additional midterm information
1. The percentage of the FVC expired in one second is:
2. The aging process causes what normal physiological changes in the heart?
3. A 55yo Caucasian male follows up after refer
...
additional midterm information
1. The percentage of the FVC expired in one second is:
2. The aging process causes what normal physiological changes in the heart?
3. A 55yo 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?
4. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, smokes 1/2 PPD, BMI is 30. No other previous medical dx, no current complaints. According to the AHA/ACC guidelines, JM is stage A HF. Treatment goals for him include:
5. MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of HF, which is:
6. 65yo Caucasian female presents with mitral valve stenosis, physical exam unremarkable. You know her stage of HF is:
7. DG, 65yo man, presents for eval of CP and L-sided shoulder pain, beginning after strenuous activity, including walking. Pain is dull, aching, 8/10 during activity, otherwise 0/10. Began few mo ago, intermittent, aggravated by exercise, relieved by rest. Occasional nausea. Pain is retrosternal, radiating to L shoulder, affects QOL by limiting activity. Pain is worse today, did not go away after stopped walking. BP 120/80, HR 72 and regular. Normal heart sounds, no murmur, S1, S2. Which differential dx would be most likely?
8. The best way to dx structural heart dz/dysfunction non-invasively is:
9. Chronic pain can have major impact on pt's ability to function and have profound impact on overall QOL. Ongoing pain may be linked to:
10. The Beers criteria are appropriate for use in evaluating use of certain meds in pts:
11. Pt presents with c/o increasing SOB, cough w/occasional white sputum, fatigue. As part of the plan you order labs. You know the likelihood of HF is low if the BNP is:
12. All of the following statements are true about lab values in older adults except:
13. According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65yo African American woman w/a h/o HTN and DM and no h/o CKD is:
14. The pathophysiology of HF is due to:
15. A 60yo woman w/30 pack yr hx, presents for eval of persistent, daily cough w/increased sputum, worse in the AM, occurring over past 3 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?
16. JM is a 68yo man who presents for a physical. He has T2DM x5yrs, diet controlled. His BMI is 32. He has HTN, smoker (10 cigs/day x20yrs). He denies other medical problems. Fam hx includes CAD, CABG x4 for dad, now deceased; CHF, T2DM, HTN for mom. He is asymptomatic today, exam is normal, EKG NSR. According to AHA/ACC guidelines, JM is at risk for what stage of HF?
The volume of air a pt is able to exhale for total duration of the test during maximal effort is:
17. According to the 2017 ACC HTN guidelines, normal BP is:
18. Functional abilities are best assessed by:
19. LB is a 77yo pt w/chronic poorly controlled HTN. You know that goals include prevention of target organ damage. During your eval you will assess for evidence of:
20. Aortic regurgitation requires medical treatment for early signs of HF with:
21. The volume of air in the lungs at max inflation is:
22. Preferred amount of exercise for older adults is:
23. The total volume of air a pt is able to exhale in the first second during max effort is:
24. You know the following statements regarding the pain of acute coronary syndrome are true except:
25. Elderly pt presents w/new onset of feeling heart race, fatigue. EKG reveals afib w/rate >100. Pt also has a new tremor in both hands. Which of the following would you suspect?
26. 62yo female c/o fatigue, lack of energy. Constipation increased, pt gained 10lbs in past 3mo. Depression is denied although pt reports lack of interest in usual hobbies. VS are WNL, skin is dry/cool. Which of the following must be included in the DD?
27. Mrs. Black, 87yo, has been taking 100mcg Synthroid x10yrs. She comes for routine follow-up, feeling well. HR is 90. Your first response is to:
28. Which pt is most likely to have osteoporosis?
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