Exam (elaborations)
NSG6020 Week 4 Quiz – Q’s And A’s (100% Correct)
NSG6020 Week 4 Quiz – Q’s And A’s (100% Correct)
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NSG6020 Week 4 Quiz – Q’s And A’s (100% Correct)Which of the following is the most important question to ask during
cardiovascular health history Correct Ans - sudden death of a
family member
A key symptom of ischemic heart disease is chest pain. However, angina
equivalents may include exertional dyspnea. Angina equivalenstare
important because Correct Ans - A and B (Women with ischemic
heart disease/some patients may have no symptoms)
A 55 year old post menopausal woman with a history of hypertension
complains of jaw pain on heavy exertion. There were no complaints of
chest pain. Her ECG indicates normal sinus rhythm without ST segment
abnormalities. Your plan may include Correct Ans - exercise test
Jenny is a 24 year old graduate student that presents to the clinic today
with complaints of fever, mid sternal chest pain and generalized fatigue for
the past two days. She denies any cough or sputum production. She states
that when she takes ibuprofen and rest that the chest pain does seem to
ease off. Upon examination the patient presents looking very ill. She is
leaning forward and states that this is the most comfortable position for
her. Temp is 102, BP 100/70, heart rate is 120/min and regular. Upon
auscultation a friction rub is audible. Her lungs sounds clear. With these
presenting symptoms your initial diagnosis would be Correct Ans -
pericarditis
which symptom is more characteristic of non-cardiac chest pain
Correct Ans - pain tends to occur with movement stretching or
palpation
what is the most common valvular heart disease in the older adult
Correct Ans - aortic stenosis
1. Jeff, 48 years old, presents to the clinic complaining of fleeting chest
pain, fatigue, palpitations, lightheadedness, and shortness of breath. The
pain comes and goes and is not associated with activity or exertion. Food
does not exacerbate or relieve the pain. The pain is usually located under
the left nipple. Jeff is concerned because his father has cardiac disease and
, underwent a CABG at age 65. The ANP examines Jeff and hears a mid-
systolic click at the 4th ICS mid-clavicular area. The ANP knows that this is
a hallmark sign of: Correct Ans - mitral valve prolapse
The aging process causes what normal physiological changes in the heart?
Correct Ans - the heart valve thickens and becomes rigid, secondary to
fibrosis and sclerosis
Dan G., a 65-year-old man, presents to your primary care office for the
evaluation of chest pain and left-sided shoulder pain. Pain begins after
strenuous activity, including walking. Pain is characterized as dull, aching;
8/10 during activity, otherwise 0/10. Began a few months ago,
intermittent, aggravated by exercise, and relieved by rest. Has occasional
nausea. Pain is retrosternal, radiating to left shoulder, definitely affects
quality of life by limiting activity. Pain is worse today; did not go away after
he stopped walking. BP 120/80. Pulse 72 and regular. Normal heart sounds,
S1 and S2, no murmurs. Which of the following differential diagnoses
would be most likely Correct Ans - Coronary artery disease with
angina pectoris
a common auscultatory finding in advanced CHF is Correct Ans - S3
gallop rhythm
Your 35-year-old female patient complains of feeling palpitations on
occasion. The clinician should recognize that palpitations are often a sign
of Correct Ans - all of the above
The best way to diagnose structural heart disease/dysfunction non-
invasively is Correct Ans - echocardiogram
During auscultation of the chest, your exam reveals a loud grating sound at
the lower anterolateral lung fields, at full inspiration and early expiration.
This finding is consistent with: Correct Ans - A and B
(pneumonia/pleuritis)
A 75-year-old patient complains of pain and paresthesias in the right foot
that worsens with exercise and is relieved by rest. On physical examination
you note pallor of the right foot, capillary refill of 4 seconds in the right
foot, +1 dorsalis pedis pulse in the right foot, and +2 pulse in left foot.
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