AANP Review Questions and ANSWERS 2022/2023
Classic ECG finding in atrial flutter. Correct Answer: "Sawtooth" P waves
Definition of unstable angina.
... [Show More] Correct Answer: Angina is new, is worsening, or occurs at rest
Antihypertensive for a diabetic patient with proteinuria. Correct Answer: ACEI
Beck's triad for cardiac tamponade. Correct Answer: Hypotension, distant heart sounds, and JVD
Drugs that slow AV node transmission. Correct Answer: β-blockers, digoxin, calcium channel blockers
Hypercholesterolemia treatment that → flushing and pruritus. Correct Answer: Niacin
Treatment for atrial fibrillation. Correct Answer: Anticoagulation, rate control, cardioversion
Treatment for ventricular fibrillation. Correct Answer: Immediate cardioversion
Autoimmune complication occurring 2-4 weeks post-MI. Correct Answer: Dressler's syndrome: fever,
pericarditis, ↑ ESR
Diagnostic test for hypertrophic cardiomyopathy. Correct Answer: Echocardiogram (showing thickened
left ventricular wall and outflow obstruction)
A fall in systolic BP of > 10 mmHg with inspiration. Correct Answer: Pulsus paradoxus (seen in cardiac
tamponade)
Classic ECG findings in pericarditis. Correct Answer: Low-voltage, diffuse ST-segment elevation
Definition of hypertension. Correct Answer: BP > 140/90 on three separate occasions two weeks apart
Eight surgically correctable causes of hypertension. Correct Answer: Renal artery stenosis, coarctation
of the aorta, pheochromocytoma, Conn's syndrome, Cushing's syndrome, unilateral renal parenchymal
disease, hyperthyroidism, hyperparathyroidism
Evaluation of a pulsatile abdominal mass and bruit. Correct Answer: Abdominal ultrasound and CT
Indications for surgical repair of abdominal aortic aneurysm. Correct Answer: > 5.5 cm, rapidly
enlarging, symptomatic, or ruptured
Treatment for acute coronary syndrome. Correct Answer: Morphine, O2, sublingual nitroglycerin, ASA,
IV β-blockers, heparin
What is the metabolic syndrome? Correct Answer: Abdominal obesity, high triglycerides, low HDL,
hypertension, insulin resistance, prothrombotic or proinflammatory states
Appropriate diagnostic test?
■ A 50-year-old male with angina can exercise to 85% of maximum predicted heart rate. Correct
Answer: Exercise stress treadmill with ECG
Appropriate diagnostic test?
■ A 65-year-old woman with left bundle branch block and severe osteoarthritis has unstable angina.
Correct Answer: Pharmacologic stress test (e.g., dobutamine echo). [Show Less]