NR 601 Midterm health care

The percentage of the FVC expired in one second is - FEV1/FVC ratio The aging process causes what normal physiological changes in the heart - The heart valve thickens and becomes rigid, secondary to fibrosis and sclero ...

The percentage of the FVC expired in one second is - FEV1/FVC ratio The aging process causes what normal physiological changes in the heart - The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? - Lisinopril MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of HF which is - Stage C 65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage of HF is - Stage B The best way to diagnose structural heart disease/dysfunction noninvasively is - Echocardiogram Chronic pain can have major impact on patients ability to function and have profound impact on overall QOL. Ongoing pain may be linked to - Depression, sleep disturbance, decreased socialization The Beers criteria are appropriate for use in evaluating use of certain meds in patients - >65 y/o All of the following statements are true about lab values in older adults except - Abnormal findings are often due to physiological aging According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American woman with a h/o HTN and DM and no h/o CKD is - <140/80 THe pathophysiology of HF is due to - Inadequate cardiac output to meet the metabolic and O2 demands of the body The volume of air a patient to exhale for total duration of the test during maximal effort is - FVC According it the 2017 ACC HTN guidelines, normal BP is - <120/80 Functional abilities are best assessed by - Observed assessment of function LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of target organ damage. During your eval you will assess for evidence of - Left ventricular hypertrophy Aortic regurgitation requires medical treatment for early signs of HF with - ACEi The volume of air in the lungs at max inflation is - TLC (total lung capacity) Preferred amount of exercise for older adults is - 30min/day of aerobic exercise 5 days a week You know the following statements regarding th pain of acute coronary syndrome are true except - Present atypically more often in men than women Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate >100. Patient also has a new tremor in both hands. Which of the following would you suspect - Hyperthyroidism Which patient is more likely to have osteoporosis - 80 y/o. Underweight male who smokes and has been on steroids for psoriasis Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action info statement would indicate she understood your instructions regarding this med? - Take med with full glass of water when up in the AM 30 min before other food and meds 60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him about his modifiable cardiac risk factors which include - DM, obesity, hyperlipidemia OA of cervical and lumbar spine causes pain related to all of the following except - Crystal deposition In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable diagnostic study would be - Synovial fluid analysis Patients with OA of the hip and knee often have a distinguishable gait described as - Antalgic Which of the following best describes pain associated with OA - Begins upon arising and after prolonged weight bearing and or use of the joint Joint effusions typically occurs later in the course of OA, especially in the - Knee