solutions 2024/2025
Which assessments of care providers are performed as part of the Value Based
Purchasing initiative? - ANSWER-Appraising costs per case of care for Medicare
patients
Assessing patients' satisfaction with hospital care
Monitoring mortality rates of all patients with pneumonia
The provider learns that a patient is taking herbal supplements for a variety of
reasons. What is an important point to discuss with this patient about taking such
supplements? - ANSWER-Many supplements lack clear clinical evidence of
efficacy
Which dietary supplements have shown some effectiveness in reducing blood
pressure in patients with hypertension? - ANSWER-CoQ10
Garlic extract
L-arginine
A patient reports abdominal and back pain with anorexia and nausea. During an
exam, the provider notes a pulsatile abdominal mass. What is the initial action? -
ANSWER-Ultrasound of the mass to determine size
A 70-year-old male patient has an aortic aneurysm measuring 5.0cm. The patient
has poorly-controlled hypertension, and decompensated heart failure. What is the
recommendation for treatment for this patient? - ANSWER-Serial ultrasongraphic
surveillance of the aneurysm
According to current research, whic are associated with a decreased incidens of
stroke? - ANSWER-> 7 servings of fruits and vegetables per day
Intensive insulin therapy in type 1 diabetes
Medicterranean diet
, During a rountine health maintenance examination, the provider auscultates a
cervical bruit. The patient denies syncope, weakness, or headache. What will the
provider do, based on this finding? - ANSWER-order a carotid duplex ultrasound
Patients who meet the criteria for statin therapy to help prevent atherosclerotic
cardiovascular disease are thos with a history of - ANSWER-a 10 year risk score
of 8% with an LDL of 80mg/dL
a low-density lipoprotein (LDL) level > 190mg/dL
previous myocardial infarction
A patient who has heart failure with reduced ejection fraction will have which
symptoms? - ANSWER-pump failure from left ventricular systolic dysfunction
A patient who has been diagnosed with heart failure for over a year reports being
comfortable while at rest and experiences palpitaitons and dyspnea when walking
tothe bathroom. Which classification of heart failure is appropriate based on
these symptoms? - ANSWER-Class II
A patient who has class II heart failure is taking an ACE inhibitor and reports a
recurrent cough that does not interfere with sleep or activity. What will the
provider do intitaly to manage this patient? - ANSWER-Provide reassurance that
this is a benign side effect
A patient reports persistent nasal blockage, nasal discharge, and facial pain
lasting on the right side for the past 4 months. There is no history of sneezing or
eye involvement. The patient has a history of seasonal allergies ant takes a non-
sedating antihistamine. What does the provider suspect is the cause of these
symptoms? - ANSWER-Chronic rhinosinusitis
A provider determines that a patient has chronic rhiosinusitis without nasal
polyps. What is the first-line treatment for this condition? - ANSWER-Intranasal
corticosteroids
A young adult patient without a previous history of lung disease has an increased
respiratory rate and reports a feeling of "not getting enough air." The provider
auscultates clear breath sounds and notes no signs of increased respiratory
effort. Which diagnostic test will the provider perform initially? - ANSWER-
complete blood count