NGR6200 Exam 2024 Questions with Complete Solutions Passed 100%
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Course
NGR6200
Institution
NGR6200
NGR6200 Exam 2024 Questions with Complete Solutions Passed 100%
Sample Question & Answer:
Which of the following diagnosis should be considered in the differential diagnoses for syncope (choose all that apply)? - Answer - -Ventricular tachycardia
-Profound bradycardia
-Cardiac outflow block...
NGR6200 Exam 2024 Questions with
Complete Solutions Passed 100%
Which of the following conditions should be included in the differential diagnoses for
chest pain (choose all that apply). - Answer - -Pericarditis
-Pulmonary embolism
-Acute anxiety
-Hiatal hernia
-Peptic ulcer
-Dissecting aortic aneurysm
-Costocohondritis
-Pneumothorax
-Angina
Which of the following conditions should be considered in the differential diagnoses for
palpitations (choose all that apply)? - Answer - -Hyperthyroidism
-Anxiety
-Low blood sugar
-Hypocalcemia
-Anemia
-Infection
-Caffeine
-Nicotine
-Dysrhythmias
-Mitral valve prolapse
AF, panic attacks, depression, hyperthyroidism, MVP, hypertrophic obstructive
cardiomyopathy, dilated cardiomyopathy, heart failure, hypoglycemia and use of
stimulants
Which of the following diagnosis should be considered in the differential diagnoses for
syncope (choose all that apply)? - Answer - -Ventricular tachycardia
-Profound bradycardia
-Cardiac outflow blockage
-Hypertrophic cardiomyopathy
-Aortic valve stenosis
-Anemia
,A patient presents with dyspnea. Which of the following conditions should be
considered (choose all that apply): - Answer - -Anxiety
-Severe anemia
-Metabolic acidosis
-COPD
-Heart failure
-Pulmonary embolus
-Myocardial ischemia
-Vavular disease
-Asthma
-Obesity
A patient presents with peripheral edema. What are the potential eitiolgies (choose all
that apply): - Answer - -Thyroid disease
-Arterial occlusion
-Baker's cyst
-Use of nondihydropyridine calcium channel blockers
-Nephrotic syndrome
-Excess ingestion of sodium
-Lymphatic obstruction
-Congestive heart failure
-Heart failure
-Immobility
-Deep vein thrombosis
Choose from the list below the items that can cause or contribute to hypertension. -
Answer - -Steroid therapy
-Primary hyperaldosteronism
-Oral contraceptives
-Erythropoietin
-NSAIDs
-Excessive alcohol intake
-Chewing tobacco
-Pheochromocytoma
-Pseudoephedrine
Select from the list below the items consistent with target organ damage indicating a
hypertensive emergency (choose all that apply). - Answer - -Change in mental status
-Blurring of the margins of the optic disc
-Hematuria and proteinuria
-EKG changes
-CXR with heart failure signs
-Retinal hemorrhages
-Chest pain
-Shortness of breath
,-Elevated serum creatinine
Which of the following are components of the metabolic syndrome (choose all that
apply): - Answer - -HDL < 50 mg/dL in a woman
-Blood pressure >130/85 mm Hg
-Fasting glucose > 100 mg/dL
-Triglycerides > 150 mg/dL
Which of the following are potential precipitating causes of heart failure (choose all that
apply): - Answer - -Myocardial infarction
-Infection
-Pregnancy
-Thyrotoxicosis
-Atrial fibrillation
-Arrhythmia
-Hypertension
-Anemia
Select the following items that can be considered as elements of "Virchow's Triad
(choose all that apply): - Answer - -Pregnancy
-Factor V Leiden
-Infection
-Immobility
-Intravenous catheter
Beginning with the inferior and superior vena cava, follow a drop of blood through the
heart by arranging the structures in order. - Answer - Inferior or superior vena cava -->
Right atrium --> Tricuspid valve --> Right ventricle --> Pulmonic valve --> Pulmonary
artery --> Lungs --> Pulmonary veins --> Left atrium --> Mitral valve --> Left ventricle -->
Aortic valve --> Aorta
High pitch, blowing decresendo murmur heard in diastole at the 2nd to 4th interspace
wih radiation to the apex. S3 or S4 may be present. Pulse pressure may be increased.
Best heard with the patient leaning forward, with breath held after exhalation. - Answer -
Aortic Regurgitation
Decresendo low pitched diastolic murmur with an opening snap heard best at the apex
with the patient in the left lateral position. - Answer - Mitral Stenosis
Systolic cresendo-decresendo murmur heard loudest at the right second interspace with
radiation to the carotid arteries. - Answer - Aortic Stenosis
Pathologic systolic murmur heard at the 3rd and 4th interspaces with radiation to the
base. Decreases in intensity with squatting, and increases with straining down from
vlasalva. - Answer - Murmur of hypertrophic cardiomegaly
, Holosystolic murmur heard best at the apex with radiation to the left axilla. - Answer -
Mitral regurgitation
Grade 1 systolic murmur heard at the 2nd to 4th interspaces with no radiation. Usually
decreases or disappears on sitting. - Answer - Innocent or physiologic murmur
S1 - Answer - Closing of the tricuspid and mitral valve
S2 - Answer - Closing of the aortic and pulmonic valves
S3 - Answer - Diastolic sound detected in children and young adults occurring due to
high flow states
S4 - Answer - Diastolic sound occurring due to increased resistance to ventricular filling
or increased stiffness of the ventricular myocardium
Opening snap - Answer - Early diastolic sound produced by the opening of a stenotic
mitral valve
Physiologic splitting of the second heart sound - Answer - The detection of the pulmonic
component of S2 that is accentuated by inspiration and usually disappears on expiration
The ACC/AHA released new Guidelines in 2018 for diagnosing and treating high
cholesterol. Choose for the list the items that reflect the new guide (select all that apply)
- Answer - - Patients with CVD should be treated to an LDL level below 70 mg/dL
- Patients with DM should be treated with moderate intensity statins to lower LDL by 30-
50%
-The Pooled Cohort Equation should be used
The latest HTN guideline (2017) from the ACC/AHA states the following: (select all that
apply) - Answer - -Black patients should be started on thiazide diuretics or CCBs
-130/80 is recommended for all age groups
A patient with AF scores 1 point on the CHADs scale would be a canditate for: - Answer
- aspirin
P-R interval - Answer - 0.12- 0.20 (3-5 boxes)
QRS interval - Answer - 0.04- 0.12 (1-3 boxes)
One small horizontal box on the EKG paper - Answer - 0.04 seconds
One small verticle box - Answer - 1 mm
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