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ANP 650 Midterm Review Exam Questions With 100% Verified Answers

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  • ANP 650
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  • ANP 650

ANP 650 Midterm Review Exam Questions With 100% Verified Answers If someone has aortic stenosis, what heart sound do you expect to hear? - answerSystolic murmur Where can you best hear a systolic murmur? - answerAortic area (2nd intercostal space) What happens in the heart during S1? - answerC...

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  • September 27, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ANP 650
  • ANP 650
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ANP 650 Midterm Review Exam Questions
With 100% Verified Answers


If someone has aortic stenosis, what heart sound do you expect to hear? - answer✔Systolic
murmur

Where can you best hear a systolic murmur? - answer✔Aortic area (2nd intercostal space)

What happens in the heart during S1? - answer✔Closing of mitral and tricuspid valve

What happens during S2 - answer✔closing of aortic and pulmonic valve

What happens if valves are not closing at the same time? - answer✔Unequal pressure =
pulmonary HTN

What medication has a high risk for hypoglycemia - answer✔Sulphonylurea (Glipizide)

What diabetic medication has a high cardiac risk and causes swelling? - answer✔TZD (ACTOS -
pioglitazone)

Most common 1st line of treatment for DM because of low cost - answer✔Metformin
(Biguanides)

What type of patients should avoid biguanides? - answer✔Impaired renal function- leads to
acidosis

What medications are a high risk for hypoglycemia - answer✔sulphonylurea and insulin

How can you diagnose DM - answer✔o 2 readings of HgbA1C (> 6.5)
o Fasting BS (>125)
o Random BS (>200)

Complications of DM - answer✔- End organ damage
- Ophthalmic issues
- Renal failure
- Stroke

, ©BRAINBARTER 2024/2025


What can cause secondary DM? - answer✔- Steroids
- Pregnancy
- Hyper- endocrine disorders (cortisol, androgen, thyroid)

Risks secondary to a-fib - answer✔Stroke and TIA
The two areas of the body at highest risk for a bleed when patients are on anticoagulation -
answer✔Intracranial and GI

Who cannot be on DOACs (Xarelto, Eliquis)? - answer✔- Patients with mechanical heart valves
- Patients with moderate - severe mitral valve stenosis

What type of anti-coagulation are impacted by renal insufficiency? - answer✔DOACs

How do you dose Warfarin? - answer✔INR

What tool is used to score a-fib - answer✔CHA2DS2-VASc Stroke risk scoring system (CHF,
HTN, Age2, DM, Stoke2, Vascular disease, Age, Sex)
If a patient presents with a high INR, what would determine if they need to be reversed or not? -
answer✔If they actively bleeding

Two CV causes of TIA - answer✔- cardiac thrombosis (a-fib)
- atherosclerosis

How would you assess for A-fib? - answer✔- Objective: EKG, ECHO
- Subjective: palpitations
A patient with orthostatic hypotension has uncontrolled DM, what nervous system path is not
functioning: - answer✔Autonomic nervous system (controls vasoconstriction)

What questions would you ask a patient to determine the cause of hypotension? - answer✔-
Medications
- Dehydration/Volume loss
- Are they stable

Primary v Secondary HTN - answer✔Primary: essential HTN (more common
Secondary: 2/2 endocrine, renal stenosis, resistant hypertension, OSA, hyperaldosteronism

1st line of tx for essential HTN - answer✔- Thiazide diuretics

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