Exam 1: NU664B/ NU 664B (Latest Update)
Primary Care of Family I Guide| Qs & As|
Grade A| 100% Correct (Verified Answers)-
Regis
Q: aortic regurgitation
Answer:
(aortic insufficiency) incompetent aortic valve that allows backward flow of blood into left
ventricle during DIASTOLE
heard 2nd intercostal space R sternal border
high pitched and BLOWING - typically decrescendo sound
Q: mitral valve prolapse
Answer:
improper closure of the mitral valve
*S2 click followed by systolic murmur
loud and musical sounding
Q: when will you hear mitral valve prolapse?
Answer:
in Left lateral recumbent at apex
will hear a systolic click
,symptoms = palpitations, chest pain, dyspnea
*often asymptomatic*
Q: continuous murmurs
Answer:
Due to a constant shunt flow throughout both systole and diastole and can be due to several
factors including congenital defects, fistulas, or stenoses
begin in systole, continue thorugh diastole
Q: what are you at higher risk for with mitral valve prolapse
Answer:
embolism
TIA
A fib
Q: what is the most common murmur?
Answer:
mitral regurgitation
Q: what is considered dyslipidemia?
Answer:
- elevation of total cholesterol OR
,- elevated of LDL (bad) cholesterol
- decrease of good (HDL) cholesterol
- elevated triglycerides
Q: risk factors for HTN?
Answer:
- Race (black)
- age (men > 45 years, women > 55 years)
- obesity
- high salt diet
- family hx
- excessive ETOH
- DM
- dyslipidemia
Q: US Preventive Services Task Force - HTN guidlines
Answer:
- annual screening for adults over 40
- if BP is 130--88
- obese
- black
*outside of office visit BP measurement is recommended for formal HTN diagnosis
Q: what are some factors of secondary HTN?
Answer:
- OCPs
- chronic NSAID usage
- TCA / SSRIs
- glucocorticoids
, - decongestants (pseudophed)
- weight loss meds
- illicit drugs
- renal disease / kidney disease
- unexplained hypokalemia
- pheochromocytoma (neuroendocrine tumor)
Q: Herpes kerititis
Answer:
emergency! send pt to hospital
findings include:
acute onset of one sided eye pain
fern-like lines to eyes
redness
blurred vision
ciliary flush
Q: presentation of HTN --> heart symps
Answer:
chest pain, palpitations, activity intolerance
Q: presentation of HTN --> brain symps
Answer:
dizziness, confusion
Primary Care of Family I Guide| Qs & As|
Grade A| 100% Correct (Verified Answers)-
Regis
Q: aortic regurgitation
Answer:
(aortic insufficiency) incompetent aortic valve that allows backward flow of blood into left
ventricle during DIASTOLE
heard 2nd intercostal space R sternal border
high pitched and BLOWING - typically decrescendo sound
Q: mitral valve prolapse
Answer:
improper closure of the mitral valve
*S2 click followed by systolic murmur
loud and musical sounding
Q: when will you hear mitral valve prolapse?
Answer:
in Left lateral recumbent at apex
will hear a systolic click
,symptoms = palpitations, chest pain, dyspnea
*often asymptomatic*
Q: continuous murmurs
Answer:
Due to a constant shunt flow throughout both systole and diastole and can be due to several
factors including congenital defects, fistulas, or stenoses
begin in systole, continue thorugh diastole
Q: what are you at higher risk for with mitral valve prolapse
Answer:
embolism
TIA
A fib
Q: what is the most common murmur?
Answer:
mitral regurgitation
Q: what is considered dyslipidemia?
Answer:
- elevation of total cholesterol OR
,- elevated of LDL (bad) cholesterol
- decrease of good (HDL) cholesterol
- elevated triglycerides
Q: risk factors for HTN?
Answer:
- Race (black)
- age (men > 45 years, women > 55 years)
- obesity
- high salt diet
- family hx
- excessive ETOH
- DM
- dyslipidemia
Q: US Preventive Services Task Force - HTN guidlines
Answer:
- annual screening for adults over 40
- if BP is 130--88
- obese
- black
*outside of office visit BP measurement is recommended for formal HTN diagnosis
Q: what are some factors of secondary HTN?
Answer:
- OCPs
- chronic NSAID usage
- TCA / SSRIs
- glucocorticoids
, - decongestants (pseudophed)
- weight loss meds
- illicit drugs
- renal disease / kidney disease
- unexplained hypokalemia
- pheochromocytoma (neuroendocrine tumor)
Q: Herpes kerititis
Answer:
emergency! send pt to hospital
findings include:
acute onset of one sided eye pain
fern-like lines to eyes
redness
blurred vision
ciliary flush
Q: presentation of HTN --> heart symps
Answer:
chest pain, palpitations, activity intolerance
Q: presentation of HTN --> brain symps
Answer:
dizziness, confusion
