NSG 6001 MIDTERM EXAM 2 WITH BEST SOLUTIONS
Question 1.
What happens to coronary flow related to CAD?
Hyper profusion of the myocardium
Cerebral
... [Show More] vascular infarction
X Hypo profusion of the myocardium (Because of the restrictive flow of blook through the coronary arteries, hypo profusion of
the myocardium results from coronary flow related to CAD which causes the presenting symptoms)
Functional systolic pressures
Question 2:
A 47-year old female with general complaints of fatigue and shortness of breath shows up in your clinic as a referral from
another nurse practitioner. Several blood tests and chest x-rays have been completed without any diagnosis or outstanding
abnormalities. You decide to order an ETT despite the fact that the recent ECG does not show any abnormalities. From the
answers below, which would be the best answer to support your decision?
You are out of other options
Women present with the same pattern of CAD as do males
xCAD in women is under diagnosed (You make this choice because you are aware that CAD in women is under diagnosed.)
To please the patient
Question 3:
You are in the clinic with your mentor observing the Echocardiogram exercise test of a 45-year old male that has been
experiencing slight chest pressure almost daily during exercise. While observing your patient, your mentor points out that the
left ventricle wall is thinning and there is some hyperkinesias of the ventricular wall. From your time in the clinic, you know
that this test will be considered to be what type of result?
Impossible
Negative
xPositive (From your time in the clinic, you know because of wall thinning and hyperkinesis that this test will be considered to
be positive.)
Non-readable
Question 4. Question :
A 35 year old female arrives at your clinic. She has had diabetes and peripheral artery disease for the past 5 years. You decide
to obtain an ETT. The insurance company argues that this is inappropriate. You justify the ETT because you are planning
secondary strategies to prevent future heart disease. Where could one find the supporting data for these guidelines?
Medicare guidelines
xFramingham risk score (These guidelines come from the Framingham risk score.)
Medicaid guidelines
Do not exist
Question 5.
You are counseling a patient diagnosed with stress-induced ischemia. You base your discussion on your knowledge that stressinduced ischemia is thought to be caused by what phenomena?
Diet and exercise
Heart muscle dysfunction
Too many carbonated drinks
xEndothelial dysfunction of the microvascular (You base your discussion on your knowledge that stress-induced ischemia is
thought to be caused by endothelial dysfunction of the microvascular.)
Question 6:
On the echocardiography during the ETT you notice the following change: abnormal left ventricular ejection fraction. What do
these changes suggest related to this patient?
Non-ischemic changes of the baseline ECG
xIschemia of the myocardium (Abnormal left ventricular ejection fraction suggests ischemia of the myocardium.)
Rise in heart rate without evidence of ischemia
Weak ventricular muscles
Question 7:
Population disease management is a term used to describe:
High specificity disease states
Low specificity diseases states
Low prevalence specific diseases
xHigh prevalence specific diseases (Population disease management is a term used to describe the high prevalence of specific
diseases.)
Question 8:
Why would inability to exercise reduce the specificity of the routine ETT?
Causes ST-segment changes and P-wave abnormalities
Will not produce any changes in ECG
Question 1.
What happens to coronary flow related to CAD?
Hyper profusion of the myocardium
Cerebral vascular infarction
X Hypo profusion of the myocardium (Because of the restrictive flow of blook through the coronary arteries, hypo profusion of
the myocardium results from coronary flow related to CAD which causes the presenting symptoms)
Functional systolic pressures
Question 2:
A 47-year old female with general complaints of fatigue and shortness of breath shows up in your clinic as a referral from
another nurse practitioner. Several blood tests and chest x-rays have been completed without any diagnosis or outstanding
abnormalities. You decide to order an ETT despite the fact that the recent ECG does not show any abnormalities. From the
answers below, which would be the best answer to support your decision?
You are out of other options
Women present with the same pattern of CAD as do males
xCAD in women is under diagnosed (You make this choice because you are aware that CAD in women is under diagnosed.)
To please the patient
Question 3:
You are in the clinic with your mentor observing the Echocardiogram exercise test of a 45-year old male that has been
experiencing slight chest pressure almost daily during exercise. While observing your patient, your mentor points out that the
left ventricle wall is thinning and there is some hyperkinesias of the ventricular wall. From your time in the clinic, you know
that this test will be considered to be what type of result?
Impossible
Negative
xPositive (From your time in the clinic, you know because of wall thinning and hyperkinesis that this test will be considered to
be positive.)
Non-readable
Question 4. Question :
A 35 year old female arrives at your clinic. She has had diabetes and peripheral artery disease for the past 5 years. You decide
to obtain an ETT. The insurance company argues that this is inappropriate. You justify the ETT because you are planning
secondary strategies to prevent future heart disease. Where could one find the supporting data for these guidelines?
Medicare guidelines
xFramingham risk score (These guidelines come from the Framingham risk score.)
Medicaid guidelines
Do not exist
Question 5.
You are counseling a patient diagnosed with stress-induced ischemia. You base your discussion on your knowledge that stressinduced ischemia is thought to be caused by what phenomena?
Diet and exercise
Heart muscle dysfunction
Too many carbonated drinks
xEndothelial dysfunction of the microvascular (You base your discussion on your knowledge that stress-induced ischemia is
thought to be caused by endothelial dysfunction of the microvascular.)
Question 6:
On the echocardiography during the ETT you notice the following change: abnormal left ventricular ejection fraction. What do
these changes suggest related to this patient?
Non-ischemic changes of the baseline ECG
xIschemia of the myocardium (Abnormal left ventricular ejection fraction suggests ischemia of the myocardium.)
Rise in heart rate without evidence of ischemia
Weak ventricular muscles
Question 7:
Population disease management is a term used to describe:
High specificity disease states
Low specificity diseases states
Low prevalence specific diseases
xHigh prevalence specific diseases (Population disease management is a term used to describe the high prevalence of specific
diseases.)
Question 8:
Why would inability to exercise reduce the specificity of the routine ETT?
Causes ST-segment changes and P-wave abnormalities
Will not produce any changes in ECG [Show Less]