1   The S2 heart sound denotes: • Closure of the mitral and tricuspid valves • Early closure of the tricuspid valve  • Early

  

1   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 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. 3    A 71-year-old male with a past medical history significant foratrial fibrillation and colon cancer presents to the ER withsudden onset of severe abdominal pain. Assessment data isas follows: HR 132, BP 100/70, O2 95%, moderate abdominalpain on palpitation, hyperactive bowel sounds, and no abdominal distention. What is the next step?Draw CBC, ABG, AST, ALTCT scan with contrast, CBC, electrolytesIncrease pain medicationCBC, dopamine drip, and type and cross 6 units of PRBCs 4     Which is the most common type of leukemia in older adults? Acute lymphocytic leukemiaChronic lymphocytic leukemiaLate onset lymphocytic leukemiChronic myelogenous leukemia 5      A 59-year-old male with a past medical history significant forhypertension, type 2 diabetes, and hyperlipidemia presentsto the ER with stabbing upper back pain for the past twodays with no relief with over the counter medications. Physical exam findings show: HR 95, BP 180/100, 3/6 diastolicblowing murmur and a S4 heart sound. What is the mostlikely diagnosis?Myocardial infarctionPulmonary embolisEndocarditis Aortic dissection 6    A 59-year-old male with a past medical history significant forhypertension, type 2 diabetes, and hyperlipidemia presentsto the ER with stabbing upper back pain for the past twodays with no relief with over the counter medications. Physical exam findings show: HR 95, BP 180/100, 3/6 diastolicblowing murmur and a S4 heart sound. What is the most appropriate diagnostic test to confirm diagnosis? MRIEchocardiogramChest x-raYCT chest with contrast  7    The S1 heart sound denotes: Closure of the mitral and tricuspid valvesLate closure of the pulmonic valveClosure of the aortic and pulmonic valvesEarly closure of the aortic valve 8     Samuel is a 69-year-old male who presents to the ER afterfeeling 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 afterstandingSystolic BP decreases more than 20 points any time after standingAny drop in blood pressure if the patient becomes weak or dizzy. 9      A 56-year-old female with a no significant past medical history presents to the ER with radiating, gnawing abdominalpain. 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? CirrhosisPancreatic cancerCeliac diseaseGastritis 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 CFolic acid deficient – anemiaLegionella pneumoniaAcute tubular necrosis Health Science Science Nursing NURS ANP 652 Share (0)