Quiz 3 ANP 652
The S2 heart sound denotes:
Closure of the mitral and tricuspid valves
Early closure of the tricuspid valve
Early closure of the aortic valve
Closure of the aortic and pulmonic valves
Question Points: 2.0 / 2.0
2 How does aspirin work to prevent cardiac ischemia?
By blocking the enzyme, COX-1 (cyclo-oxygenase-1), produced by platelets, that causes clumping.
By inhibiting the binding of adenosine diphosphate (ADP) to the receptor on the platelet surface that allows clumping.
By inhibiting the binding of glycoproteins IIa/IIIa to the receptor on the platelet surface that allows clumping.
By modifying the leukotrienes in the inflammatory cascade.
Question Points: 2.0 / 2.0
3 A 71-year-old male with a past medical history significant for atrial fibrillation and colon cancer presents to the ER with sudden onset of severe abdominal pain. Assessment data is as follows: HR 132, BP 100/70, O2 95%, moderate abdominal pain on palpitation, hyperactive bowel sounds, and no abdominal distention. What is the next step?
Draw CBC, ABG, AST, ALT
CT scan with contrast, CBC, electrolytes
Increase pain medication
CBC, dopamine drip, and type and cross 6 units of PRBCs
Question Points: 0.0 / 2.0
4 Which is the most common type of leukemia in older adults?
Acute lymphocytic leukemia
Chronic lymphocytic leukemia
Late onset lymphocytic leukemia
Chronic myelogenous leukemia
Question Points: 2.0 / 2.0
5 A 59-year-old male with a past medical history significant for hypertension, type 2 diabetes, and hyperlipidemia presents to the ER with stabbing upper back pain for the past two days with no relief with over the counter medications. Physical exam findings show: HR 95, BP 180/100, 3/6 diastolic blowing murmur and a S4 heart sound. What is the most likely diagnosis?
Myocardial infarction
Pulmonary embolism
Endocarditis
Aortic dissection
Question Points: 2.0 / 2.0
6 A 59-year-old male with a past medical history significant for hypertension, type 2 diabetes, and hyperlipidemia presents to the ER with stabbing upper back pain for the past two days with no relief with over the counter medications. Physical exam findings show: HR 95, BP 180/100, 3/6 diastolic blowing murmur and a S4 heart sound. What is the most appropriate diagnostic test to confirm diagnosis?
MRI
Echocardiogram
Chest x-ray
CT chest with contrast
Question Points: 0.0 / 2.0
7 The S1 heart sound denotes:
Closure of the mitral and tricuspid valves
Late closure of the pulmonic valve
Closure of the aortic and pulmonic valves
Early closure of the aortic valve
Question Points: 2.0 / 2.0
8 Samuel is a 69-year-old male who presents to the ER after feeling dizzy. How would you diagnose orthostatic hypotension on this patient?
Systolic BP decreases more than 20 points within 3 minutes after rising.
Systolic BP decreases more than 20 points within 1 minute after standing.
Systolic BP decreases more than 20 points any time after standing.
Any drop in blood pressure if the patient becomes weak or dizzy.
Question Points: 2.0 / 2.0
9 A 56-year-old female with a no significant past medical history presents to the ER with radiating, gnawing abdominal pain. While conducting a thorough history of present illness, you discovered unintentional weight loss of over 20 pounds. Physical exam findings show: poor skin turgor, icteric sclera, LUQ bruit, and hepatomegaly. What is the most likely diagnosis?
Cirrhosis
Pancreatic cancer
Celiac disease
Gastritis
Question Points: 2.0 / 2.0
10 Hepatitis refers to inflammation of the liver that can be caused by the following (select the best answer):
Drugs, toxic agents, viruses, or Hepatitis C
Folic acid deficient – anemia
Legionella pneumonia
Acute tubular necrosis
Question Points: 2.0 / 2.0
