2017 HTN guidelines categorize a healthy 54yo African
American woman with a BMI of 23 and consistent BP readings
of 120-128/76-78 as:
a. Normal BP
b. HTN stage 1
c. Elevated BP
d. HTN stage 2 Correct Answer C
48yo female presents for annual exam. A1C is 6.2%. You
interpret this result as:
a. Prediabetes
b. T2DM
c. T1DM
d. Normal Correct Answer A
52yo Caucasian woman comes in for annual exam. She has
mitral valve prolapse, no symptoms. PE reveals clear/equal
breath sounds, midsystolic click. You know her stage of HF is:
a. A
b. B
c. D
d. C Correct Answer B (Stage B)
55yo Caucasian man follows up w/you after referral to cardio.
He reports that he thinks the med is causing a cough and
,sometimes he has dyspnea. Which of the following meds was
most likely prescribed?
a. Metolazone
b. Enalapril
c. Amlodipine
d. Irbesartan Correct Answer B
55yo Caucasian man w/T2DM presents as new pt. Take
metformin 500mg BID. Labs reveal albuminuria and A1C was
7%. He's current on eye/foot exams. BP today is 136/84.
According to 2017 ACC Guidelines, the most appropriate med
for his current status is:
a. Furosemide
b. Amlodipine
c. Lisinopril
d. Clonidine Correct Answer C
55yo post-menopausal woman with h/o HTN c/o jaw pain on
heavy exertion. There were no c/o CP. Her EKG indicates NSR
w/out ST segment abnormalities. Your plan may include:
Correct Answer Exercise stress test
55yo woman presents with somatic complaints. You suspect
anxiety. You know that somatic symptoms of anxiety include:
a. All answers are appropriate
b. Palpitations, CP, tachycardia
c. Fatigue, insomnia, diaphoresis
d. Diarrhea, nausea, vomiting Correct Answer A
,55yo woman w/BMI of 28, has 20yr h/o primary HTN, has been
on HCTZ 25mg for years w/excellent response. During this
follow up visit, she reports that for the last 6mo she has felt
thirsty all of the time even though she drinks at least 10 glasses
of water/day. Previous fasting BGL was 136. No further testing
was done at that time. You check random BGL now, is 210.
What is the next appropriate step?
a. Order 3hr OGTT
b. Order another random BGL in 2wks
c. Order A1C
d. Prescribe metformin XR 500mg PO Correct Answer D
59yo female c/o pain when she urinates. She has been seen three
times for this in the last 3mo. Each time, dx'd with UTI, given
abx. She carefully followed instructions, but has no relief of
symptoms. Last UA:
WBC: 2-3
RBC: 0-2
Epithelial cells: few
Nitrite: neg
Leuk: neg
Which should be done next?
a. Perform pelvic exam
b. Reassure the pt that she has asymptomatic bacteriuria and
does not need abx
c. Obtain clean catch urin for UA and C&S
d. Order pelvic ultrasound Correct Answer A
, 59yo woman presents w/following: h/o MI, new onset SOB,
especially w/exertion, an occasional rapid fluttering heartbeat
and swollen feet. You know this pt's stage of HF is:
a. Stage A
b. Stage B
c. Stage D
d. Stage C Correct Answer D (stage C)
60yo obese male has T2DM and lipid panel of TC 250, HDL 32,
LDL 165. You teach the pt about his modifiable cardiac risk
factors, which include? Correct Answer DM, obesity,
hyperlipidemia
60yo woman w/30-pack year hx presents for eval of persistent,
daily cough w/increased sputum production, worse in the AM,
occurring over past 3mo. She says, "I have the same thing year
after year." Which of the following choices would you consider
strongly in your critical thinking process?
a. Acute bronchitis
b. Chronic bronchitis
c. Seasonal allergies
d. Bronchial asthma Correct Answer B
62yo female c/o fatigue and lack of energy. Constipation has
increased and the pt has gained 10lbs in the past 3mo.
Depression is denied although she reports lack of interest in
usual hobbies. VS are WNL and her skin is dry and cool. Which
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