APEA Review Exam|130 Questions
with Complete Solutions
Black Patient With or Without DM - -Thiazide diuretic
Calcium channel blocker
-Nonblack Patient With or Without DM - -Thiazide diuretic
Calcium channel blocker
ACE ARB
-heart murmurs are caused by - -turbulent blood flow
through the great vessels or across a heart valve occurs
-• Stenotic valves don't - -Stenotic valves don't OPEN properly
-Regurgitant valves don't - -Regurgitant valves don't CLOSE properly
-If pravastatin is chosen for Mr. Thibodeaux, how would you manage this?
Select all that apply. - -Check liver enzymes prior to initiation of statin.
Start him on 40 mg today and recheck lipids/LFTs in 8 weeks.
-htn stop - -nsaids naproxen
-calf pain with walking. What's going on? - -blockage in lower vessels
intermittent claudication
peripheral artery disease
-ABI <0.9 or >1.3 is highly suggestive of - -pad
-What interventions should be initiated to help decrease his triglyceride
level (323 mg/dL)? Select all that apply. - -. Decreased carbohydrate
consumption.
-Suppose his triglycerides were 550 mg/dL? How would you treat? - -fibrates
lifestyle
, -If Mrs. Boudreaux were to develop heart failure, which medications would
be most beneficial to discontinue? Select all that apply - -amlodopine
naproxine
-Heart Failure Clinical Signs and Symptoms - -Crackles
S3 and/or S4 • Peripheral edema may be present
-AAA screening - --all men 65-75 who have ever smoked
-abdominal US
1 time only
-statins - -liver involvement
muscle cramps
-What is the cutoff value when treatment for hyperlipidemia is
recommended? - -7.5 or higher
-What type of murmur can radiate to the left axilla? - -Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is
located in the mitral area of the chest. The location of the mitral area (fifth
intercostal space on the left side of the midclavicular line) is near the left
axilla, so that a loud murmur can radiate to the left axilla. The causes can be
congenital or it may a be sequela of rheumatic fever, mitral valve prolapse,
or papillary muscle dysfunction secondary to acute or prior myocardial
infarction.
-pulse deficit - -difference between the apical and radial pulse rates
radial - apical
-The goal for patients aged 60 years or older is blood pressure less than - -
150/90
-shows a triglyceride level of 950 mg/dL, - -Initiate a prescription of
fenofibrate (Tricor)
-Prophylaxis treatment for endocarditis is no longer recommended for
patients with mitral valve prolapse (MVP). - -
-During a routine physical exam of a 90-year-old woman, a low-pitched
diastolic murmur grade 2/6 is auscultated. It is located on the fifth intercostal
with Complete Solutions
Black Patient With or Without DM - -Thiazide diuretic
Calcium channel blocker
-Nonblack Patient With or Without DM - -Thiazide diuretic
Calcium channel blocker
ACE ARB
-heart murmurs are caused by - -turbulent blood flow
through the great vessels or across a heart valve occurs
-• Stenotic valves don't - -Stenotic valves don't OPEN properly
-Regurgitant valves don't - -Regurgitant valves don't CLOSE properly
-If pravastatin is chosen for Mr. Thibodeaux, how would you manage this?
Select all that apply. - -Check liver enzymes prior to initiation of statin.
Start him on 40 mg today and recheck lipids/LFTs in 8 weeks.
-htn stop - -nsaids naproxen
-calf pain with walking. What's going on? - -blockage in lower vessels
intermittent claudication
peripheral artery disease
-ABI <0.9 or >1.3 is highly suggestive of - -pad
-What interventions should be initiated to help decrease his triglyceride
level (323 mg/dL)? Select all that apply. - -. Decreased carbohydrate
consumption.
-Suppose his triglycerides were 550 mg/dL? How would you treat? - -fibrates
lifestyle
, -If Mrs. Boudreaux were to develop heart failure, which medications would
be most beneficial to discontinue? Select all that apply - -amlodopine
naproxine
-Heart Failure Clinical Signs and Symptoms - -Crackles
S3 and/or S4 • Peripheral edema may be present
-AAA screening - --all men 65-75 who have ever smoked
-abdominal US
1 time only
-statins - -liver involvement
muscle cramps
-What is the cutoff value when treatment for hyperlipidemia is
recommended? - -7.5 or higher
-What type of murmur can radiate to the left axilla? - -Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is
located in the mitral area of the chest. The location of the mitral area (fifth
intercostal space on the left side of the midclavicular line) is near the left
axilla, so that a loud murmur can radiate to the left axilla. The causes can be
congenital or it may a be sequela of rheumatic fever, mitral valve prolapse,
or papillary muscle dysfunction secondary to acute or prior myocardial
infarction.
-pulse deficit - -difference between the apical and radial pulse rates
radial - apical
-The goal for patients aged 60 years or older is blood pressure less than - -
150/90
-shows a triglyceride level of 950 mg/dL, - -Initiate a prescription of
fenofibrate (Tricor)
-Prophylaxis treatment for endocarditis is no longer recommended for
patients with mitral valve prolapse (MVP). - -
-During a routine physical exam of a 90-year-old woman, a low-pitched
diastolic murmur grade 2/6 is auscultated. It is located on the fifth intercostal
