NP test 2: Chest Disorders (Cardiac) assesses knowledge on hypertension management, diagnostic testing, and medication selection for cardiac health. It evaluates skills in handling patients with varying cardiovascular conditions, crucial for healthcare professionals.
Sodium
Calcium
Potassium
Chloride
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Provider-induced
Clinical
White coat
Pseudo
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Trandolapril
Clonidine
Felodipine
Doxazosin
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Aspartate aminotransferase
Creatine phosphokinase (CPK)
Troponin I (cTnI)
Lactate dehydrogenase
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Dietary indiscretion
COPD
Hypertensive heart disease
Anemia
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HTN
Hyperkalemia
Renal insufficiency
Proteinuria
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Strive to reach recommended numeric BP measurement
Avoid disease-related target organ damage
Develop a plan of care with minimal adverse effects
Treat concomitant health problems often noted in the person with this condition
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Reverse obstruction-fixed vessel lesions
Reduce myocardial oxygen demand
Enhance myocardial vessel tone
Stabilize atrial volume
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Initiate therapy with atenolol
Initiate therapy with HCTZ
Initiate therapy with methyldopa
Continue to monitor BP and start drug therapy if evidence of target organ damage.
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Initiate hypertensive therapy
Arrange for at least two additional BP measurements during the next 2 weeks
Order her BUN, creatinine and potassium measurements and a UA
Advise her to reduce her sodium intake
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Lipid abnormalities
Hyperinsulinemia and insulin resistance
Left ventricular hypertrophy
Clotting disorders
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Clonidine
Spironolactone
HCTZ
Furosemide
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22-year-old woman with MVP with trace mitral regurgitation noted on ECHO
54-year-old woman with a prosthetic aortic valve
66-year-old man with cardiomyopathy
58-year-old woman who had a 3-vessel CABG with drug-eluting stents 1 year ago
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Reverse fixed vessel obstruction
Reduce myocardial oxygen demand
Cause vasodilation
Stabilize cardiac rhythm
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SOB with exercise
Dyspnea that develops when the individual is recumbent and is relieved with elevation of the head
SOB that occurs at night, characterized by a sudden awakening after a couple of hours of sleep, with a feeling of severe anxiety, breathlessness and suffocation.
Dyspnea at rest
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In a manner similar to that of a man with equivalent disease
At the same age as a man with similar health problems.
More commonly with angina and less commonly with acute MI
Less commonly with HF
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Doxazosin
HCTZ
Atenolol
Trandolapril
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Stenotic
Incompetent
Sclerotic
Regurgitant
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19-year-old healthy athlete
49-year-old with well-controlled HTN
68-year-old stable heart failure
78-year-old with cardiomyopathy
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Flattened T-wave
R-wave larger than 25 mm
ST segment deviation (>0.05 mV)
Fixed Q wave
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Aortic stenosis
Aortic regurgitation
Anemia
Mitral stenosis
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A 5-minute episode of chest tightness brought on by stair climbing and relieved by rest.
A severe, searing pain that penetrates the chest and lasts about 30 seconds
Chest pressure lasting 20 minutes that occurs at rest
"heartburn" relieved by position change
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Summation gallop
S3
Opening gap
S4
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10-kg weight loss
Dietary sodium restriction to 2.4 g per day
Regular aerobic physical activity, such as 30 minutes brisk walking most days
Moderate alcohol consumption
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Aspirin
Metroprolol
Lisinopril
Nisoldipine
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Hct
Uric acid
Creatinine
Potassium
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Clonidine
Spironolactone
HCTZ
Pindolol
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ACEI
Beta-adrenergic antagonist
Centrally acting agent
Direct renin inhibitor
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A sequela of rheumatic fever
A result of congenital defect
Calcific in nature
Found with atrial septal defect
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1-mm ST segment depression in leads V1 and V3
Physiologic Q waves in leads aVF, V5 and V6
3-mm ST segment elevation in leads V1 to V4
T wave inversion in leads aVL and aVR
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Normal BP
Prehypertension
Stage 1 HTN
Stage 2 HTN
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Enalapril
Diltiazem
Felodipine
Doxazosin
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70 mg/DL (
100 mg/dL (
130 mg/dL (
160 mg/dL (
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Trandolapril
Methyldopa
Telmisartan
Atenolol
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An opening snap
A mid-systolic click
A paradoxical splitting of the second heart sound (S2)
A fourth heart sound (S4)
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Right bundle branch block
Extreme axis deviation
Right atrial enlargement
Left ventricular hypertrophy
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A 5-minute episode of chest tightness brought on by stair climbing
A severe, localized pain that penetrates the chest and lasts about 3 hours
Chest pressure lasting 20 minutes that occurs at rest
Retrosternal diffuse pain for 30 minutes accompanied by diaphoresis
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Atenolol
Metroprolol
Propranolol
Carvedilol
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Chlorthalidone in gout
Propranolol with airway disease
Verapamil in migraine headaches
Methyldopa in an older adult
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43-year-old woman with bicuspid aortic valve
55-year-old man who was diagnosed with a Still's murmur as a child
45-year-old woman with a history of endocarditis
75-year-old man with dilated cardiomyopathy
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Occurs late in systole
Is noted in a localized area of auscultation
Becomes softer when the patient moves from supine to standing
Frequently obliterates S2
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Elevated serum B-type natriuretic peptide (BNP)
Kerley B lines noted on CXR
Left ventricular hypertrophy on ECG
Evidence of hemoconcentration on hemogram
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Ordinary physical activity does not cause undue fatigue, dyspnea or palpitations
Ordinary physical activity results in fatigue, palpitations, dyspnea or angina
Less-than-ordinary activity leads to fatigue, dyspnea, palpitations or angina
Discomfort increases with any physical activity
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Lisinopril
Verapamil
Amlodipine
Doxazosin
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Lisinopril
Diltiazem
Amlodipine
Prazosin
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Pectus excavatum
Obesity
Petite stature
Hyperextensible joints
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Jugular venous distention
Tenderness on right upper abdominal quadrant palpation
Point of maximal impulse at the fifth intercostal space, mid-clavicular line
Peripheral edema
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Erythromycin
Dicloxacillin
Azithromycin
Ofloxacin
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Quiz Review Timeline (Updated): Mar 21, 2023 +
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