Integrated Chronic care Management For Congestive Heart Failure: Post-test 2014

10 Questions | Total Attempts: 41

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Integrated Chronic care Management For Congestive Heart Failure: Post-test 2014

Questions and Answers
  • 1. 
    The following is true of systolic heart failure.
    • A. 

      The primary cause of systolic heart failure is coronary artery disease causing impaired heart muscle contraction

    • B. 

      Is a ventricle filling problem

    • C. 

      Equates to an ejection fraction of 55%

    • D. 

      A and B

    • E. 

      All of the above

  • 2. 
    The following is true of diastolic heart failure.
    • A. 

      It is more common in women with hypertension

    • B. 

      Is a ventricle emptying problem

    • C. 

      Equates to an ejection fraction of 65%

    • D. 

      A and C

    • E. 

      B only

  • 3. 
    Patients with anemia and renal failure are more likely to experience rapid exacerbations.
    • A. 

      True

    • B. 

      False

  • 4. 
    Heart failure is known to worsen in the following conditions
    • A. 

      Infections like a UTI or pneumonia

    • B. 

      Medication non-adherence

    • C. 

      Anemia

    • D. 

      Atrial fibrillation

    • E. 

      All of the above

  • 5. 
    Which of the following patient statements would alert you to an exacerbation of heart failure.
    • A. 

      Cough

    • B. 

      Change in usual SOB

    • C. 

      Palpitations

    • D. 

      Increased fatigue

    • E. 

      B and D

    • F. 

      All of the above

  • 6. 
    The American Heart Association guidelines for treating stage C and D systolic heart failure include:
    • A. 

      ACE inhibitors

    • B. 

      Calcium Channel blockers

    • C. 

      Fluid restriction of < 3 liters/day

    • D. 

      All of the above

  • 7. 
    B-Type Natriuretic Peptide (BNP) decreases when heart failure worsens
    • A. 

      True

    • B. 

      False

  • 8. 
    What is true of both systolic and diastolic heart failure:
    • A. 

      Components of both are seen in most heart failure patients

    • B. 

      Symptoms of SOB, fluid retention and fatigue are common

    • C. 

      Neuro-hormonal and circulatory abnormalities

    • D. 

      Treatment differs between types

    • E. 

      All of the above

    • F. 

      A, B, and C.

  • 9. 
    Three classes of medication that can exacerbate heart failure are:
    • A. 

      Antiarrhythmics, ACE, Calcium channel blockers

    • B. 

      NSAIDS, antiarrthythmics, calcium channel blockers

    • C. 

      Beta blockers, calcium channel blockers, NSAIDS

  • 10. 
    A 2010 recommendation by the HFSA is for patients to assess and record their shortness of breath at rest or at a consistent level of activity using the modified Borg scale.
    • A. 

      True

    • B. 

      False

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