- A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction territory?
- Other than smoking cessation, which of the following slows the progression of COPD in smokers?
|a.||Making sure the environment is free of all pollutants|
|b.||Eliminating all pets from the environment|
|c.||Engaging in moderate to high levels of physical activity|
|d.||Remaining indoors with air conditioning as much as possible|
- Which of the following is not a risk factor for coronary arterial insufficiency?
- Salmeterol (Servent) is prescribed for a patient with asthma. What is the most important teaching point about this medication?
|a.||It is not effective during an acute asthma attack.|
|b.||It may take 2 to 3 days to begin working.|
|c.||This drug works within 10 minutes.|
|d.||This drug may be used by patients 6 years and older.|
- Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to control Harriet’s blood pressure?
|a.||Increase her Lisinopril to 20mg daily|
|b.||Add a thiazide diuretic to the Lisinopril 5mg daily|
|c.||Discontinue the Lisinopril and start a combination of ACE Inhibitor and calcium channel blocker|
|d.||Discontinue the Lisinopril and start a diuretic|
- What condition is associated with mucus production greater than 3 months per year for at least 2 consecutive years?
|c.||Chronic obstructive lung disease|
- Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the patient?
- Which type of lung cancer has the poorest prognosis?
|c.||Small cell carcinoma|
|d.||Large cell carcinoma|
- Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?
- Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
|b.||Inhaled beta-2 agonist bronchodilators|
|c.||Inhaled anticholinergic bronchodilators|
- Which of the following best describes hypertrophic cardiomyopathy?
|a.||A weakened and enlarged myocardium|
|b.||Poor ventricular filling and weakened myocardium|
|c.||Enlarged left ventricle and septum|
|d.||None of the above|
- Risk factors for acute arterial insufficiency include which of the following?
|a.||Recent myocardial infarction|
|d.||All of the above|
- A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free?
|a.||A long-acting bronchodilator|
|b.||An inhaled corticosteroid and cromolyn|
|c.||Theophylline and a short acting bronchodilator|
|d.||A bronchodilator PRN and an inhaled corticosteroid|
- Management of a patient with hypertension and an abdominal aortic aneurysm would include:
|a.||computed tomography scan without contrast|
|b.||changing the patient’s BP medications|
|c.||referral to a cardiologist|
|d.||immediate cardiac catheterization|
- A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner knows that these findings are consistent with:
|b.||Systolic heart failure|
|d.||Diastolic heart failure|
- A patient presents to the office with a blood pressure 142/80. This patient is classified as having:
|a.||Normal blood pressure|
|c.||Stage 1 hypertension|
|d.||Stage 2 hypertension|
- Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?
|d.||Acute exacerbation of chronic bronchitis|
- The most common correlate(s) with chronic bronchitis and emphysema is(are):
|a.||Familial and genetic factors|
- Which of the following is not a goal of treatment for the patient with cystic fibrosis?
|a.||Prevent intestinal obstruction|
|b.||Provide adequate nutrition|
|c.||Promote clearance of secretions|
|d.||Replace water-soluble vitamins|
- In order to decrease deaths from lung cancer:
|a.||All smokers should be screened annually|
|b.||All patients should be screened annually|
|c.||Only high risk patients should be screened routinely|
|d.||Patients should be counseled to quit smoking|