MSN 622 Week 2 Cardiac Questions And Answers With Verified Tests
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Module
MSN 622
Institution
MSN 622
MSN 622 Week 2 Cardiac Questions And Answers With Verified Tests
A patient with congestive heart failure is started on furosemide. They should also be prescribed which other medication? ANS Lisinopril
What is the recommended management for a patient with a 3.5 cm abdominal aortic aneurysm? ANS...
a patient with congestive heart failure is started
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MSN 622 Week 2 Cardiac Questions And Answers
With Verified Tests
A patient with congestive heart failure is started on furosemide. They should also be prescribed
which other medication? ANS ✅ Lisinopril
What is the recommended management for a patient with a 3.5 cm abdominal aortic aneurysm? ANS
✅ Ultrasound every three years
A 78-year-old is found to have an asymptomatic pulsatile abdominal mass. The ultrasound shows an
abdominal aortic aneurysm measuring 5.5 cm. Which of the following statements concerning this
patient's condition is correct? ANS ✅ Surgery will improve 5-year survival.
A 65-year-old male presents with severe substernal pain for 20 minutes, radiating to the upper left
limb and accompanied by dyspnea. He has a history of hypertension and smokes 30 cigarettes/day.
His blood pressure is 145/90 mmHg and his pulse is 78/min. Physical examination is unremarkable.
The pain settled promptly following 300 mg aspirin orally and 800 mcg glyceryl trinitrate (GTN)
spray sublingually. What is the most common underlying pathological cause for this patient's
symptoms? ANS ✅ Coronary artery atherosclerosis
A 17-year-old male presents for a sports physical. He has been healthy up to this point. His blood
pressure is 145/95 mmHg bilaterally on three separate occasions. Lower extremity blood pressure is
also elevated. The patient's father, uncle, and grandfather all have hypertension, and his father and
grandfather have chronic kidney disease as well. Based on this information, the clinician ordered an
echocardiogram and abdominal ultrasound. The echocardiogram was unremarkable. What is the most
likely reason for ordering an abdominal ultrasound? ANS ✅ Polycystic kidneys
A 65-year-old man presents with episodic substernal pain. Initially, he experienced chest pain with
physical activity, which remits with rest. But now it occurs at rest too. He has a history of
hypertension and smokes 30 cigarettes/day. In addition, he has aspirin hypersensitivity. His blood
pressure is 145/90 mmHg, pulse is 78/min, and oxygen saturation is 97%. Physical examination is
unremarkable. ECG reveals mild ST-segment depressions in V1-V2. Cardiac troponins are not
elevated. Which of the following is the best option for the management in this patient? ANS ✅
Clopidogrel
A 65-year-old female patient presents with worsening chest pain and blurring of vision. She has a
history of hypertension, diabetes mellitus, hyperlipidemia, renal insufficiency, and atrial fibrillation.
, Vital signs show temperature 37.8°C (100 F), heart rate 98 bpm, blood pressure 190/110 mmHg,
respiratory rate 20 breaths/min, and oxygen saturation 91%. Her complete blood count shows a WBC
of 12.0 and hematocrit 30%. Her eGFR is 39 ml/min/1.73 m2. What is the contraindication for
cardiac catheterization in this patient? ANS ✅ Uncontrolled malignant hypertension
A 65-year-old male presents to the emergency department with chest pain for the past two hours. The
pain is located at the precordial region, described as sharp, 7/10 intensity, lasting for 20 minutes,
radiating to the upper left upper limb and accompanied by dyspnea. His past medical history is
significant for hypertension and diabetes mellitus type 2. His blood pressure is 120/80 mmHg, the
pulse rate 72/min; the temperature 98 F. EKG reveals ST-segment depression. What is the best
enzyme assay to diagnose this condition? ANS ✅ Troponin
A 65-year-old male with a history of type 2 diabetes comes into the provider's office complaining of
blurry vision, nosebleeds, and exertional chest pain for the past six months. The blood pressure is
measured to be 160/94 mmHg. A CT angiogram is performed, which reveals partially occlusive
coronary artery plaques. Which of the following medication regimens would be most appropriate for
this patient? ANS ✅ Losartan/hydrochlorothiazide and atorvastatin
A 75-year-old man presents to the emergency department with complaints of severe abdominal pain
and sweating. The pain started about an hour ago and is becoming worse with time. He has been
diagnosed with hypertension and diabetes and is on amlodipine and metformin, respectively. On
presentation, the vital signs show blood pressure 70/40 mmHg, pulse 140/min, respiratory rate
32/min, temperature 38.5 C (101.3 F), and oxygen saturation 87% at room air. On physical
examination of the abdomen, generalized tenderness and guarding are seen. There is a midline
pulsatile mass. What is the next best step in the management of this patient? ANS ✅ Immediate
surgery
A 67-year-old man with a history of hypertension and tobacco use presents with a two-day history of
hypogastric pain. An examination reveals a 5 cm, non-tender, pulsatile abdominal mass above the
umbilicus. Which of the following type of sounds might be heard upon auscultation at the midline,
two inches cephalad to the umbilicus? ANS ✅ Blowing
A 47-year-old male presents to the office for routine health maintenance. His blood pressure is
182/138, with all other vital signs within normal limits. The patient is currently complaining of a
headache and blurred vision but denies chest pain, shortness of breath, and abdominal pain. Under
which of the following forms of hypertension would this patient be classified? ANS ✅ Hypertensive
emergency
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