Which of the following assessments of care providers are being carried out under the
Value Based Purchasing initiative? ANSWER Assessing the cost per case of care for
Medicare patients
Assisting patients satisfaction with hospital care
Tracking mortality rates for all pneumonia patients
For what reasons might the provider discover that a patient is taking herbal
supplements? What is one important issue to address with this patient regarding the use
of such supplements?- ANS Most supplements lack clear clinical evidence of
effectiveness
Which of the following supplements have some evidence of lowering blood pressure in
individuals with hypertension?- ANS CoQ10
Garlic extract
L-arginine
A patient presents with complaints of abdominal and back pain associated with anorexia
and nausea. Upon physical examination, the provider identifies an abdominal mass that
is pulsatile. What is the next step? -ANSWER Ultrasound of the mass to identify 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 routine 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 > 190mg/dL
prior myocardial infarction
Which of the following symptoms would a patient have who presents with heart failure
with reduced ejection fraction? - ANSWER pump failure from left ventricular systolic
dysfunction
A patient with heart failure diagnosed for more than a year describes being comfortable
at rest but experiencing palpitations and dyspnea when walking to the bathroom. Based
on this description, what would be an appropriate classification of heart failure? -
ANSWER Class II
A patient with class II heart failure is being treated with an ACE inhibitor and reports a
recurrent cough that does not interfere with sleep or activity. The provider's initial
management for this client would be to: - ANSWER Provide reassurance that this is a
benign side effect
The patient presents with persistent nasal blockage, nasal discharge, facial pain that
has been persisting for the right side for the last 4 months. She gives no history of
sneezing or involvement of the eyes. She gives a history of seasonal allergy and 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 rhinosinusitis without nasal polyps.
What is the first-line treatment for this condition? -ANSWER Intranasal corticosteroids
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