Exam Review

BW is a 69-year-old African American male being evaluated by his health care team for a heart failure exacerbation. He is laying down when a physical exam is performed. Upon examination, you notice a large bulging vein in BW's neck. Upon further examination and measurement of the vein (>4 cm), BW was diagnosed with the following condition:
A)
Bulging vein disorder
B)
Jugular vein distension
C)
Increased neck pressure
D)
Jugular vein stenosis
Which of the following heart sounds, while not considered "normal" in a young person who is not an athlete, can be a normal finding in the elderly?
A)
S4
B)
S3
C)
S2
D)
S1
Which of the following symptoms may indicate the patient is experiencing a cardiac issue? SELECT ALL THAT APPLY.
(SATA)
A)
Fatigue
B)
Chest pain
C)
Edema
D)
Bilateral tingling in feet
True or False: Pharmacists perform very extensive cardiopulmonary exams beyond the extent of taking a blood pressure measurement and heart rate.
A)
True
B)
False

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When assessing a patient's edema, which of the following questions can be asked to quantify the degree of edema?
A)
What salty foods do you eat?
B)
How much water are you drinking per day?
C)
Have you bought slimmer pants recently?
D)
Are your rings fitting tighter lately?
The Get Up and Go Test helps identify issues with muscle strength, balance, and gait abnormalities and should be used in combination with other exams to fully assess fall risk.
A)
True
B)
False
Which of the following is a complication from experiencing a traumatic fall in persons 65 years of age or older?
A)
Lower risk of hospitalizations
B)
Increased medication use
C)
Development of "Post-Fall Anxiety" Syndrome
D)
Decreased nursing home admissions
The American Geriatric Society created the age and older ________ to assist medical professionals in identifying drug classes of harmful medications for patients 65 years of age
A)
STEADI algorithm for fall risk screening
B)
Fall risk assessment questionnaire
C)
Medication use in geriatric patient guideline 2017
D)
Beers Criteria

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JH is a 67-year-old male who presents to the clinic with complaints of dizziness and lightheadedness upon standing. His blood pressure is 140/80 mmHg while sitting but drops to 115/70 mmHg upon standing His past medical history includes type 2 diabetes, hypertension, myocardial infarction (heart attack) at age 63, arthritis, two falls in the past year, and hyperlipidemia. His current medications include: Lantus 50 units at bedtime, amlodipine 5 mg daily, metoprolol succinate 50 mg daily, atorvastatin 40 mg nightly, and aspirin 81 mg daily. He reports starting vitamin D3 5,000 unit capsules two weeks ago based on his wife's recommendation. His symptoms are consistent with
A)
Arthritis pain
B)
Low vitamin D levels
C)
Previous falls in the past year
D)
Orthostatic hypotension
All of the following are modifiable risk factors for falls EXCEPT
A)
History of stroke
B)
A high basal insulin dose of Lantus every evening
C)
Low vitamin D levels
D)
Morphine use for Parkinson's Disease
The "Teach Back" Method can be used to verify understanding of information presented in a counseling session with a patient.
A)
True
B)
False
A focused health history is usually done with recurring patients, but can be done with new patients, and it is problem-specific.
A)
True
B)
False

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Which of the following is considered normal blood pressure?
A)
130-139 or 80-89 mmHg
B)
140 or higher or 90 or higher mmHg
C)
Less than 120 and less than 80 mmHg
D)
120-129 and less than 80 mmHg
Over which artery should the stethoscope be placed for proper blood pressure measurement?
A)
lleal
B)
Femoral
C)
Radial
D)
Brachial
Which of the following can contribute to elevated blood pressure? SELECT ALL THAT APPLY.
A)
Caffeine use
B)
Tobacco use
C)
Acetaminophen use
D)
OTC decongestant use
Using a blood pressure cuff that is too large can give you a falsely high blood pressure measurement.
A)
True
B)
False

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When measuring blood pressure, the arm should be at heart level. What happens if the arm is supported above the heart level?
A)
Falsely high measurement
B)
Falsely low measurement
Which of the following locations provides the least reliable measurement of actual body temperature?
A)
Temporal
B)
Axillary
C)
Oral
D)
Rectal
A BMI of 21.7 kg/m2 is classified as:
A)
Overweight
B)
Normal
C)
Obese, Class II
D)
Obese, Class I
What is the normal respiratory rate for a 43-year-old female?
A)
22-34 breaths per minute
B)
18-30 breaths per minute
C)
12-20 breaths per minute
D)
10-18 breaths per minute

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Which of the following locations provides the most accurate measurement of actual body temperature?
A)
Rectal
B)
Axillary
C)
Oral
D)
Temporal
JA is a 39-year-old male who presents to an urgent care clinic with dizziness, palpitations, and sweating. His past medical history is significant for asthma and allergies. He states he is recovering from a sinus infection and took Sudafed earlier this morning. His vital signs will be taken in clinic. JA's heart rate is currently 135 bpm. Based on the measured heart rate, JA is experiencing which of the following?
A)
Bradycardia
B)
Orthopnea
C)
Tachycardia
D)
Normal heart rate
Pediatric patients have a lower body water % and a higher fat content than adult patients.
A)
True
B)
False
What is considered a common barrier to adherence in children?
A)
Weight
B)
Age
C)
Swallowing difficulties
D)
Height

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