AANP FNP Exam Review Family Nurse n n n n n
Practitioner
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Classic ECG finding in atrial flutter.
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n - "Sawtooth" P waves
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Definition of unstable angina.
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n - Angina is new, is worsening, or occurs at rest
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Antihypertensive for a diabetic patient with proteinuria.
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n - ACEI
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Beck's triad for cardiac tamponade.
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n - Hypotension, distant heart sounds, and JVD
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Drugs that slow AV node transmission.
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n - β-blockers, digoxin, calcium channel blockers
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Hypercholesterolemia treatment that → flushing and pruritus. n n n n n n
n - Niacin
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Treatment for atrial fibrillation.
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n - Anticoagulation, rate control, cardioversion
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Treatment for ventricular fibrillation.
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n - Immediate cardioversion
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,Autoimmune complication occurring 2-4 weeks post-MI.
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n - Dressler's syndrome: fever, pericarditis, ↑ ESR
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Diagnostic test for hypertrophic cardiomyopathy.
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n - Echocardiogram (showing thickened left ventricular wall and outflow obstruction)
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A fall in systolic BP of > 10 mmHg with inspiration.
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n - Pulsus paradoxus (seen in cardiac tamponade)
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Classic ECG findings in pericarditis.
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n - Low-voltage, diffuse ST-segment elevation
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Definition of hypertension. n n
n - BP > 140/90 on three separate occasions two weeks apart
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Eight surgically correctable causes of hypertension.
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n- Renal artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome,
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nCushing's syndrome, unilateral renal parenchymal disease, hyperthyroidism,
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nhyperparathyroidism
Evaluation of a pulsatile abdominal mass and bruit.
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n - Abdominal ultrasound and CT
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Indications for surgical repair of abdominal aortic aneurysm.
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n - > 5.5 cm, rapidly enlarging, symptomatic, or ruptured
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Treatment for acute coronary syndrome.
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n - Morphine, O2, sublingual nitroglycerin, ASA, IV β-blockers, heparin
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,What is the metabolic syndrome?
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n- Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance,
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nprothrombotic or proinflammatory states n n n
Appropriate diagnostic test? n n n
■ A 50-year-old male with angina can exercise to 85% of maximum predicted heart rate.
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n - Exercise stress treadmill with ECG
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Appropriate diagnostic test? n n n
■ A 65-year-old woman with left bundle branch block and severe osteoarthritis has unstable
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angina.
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n - Pharmacologic stress test (e.g., dobutamine echo)
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Signs of active ischemia during stress testing.
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n- -Angina
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-ST-segment changes on ECG n n n
-↓ BP n
ECG findings suggesting MI.
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n- -ST-segment elev (depression = ischemia), -flattened T waves
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-Q waves n
A young patient has angina at rest with ST-segment elevation. Cardiac enzymes are normal.
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n - Prinzmetal's angina
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The diagnostic test for pulmonary embolism.
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n - V/Q scan
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An agent that reverses the effects of heparin.
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n - Protamine
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, The coagulation parameter affected by warfarin.
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n- PT
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A young patient with a family history of sudden death collapses and dies while exercising.
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n- Hypertrophic cardiomyopathy
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Endocarditis prophylaxis regimens. n n
n- -Oral surgery—amoxicillin;
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-GI or GU procedures—ampicillin and gentamicin before and amoxicillin after
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The 6 P's of ischemia due to peripheral vascular disease.
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n- Pain, pallor, pulselessness, paralysis, paresthesia, poikilothermia
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Virchow's triad. n
n- Stasis, hypercoagulability, endothelial damage
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The most common cause of hypertension in young women.
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n- OCPs
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The most common cause of hypertension in young men.
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n- Excessive EtOH
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"Stuck-on" appearance. n
n- Seborrheic keratosis
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Red plaques with silvery-white scales and sharp margins.
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n- Psoriasis
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