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NSG6020 week 4 Quiz With Complete Solutions
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NSG6020 week 4 Quiz With CompleteSolutions 2025-2026
Which of the following is the most relevant question in the history to be taken regarding
cardiovascular health history -Answer sudden death of a member in the family
A vital symptom of ischemic heart disease is chest pain. However, angina equivalents
may include exertional dyspnea. Angina equivalenstare important because -Answer A
and B (Women with ischemic heart disease/some patients may have no symptoms)
A 55-year-old postmenopausal woman with a history of hypertension complains of jaw
pain on heavy exertion. No complaints of chest pain. Her ECG indicates normal sinus
rhythm without ST segment abnormalities. Your plan may include - Answer exercise test
Jenny is a 24-yr-old graduate student who presents to the clinic today with complaints of
fever, mid sternal chest pain, and generalized fatigue for the past two days. She denies
any cough or sputum production. She states that when she takes ibuprofen and rests,
the chest pain does seem to ease off. On examination, the patient presents looking very
ill. She is leaning forward and says this is the most comfortable position for her. Temp is
102, BP 100/70, heart rate is 120/min and regular. On auscultation a friction rub is
audible. Her lungs sounds clear. With these presenting symptoms your initial diagnosis
would be - Answer pericarditis
which symptom is more characteristic of non-cardiac chest pain - Answer pain tends to
occur with movement stretching or palpation
what is the most common valvular heart disease in the older adult - Answer aortic
stenosis
1. Jeff, 48 years old, presents to the clinic with intermittent chest pain, weakness,
palpitations, dizziness and dyspnea. The pain occurs at any time and improves/ worsens
, unrelated to activity or exertion. Food does not aggravate/reieve the pain. The pain is
typically at the left nipple area. Jeff is concerned because his father has cardiac disease
and had a CABG at the age of 65. The ANP examines Jeff and auscultates a mid-systolic
click at the 4th ICS mid-clavicular area. The ANP identifies this as a cardinal sign of: -
Answer mitral valve prolapse
What are the normal physiological changes that occur in the heart due to the aging
process? -Answer the heart valve thickens and becomes rigid, secondary to fibrosis and
sclerosis
Dan G., a 65yr old male, comes to your primary care office for the evaluation of chest
pain and left-sided shoulder pain. Pain begins after strenuous activity, including
walking. Pain is characterized as dull, aching; 8/10 during activity, otherwise 0/10.
Began a few months ago, intermittent, aggravated by exercise, and relieved by rest. Has
occasional nausea. The pain is retrosternal, radiates to the left shoulder, and definitely
affects his quality of life, limiting his activity. Pain worse today; did not improve when he
stopped walking. BP 120/80. Pulse 72 and regular. Normal heart sounds, S1 and S2, no
murmurs. Of the following differential diagnoses, which would be most likely Answer
Coronary artery disease with angina pectoris
A common auscultatory finding in advanced CHF is Answer S3 gallop rhythm
Your 35-year-old female patient complains of feeling palpitations on occasion. The
clinician should recognize that palpitations are often a sign of Answer all of the above
The best way to diagnose structural heart disease/dysfunction non-invasively is Answer
echocardiogram
Auscultation of the chest Your examination reveals a loud grating sound at the lower
anterolateral lung fields, at full inspiration and early expiration. The above findings are
consistent with: A and B. Pneumonia/pleuritis
A 75-year-old patient complains of pain and paresthesias in the right foot that worsens
with exercise and is relieved by rest. On physical examination you note pallor of the right
foot, capillary refill of 4 seconds in the right foot, +1 dorsalis pedis pulse in the right foot,
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