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Exam (elaborations)

3P APEA EXAM || A+ GRADED

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Difference between varicose vein and arteriosclerosis correct answers Is the affected vessel Arteriosclerosis affects arteries whereas varicose veins affects veins A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely position of his point of maximal impu...

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  • August 22, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Apea
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3P APEA EXAM || A+ GRADED
Difference between varicose vein and arteriosclerosis correct answers Is the affected vessel
Arteriosclerosis affects arteries whereas varicose veins affects veins

A patient has poorly controlled hypertension for more than 10 years. Indicate the most likely
position of his point of maximal impulse (PMI) correct answers 5th ICS, left of MCL

A 43 year old Hispanic male has an audible diastolic murmur best heard in the mitral
listening point. There is no audible click. His status has been monitored for the past two
years. This murmur is probably correct answers mitral stenosis

A patient who has diabetes presents with pain in his lower legs when he walks and pain
resolution with rest. When specifically asked about his pain in his lower leg, he likely will
report pain correct answers in the calf muscle

A patient with hypertension describes a previous allergic reaction to a sulfa antibiotic as
"sloughing of skin" and hospitalization. Which medication is contraindicated in this patient?
correct answers hydrochlorothiazide

A 75 year old patient who has aortic stenosis wants to know what symptoms indicate
worsening of his stenosis. the NP replies: correct answers shortness of breath and syncope

A 74 year old patient has PAD. Which item listed below is an important nonmodifiable risk
factor for PAD? correct answers diabetes

Benazepril should be d/c immediately if correct answers pregnancy occurs

aortic regurgitation characteristics correct answers long asymptomatic period follow by
exercise intolerance, then dyspnea at rest

DVT classic symptoms correct answers swelling, pain, and discoloration of lower extremity

Characteristic of ACE-induced cough is that? correct answers usually begins two weeks of
starting therapy

Valve most commonly involved in chronic rheumatic heart disease correct answers mitral

Medication that can exacerbate HF correct answers naproxen

Patient taking ACE inhibitors should avoid? correct answers potassium supplements

Grade 3 murmur indication for a referral correct answers a fixed split

Group of meds used to treat HF correct answers fosinopril, HCTZ, verapamil

Mr. Smith is a 72-year-old patient who takes warfarin for chronic A-fib. INR today is 4.0. the
NP should: correct answers stop the warfarin today and repeat INR tomorrow

, According to the NHLBI, which characteristic is a coronary heart disease risk equivalent, that
is, which risk factor places the pt. as a CHD risk similar to a hx of CHD correct answers
diabetes mellitus

good drug to reduce morbidity and mortality in mild HF correct answers metoprolol

A pt. taking atorvastatin newly diagnosed with dyslipidemia complaints of fatigue, weakness,
and muscle aches in his lower back, arms, legs for the past 3 days. it is not improved with rest
How should this be evaluated? correct answers Stop the atorvastatin immediately

symptom not indicative of HF correct answers headache

What class of meds is preferred to normalized lipid levels and reduce risk of cardiac events
correct answers HMG CoA reductase inhibitors

Highest sensitivity in diagnosing HF correct answers BNP

The NP is caring for a 74-year-old who had an acute coronary syndrome 6 weeks ago. What
medications should be part of his regimen unless contraindicated correct answers ACE, ASA,
beta blockers, and statin

patient with the highest systolic B/P correct answers 75-year-old male

test that is most cost effective to screen for abdominal aortic aneurysm correct answers
abdominal ultrasound

a 74-year-old patient has had an increase in b/p since the last exam. his b/p has increased
from 144/90 to reading in the upper 160's/upper 80's. If medication is to be started on this
patient, what would be a good first choice? correct answers Calcium channel blocker

Factor contributing to the development of AAA correct answers cigarette smoking

A 40-year-old African-American pt. has a b/p of 175/100 and 170/102. What is a reasonable
plan of care for this pt today? correct answers initiate amlodipine 5mg daily

Usual course of treatment for mitral valve prolapse correct answers is benign

A 50-year-old patient with hypertension has taken HCTZ 25mg daily for the past 4 weeks.
Her b/p has decreased from 155/95 to 145/90. How should the NP proceed? correct answers
add another drug from another class to the daily 25mg HCTZ

A patient with mitral valve prolapse reports chest pain and frequent arrhythmias. In the
absence of other cardiac anomalies, the drug of choice to treat her symptoms is: correct
answers metoprolol

which hypertensive pt. is most likely to have adverse b/p effects from excessive sodium
consumption? correct answers a 70-year-old African American

where would the murmur associated w/mitral regurgitation best be auscultated? correct
answers mitral listening point

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