MSN 622 FINAL EXAM NEWEST 2024
ACTUAL EXAM COMPLETE 160
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |
,A 65-year-old female Deep, symmetric T-wave inversions in V2 and V3
patient presents with accompanied by flat ST-segment
complaints of progressive
dyspnea on exertion for the
past two weeks. The patient
has a past medical history
of hypertension. She has a
25-year smoking history but
quit smoking 4 years ago.
The patient reveals further
that she initially had
dyspnea only on moderate
exertion, but now it occurs
with activities like
showering. The patient
denies chest pain, cough, or
wheezing. Her medications
include metformin,
amlodipine, and simvastatin.
The patient appears
comfortable at rest.
Currently, she is afebrile
and hemodynamically
stable. Physical examination
reveals bibasilar crackles.
The patient's troponin-T
level is normal. What
changes are more likely to
be seen on an
electrocardiogram (ECG) if
this patient is a suspected
case of unstable angina?
What heart sound would S3 heart sound
one hear in a patient with
systolic congestive heart
failure (CHF)?
,A 72-year-old man with a A S3 gallop
recent history of a large
anterior wall myocardial
infarction complains of
dyspnea on exertion,
orthopnea, and increasing
pedal edema. There is
concern about congestive
heart failure. Which of the
following would support
the diagnosis?
Which of the following may Cerebrovascular accident
be the initial presentation of
long-term hypertension?
A patient presents with Pulmonary artery
shortness of breath. Rales
are heard in the lower lung
fields. There is an S4.
Hepatojugular reflux is
present. The chest x-ray
shows cardiomegaly and
enlargement of the
mediastinal veins.
Congestive heart failure is
suspected. Reduced
bloodflow in the ascending
aorta would not cause
decreased blood flow in
which of the following
arteries?
, A 65-year-old woman Troponin I
presents with intermittent,
sudden-onset chest pain
and shortness of breath,
which radiates to her left
jaw and arm. A history of
present illness reveals that
the pain initially occurred
with activity, but now it
occurs throughout the day.
A review of systems is
positive for tiring easily with
mild physical activity. Her
medical history is significant
for hypertension and type 2
diabetes mellitus. An
electrocardiogram (ECG)
and cardiac enzyme
markers are ordered. Which
of the following tests will be
most helpful in
differentiating unstable
angina from a non-ST
segment elevation
myocardial infarction
(NSTEMI)?
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