Black Patient With or Without DM
Thiazide diuretic
Calcium channel blocker
Nonblack Patient With or Without DM
Thiazide diuretic
Calcium
... [Show More] channel blocker
ACE ARB
heart murmurs are caused by
turbulent blood flow
through the great vessels or across a heart valve occurs
• Stenotic valves don't
Stenotic valves don't OPEN properly
Regurgitant valves don't
Regurgitant valves don't CLOSE properly
If pravastatin is chosen for Mr. Thibodeaux, how would you manage this? Select all that apply.
Check liver enzymes prior to initiation of statin.
Start him on 40 mg today and recheck lipids/LFTs in 8 weeks.
htn stop
nsaids naproxen
calf pain with walking. What's going on?
blockage in lower vessels
intermittent claudication
peripheral artery disease
ABI <0.9 or >1.3 is highly suggestive of
pad
What interventions should be initiated to help decrease his triglyceride level (323 mg/dL)? Select all that apply.
. Decreased carbohydrate consumption.
Suppose his triglycerides were 550 mg/dL? How would you treat?
fibrates
lifestyle
If Mrs. Boudreaux were to develop heart failure, which medications would be most beneficial to discontinue? Select all that apply
amlodopine
naproxine
Heart Failure Clinical Signs and Symptoms
Crackles
S3 and/or S4 • Peripheral edema may be present
AAA screening
-all men 65-75 who have ever smoked
-abdominal US
1 time only
statins
liver involvement
muscle cramps
What is the cutoff value when treatment for hyperlipidemia is recommended?
7.5 or higher
What type of murmur can radiate to the left axilla?
Mitral regurgitation
The murmur of mitral regurgitation occurs during systole (holosystolic) and is located in the mitral area of the chest. The location of the mitral area (fifth intercostal space on the left side of the midclavicular line) is near the left axilla, so that a loud murmur can radiate to the left axilla. The causes can be congenital or it may a be sequela of rheumatic fever, mitral valve prolapse, or papillary muscle dysfunction secondary to acute or prior myocardial infarction.
pulse deficit
difference between the apical and radial pulse rates
radial - apical
The goal for patients aged 60 years or older is blood pressure less than
150/90
shows a triglyceride level of 950 mg/dL,
Initiate a prescription of fenofibrate (Tricor)
Prophylaxis treatment for endocarditis is no longer recommended for patients with mitral valve prolapse (MVP).
...
During a routine physical exam of a 90-year-old woman, a low-pitched diastolic murmur grade 2/6 is auscultated. It is located on the fifth intercostal space (ICS) on the left side of the midclavicular line. Which of the following identifications is correct?
Mitral stenosis
Pulsus paradoxus is best described as:
A decrease in systolic blood pressure on inspiration
digoxin (Lanoxin) for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her pulse is 64 beats/min
Order a serum thyroid-stimulating hormone (TSH), digoxin level, and an electrolyte panel
Potential complications of mitral valve prolapse (MVP) include all of the following
...
MVP (mitral valve prolapse)
Severe mitral regurgitation
Endocarditis
Increased risk of stroke and transient ischemic attack
During cardiac murmur assessment, which is the first grade intensity that a thrill can be palpated?
g4
Which of the following is correct regarding the best site to listen for mitral regurgitation?
It is best heard at the apex during S1
You note a high-pitched and blowing pansystolic murmur while assessing a 70-year-old male patient. It is grade 2/6 and is best heard at the apical area. Which of the following is most likely?
mr
You notice a medium-pitched harsh systolic murmur during an episodic examination of a 37-year-old woman. It is best heard at the right upper border of the sternum. What is most likely?
Aortic stenosis [Show Less]