly higher blood pressure.
D. Increasing the regurgitant fraction.

A

B. Increasing the heart rate

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7
Q

The pulmonic valve is auscultated at the:

A. 2nd ICS, RSB.
B. 5th ICS, RSB.
C. 5th ICS, LSB.
D. 2nd ICS, LSB.

A

D. 2nd intercostal space, left sternal border

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8
Q

In mitral stenosis, decreased stroke volume is related to:

A. Decreased right atrial pressure.
B. Pulmonary hypotension.
C. Bradycardia.
D. Atrial fibrillation.

A

D. Atrial Fibrillation

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9
Q

The onset of acute heart failure will include: (SELECT 2)

A. Increased cardiac index.
B. Increased stroke volume.
C. Decreased cardiac output.
D. Decreased blood pressure.

A

C. Decreased cardiac output.
D. Decreased blood pressure.

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10
Q

Which drug class is reserved for patients with tachydysrhythmias with a history of hypertension?

A. ACE inhibitors
B. Beta-blockers
C. Angiotensin receptor blockers
D. Calcium channel blockers

A

B. Beta-blockers

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11
Q

The MOST COMMON physiologic causes of secondary hypertension in children are: (SELECT 2)

A. Obstructive sleep apnea.
B. Coarctation of the aorta.
C. Thyroid dysfunction.
D. Renal parenchymal disease.

A

B. Coarctation of the aorta.
D. Renal parenchymal disease.

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12
Q

Heart failure is MOST OFTEN a result of: (Select 2)
A. Systemic hypertension.
B. Reactive airway disease.
C. Ischemic heart disease.
D. Decreased SNS output.

A

A. Systemic hypertension.
C. Ischemic heart disease.

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13
Q

Isolated diastolic hypertension consists of: (SELECT 2) *
A. Diastolic blood pressure > 80 mm Hg.
B. Systolic blood pressure > 130 mm Hg.
C. Diastolic blood pressure < 80 mm Hg.
D. Systolic blood pressure < 130 mm Hg.

A

A. Diastolic blood pressure > 80 mm Hg.
D. Systolic blood pressure < 130 mm Hg.

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14
Q

In systolic heart failure with low cardiac output, increased cardiac output depends on what physiologic change?

A. Decreased stroke volume
B. Increased systemic vascular resistance
C. Decreased cardiac index
D. Increased heart rate

A

D. Increased heart rate

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15
Q

In which classification of heart failure will a patient have a moderately severe structural cardiovascular disease with limited activity due to clinical symptoms of heart failure?

A. Class A
B. Class B
C. Class C
D. Class D

A

C. Class C

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16
Q

In a pregnancy-induced hypertensive crisis, which medication is considered the first-line?

A. Labetalol
B. Nitroglycerin
C. Sodium nitroprusside
D. Hydralazine

A

A. Labetalol

17
Q

What is the APPROPRIATE time frame aspiration pneumonitis can be seen on CXR?

A. Immediately after
B. 6 hours after
C. 4 hours after
D. 2 hours after

A

B. 6 hours

18
Q

In severe asthma, what arterial blood gas result is expected?

A. PaCO₂ 35 mm Hg on room air.
B. PaCO₂ 25 mm Hg on room air.
C. PaO₂ 45 mm Hg on room air.
D. PaO₂ 45 mm Hg on room air.

A

C. PaO₂ 45 mmHg on room air

19
Q

Which statement is TRUE regarding obstructive sleep apnea?

A. It involves the collapse of the lower airways during sleep.
B. Upper airway collapse occurs due to increased dilating forces.
C. Recurrent upper airway collapse that occurs during sleep.
D. It is sleep-induced lower airway obstruction.

A

C. Recurrent upper airway collapse that occurs during sleep.

20
Q

Benefits of lung volume reduction surgery include: (SELECT 2).

A. increased elastic recoil.

B. improved alveolar gas exchange.

C. increases in the degree of hyperinflation.

D. improved nasopharyngeal airflow.

A

A. increased elastic recoil.
B. improved alveolar gas exchange.

21
Q

Restrictive lung disease is characterized by: (Select 2).

A. increased clearance of lung secretions.

B. increased lung compliance.

C. preservation of expiratory flow rates.

D. a decrease in all lung volumes.

A

C. preservation of expiratory flow rates.
D. a decrease in all lung volumes.

22
Q

What type of substance contributes to the formation of a hydrothorax?

A. Lipids

B. Blood

C. Pus

D. Serous liquid

A

D. Serous liquid

23
Q

In ARDS, which treatment choice is considered controversial?

A. Neuromuscular blockers.

B. Conservative IV fluid administration.

C. β-2 agonists.

D. Corticosteroids.

A

D. Corticosteroids.

24
Q

A patient presents with a softball sized anterior mediastinal mass, what is the MOST APPROPRIATE positioning for induction? (SELECT 2).

A. Avoiding the sniffing position.

B. Sitting upright.

C. Supine with the head of bed flat.

D. Ramping the head of bed.

A

B. Sitting upright.
D. Ramping the head of bed.

25
Q

Select the stimuli that may induce an asthma attack. (SELECT 2).

A. Cardiovascular exercise

B. BMI greater than 35

C. Grocery shopping

D. Aspirin

A

A. Cardiovascular exercise
D. Aspirin

26
Q

What is the BEST time frame for smoking cessation to achieve the maximum benefit?

A. 4 weeks

B. 6 weeks

C. 2 weeks

D. 8 weeks

A

D. 8 weeks

KM (Spring 2024) COPY of Physical & Health Assessment (Spring 2023) (32 decks)

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