An 83-year-old male with a known history of heart failure presents to the ED by EMS for complaints of extreme shortness of air and respiratory distress. His initial O2 sat is 88% on room air and it improves to 94% when he is placed on oxygen at 2L per nasal cannula. On exam, he is mildly confused, has elevated JVP, hepatomegaly, 3+ pitting edema up to his knees and rales heard through all lung fields. His initial vital signs are:BP 88/65 HR 88 RR 32 Temp 98.4F Lab work: BNP 1545 (normal < 125) What best describes your initial plan of care?

Interpret the following EKG for acute coronary syndrome (ACS)/myocardial infarction: question15exam2.png

Which of the following should be assessed on physical exam of a patient with primary hypertension?

Mrs. Kemp is a 56-year-old female that presents to your emergency department complaining of chest pain and shortness of air that started while she was exercising at the YMCA. She stopped exercising immediately upon feeling the “chest pressure” and called 911. EMS arrived within 4 minutes and administered 162 mg ASA (aspirin) and 0.4 mg nitroglycerin sublingual. The discomfort subsided. Her current vital signs are: BP: 168/90 P: 110 RR: 24 O2 sat: 97% RA (room air). Your lab reveals: troponin: 0.022 ng/mL (normal

Choose the correct statement regarding dyslipidemia:

Your patient has a low-pitched rumbling diastolic apical murmur with an opening snap. Which of the following is the most frequent presenting complaint associated with this murmur?

Pharmacological causes of hypertension include which of the following?

Which of the following defines HFrEF?

Which of the following treatments is NOT recommended for CHF?

Mr. Nnadi is a 63-year-old male who presents to your office for an employment physical. His review of systems (ROS) is significant for two episodes of unexplained syncope. Your exam reveals a harsh systolic grade 2/6 murmur auscultated at the right second intercostal space. The murmur is noted to radiate to the carotid arteries. You surmise this murmur is most likely: