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NR601 MIDTERM EXAM
ACTUAL EXAM WITH CORRECT SOLUTIONS.
The percentage of the FVC expired in one second is - correct answer- FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart - correct answer- The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
A 55 yo Caucasian male follows up after referral to cardiologist.He thinks his med is causing a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? - correct answer- Lisinopril
MJ presents with h/o structural damage with current s/s of HF.Treatment will be based on his stage of HF which is - correct answer- Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage of HF is - correct answer- Stage B
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The best way to diagnose structural heart disease/dysfunction noninvasively is - correct answer- Echocardiogram
Chronic pain can have major impact on patients ability to function and have profound impact on overall QOL. Ongoing pain may be linked to - correct answer- Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in patients - correct answer- >65 y/o
All of the following statements are true about lab values in older adults except - correct answer- Abnormal findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American woman with a h/o HTN and DM and no h/o CKD is - correct answer- <140/80
THe pathophysiology of HF is due to - correct answer- Inadequate cardiac output to meet the metabolic and O2 demands of the body 2 / 4
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The volume of air a patient to exhale for total duration of the test during maximal effort is - correct answer- FVC
According it the 2017 ACC HTN guidelines, normal BP is - correct answer- <120/80
Functional abilities are best assessed by - correct answer- Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of target organ damage. During your eval you will assess for evidence of - correct answer- Left ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with - correct answer- ACEi
The volume of air in the lungs at max inflation is - correct answer- TLC (total lung capacity)
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Preferred amount of exercise for older adults is - correct answer- 30min/day of aerobic exercise 5 days a week
You know the following statements regarding th pain of acute coronary syndrome are true except - correct answer- Present atypically more often in men than women
Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate >100. Patient also has a new tremor in both hands. Which of the following would you suspect - correct answer- Hyperthyroidism
Which patient is more likely to have osteoporosis - correct answer- 80 y/o. Underweight male who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action info statement would indicate she understood your instructions regarding this med? - correct answer- Take med with full glass of water when up in the AM 30 min before other food and meds
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