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DUNPHY EXAM 1 QUESTIONS AND ANSWERS
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DUNPHY EXAM 1 QUESTIONS AND ANSWERS
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DUNPHY EXAM 1 QUESTIONS AND ANSWERSWhich of the following is a high-intensity statin?
A. Rosuvastatin 20mg
B. Simvastatin 20mg
C. Lovastatin 20mg
D. Pravastatin 20mg - Answers- A. Rosuvastatin 20mg
Discussing a patient's 10-year cardiac risk score using a calculator based on the
Framingham study and cholesterol lab results can be an effective way to support patient
adherence to dyslipidemia treatment.
True
False - Answers- True
The goals of hyperlipidemia management include: raising HDL levels, lowering LDL
levels, and lowering triglyceride levels.
True
False - Answers- True
A 40 year-old male has been diagnosed with Metabolic Syndrome. Which of the
following findings is consistent with this diagnosis? (Select all that apply)
A. A low HDL level
B. Waist circumference >40cm
C. An abnormal TSH level
D. Elevated BP
E. An elevated triglyceride level - Answers- A, D, E
A blood pressure of 134/84 is classified as:
A. Elevated blood pressure
B. Normal
C. Hypertension stage 2
D. Hypertension stage 1 - Answers- D. Hypertension stage 1
True/False: A patient with significantly elevated blood pressure (>/=180/100) without
evidence of target-organ damage, does not constitute an emergency and is referred to
as hypertensive urgency.
True
False - Answers- True
Most patients with hypertension have:
A. Essential hypertension
B. White coat hypertension
C. Malignant hypertension
D. Secondary hypertension - Answers- A. Essential HTN
,Fred is a 76-year-old man with a history of hypertension who recently suffered a post-
myocardial infarction. Which of the following antihypertensive medications is
appropriate?
A. Hydrochlorothiazide
B. Furosemide
C. Lisinopril
D. Spironolactone - Answers- C. Lisinopril
Janice is a 65-year-old Caucasian female with new-onset hypertension. Which of the
following medications is appropriate as first line for Janice's hypertension? (Select all
that apply)
A. Hydrochlorothiazide
B. Amlodipine
C. Clonidine
D. Benazepril - Answers- A, B, D
At a minimum, the majority of patients with complaint of chest pain should be evaluated
with a thorough H&P, EKG, and CXR.
True
False - Answers- True
You just started Martha on HTN therapy. The AHA/ACC Guidelines for hypertension
recommends that if her goal BP is not reached in (what length of time?), you should
increase the initial drug or add a second drug to it?
A. 1 year
B. 6 months
C. 1 month
D. 3 months - Answers- C. 1 month
Which of the following can cause a rise in lipid levels?
A. Hyperthyroidism
B. NSAIDs
C. Angiotensin 2 receptor blocker (ARB) use
D. High dose diuretics - Answers- D. High dose diuretics
When teaching post-MI patients about their NTG tablets, the clinician should stress that
the tablets should remain in the light-resistant bottle in which they are packaged and
should not be put in another pill box or remain in areas that are or could become warm
and humid) Once opened, the bottle must be dated and discarded after how many
months?
A. 6 months
B. 3 months
C. 1 month
D. As long as the tablets are kept in this special bottle, they will last forever - Answers-
A. 6 months
,Which high-density lipoprotein (HDL) level is considered cardioprotective?
A. Greater than 50
B. Greater than 30
C. Greater than 40
D. Greater than 60 - Answers- D. Greater than 60
Lifestyle modifications to manage hypertension (HTN) include:
A. Restricting dietary sodium to 5 grams per day
B. Maintaining a body mass index of 17
C. Limiting beer intake to 24 ounces per day
D. Engaging in exercise or physical activity for 90 minutes a day - Answers- C. Limiting
beer intake to 24 ounces per day
Which of the following may help a clinician to determine evaluate a patient with a
complaint of palpitations?
A. Holter monitor
B. Thyroid panel
C. Complete blood count
D. CAT scan - Answers- A, B, C
Which of the following is a chest wall syndrome?
A. Myocardial infarction
B. Costochondritis
C. Pericarditis
D. Angina - Answers- C. Costochondritis
What of the following patients is a candidate for statins?
A. April is an 80-year-old female with a low-density lipoprotein (LDL) level of 180.
B. Christa is a 65-year-old female with a history of myocardial infarction (MI).
C. Jerry is a 55-year-old male with a history of syncope.
D. Manny is a 75-year-old male with a 10-year cardiovascular risk of 6.5%. - Answers-
B. Christa is a 65-year-old female with a history of myocardial infarction (MI).
While there are many non-life-threatening causes of chest pain, it is important not to
overlook
A. pulmonary embolism
B. all of these are important not to overlook in the outpatient setting
C. acute coronary syndrome
D. pneumonia - Answers- B. all of these are important not to overlook in the outpatient
setting
Which of the following is a common cause of chest pain seen in the outpatient setting?
A. musculoskeletal pain
B. All of these are common causes of chest pain seen in the outpatient setting
C. gastrointestinal disease
, D. Pain/anxiety/stress disorders - Answers- B. All of these are common causes of chest
pain seen in the outpatient setting
Which of the following is a primary prevention measure for a 76-year-old man newly
diagnosed with a testosterone deficiency?
A. Testicular self-examination
B. Bone density test
C. Digital rectal examination
D. Calcium supplementation - Answers- D. Calcium supplementation
Which of the following is an example of secondary prevention in a 50-year-old woman?
A. low animal-fat diet
B. Use of seat belt
C. Daily application of sunscreen
D. Yearly mammogram - Answers- D. Yearly mammogram
Which of the following is an example of tertiary prevention in a patient with chronic renal
failure?
A. Fluid restriction
B. Hemodialysis 4 days a week
C. Maintenance of blood pressure at 120/80
D. High-protein diet - Answers- B. Hemodialysis 4 days a week
Immunizations are an example of which type of prevention?
A. Secondary
B. Tertiary
C. Primary
D. Quaternary - Answers- C. Primary
The nurse is speaking to a patient regarding endemic diseases. Which of these choices
describes an endemic statistic?
A. The typical incidence of influenza in a country
B. Abnormal outbreak of measles in pockets of a country
C. Higher levels of Ebola in a country when compared to the previous year
D. The surprise outbreak of malaria in new regions - Answers- A. The typical incidence
of influenza in a country
Which accurately defines incidence rate?
A. The number of cases of a disease at a point in time divided by the percentage of the
population at a point in time
B. The number of old cases of a disease at a point in time
C. The number of new cases of a disease diagnosed at a point in time
D. The number of total cases of a disease total diagnosed at a point in time. - Answers-
C. The number of new cases of a disease diagnosed at a point in time
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