Study with our free AANP Practice Questions, Qbank Test 7. The questions include answers and detailed rationales. Nursing topics focus on diagnosis, diagnostic tests, critical thinking, priorities of care, safe and effective care, treatments, and AANP clinical management. Achieve your highest score on the AANP Exam! Review cardiac disease, treatment of common pediatric cardiovascular disorders, diagnostic testing, and clinical management of cardiovascular disease.
A 62-year-old patient with a history of hypertension and carotid artery stenosis presents with recurrent episodes of vertigo and ataxia. On examination, you note an auscultatory bruit over the right carotid artery. Imaging confirms significant right carotid artery stenosis. Which of the following medications is indicated for the medical management of carotid artery stenosis in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Warfarin
E) Dipyridamole
Rationale: Dipyridamole, an antiplatelet medication, can be indicated for the medical management of carotid artery stenosis to reduce the risk of stroke.
A 55-year-old patient with a history of diabetes and hypertension presents with recurrent episodes of sudden-onset visual loss in the right eye, lasting for a few seconds. On examination, you note an auscultatory bruit over the left carotid artery. Imaging confirms significant left carotid artery stenosis. Which of the following medications is indicated for the medical management of carotid artery stenosis in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Atorvastatin
E) Amlodipine
Correct Answer: D
Rationale: Atorvastatin, a statin medication, is indicated for the medical management of carotid artery stenosis to reduce the risk of stroke and cardiovascular events by lowering LDL cholesterol levels.
A 65-year-old patient with a history of smoking and carotid artery stenosis presents with recurrent episodes of weakness in the right arm and leg. On examination, you note an auscultatory bruit over the right carotid artery. Imaging confirms significant right carotid artery stenosis. Which of the following medications is indicated for the medical management of carotid artery stenosis in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Ramipril
E) Nicardipine
Rationale: Clopidogrel, an antiplatelet medication, is indicated for the medical management of carotid artery stenosis to reduce the risk of stroke and cardiovascular events by preventing platelet aggregation.
A 65-year-old patient with a history of smoking and diabetes presents with cramping leg pain (intermittent claudication) in the right calf while walking. The pain resolves with rest. On examination, you note diminished pedal pulses and cool, pale skin of the right lower extremity. Ankle-brachial index (ABI) measurement confirms significant peripheral artery disease (PAD) in the right leg. Which of the following medications is indicated for the medical management of PAD in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Cilostazol
E) Atorvastatin
Rationale: Cilostazol, a phosphodiesterase inhibitor, is indicated for the medical management of PAD to improve walking distance and reduce symptoms of intermittent claudication.
A 58-year-old patient with a history of hypertension and smoking presents with a non-healing ulcer on the left foot. On examination, you note diminished pedal pulses and signs of tissue ischemia in the left lower extremity. Ankle-brachial index (ABI) measurement confirms significant peripheral artery disease (PAD) in the left leg. Which of the following medications is indicated for the medical management of PAD in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Pentoxifylline
E) Warfarin
Rationale: Pentoxifylline, a medication that improves blood flow, is indicated for the medical management of PAD to improve symptoms and promote wound healing in patients with critical limb ischemia.
A 70-year-old patient with a history of hyperlipidemia and hypertension presents with a non-healing ulcer on the right lower extremity. On examination, you note diminished pedal pulses and gangrene of the right foot. Ankle-brachial index (ABI) measurement confirms significant peripheral artery disease (PAD) in the right leg. Which of the following medications is indicated for the medical management of PAD in this patient with critical limb ischemia?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Alprostadil
E) Nicardipine
Rationale: Alprostadil, a prostaglandin E1 analog, is indicated for the medical management of PAD with critical limb ischemia to improve blood flow and reduce the risk of amputation.
A 62-year-old patient with a history of diabetes and hyperlipidemia presents with intermittent claudication in both legs. On examination, you note diminished pedal pulses bilaterally. Ankle-brachial index (ABI) measurement confirms significant peripheral artery disease (PAD) in both legs. Which of the following medications is indicated for the medical management of PAD in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Cilostazol
E) Warfarin
Rationale: Cilostazol, a phosphodiesterase inhibitor, is indicated for the medical management of PAD to improve walking distance and reduce symptoms of intermittent claudication.
A 55-year-old patient with a history of smoking and hypertension presents with severe rest pain in the right lower extremity and a non-healing ulcer on the right foot. On examination, you note absent pedal pulses and signs of tissue necrosis. Ankle-brachial index (ABI) measurement confirms significant peripheral artery disease (PAD) in the right leg. Which of the following medications is indicated for the medical management of PAD in this patient with critical limb ischemia?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Alprostadil
E) Atorvastatin
Rationale: Alprostadil, a prostaglandin E1 analog, is indicated for the medical management of PAD with critical limb ischemia to improve blood flow and reduce the risk of amputation.
A 68-year-old patient with a history of hyperlipidemia and smoking presents with recurrent episodes of leg pain while walking. On examination, you note diminished pedal pulses and signs of tissue ischemia in the left lower extremity. Ankle-brachial index (ABI) measurement confirms significant peripheral artery disease (PAD) in the left leg. Which of the following medications is indicated for the medical management of PAD in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Pentoxifylline
E) Lisinopril
Rationale: Pentoxifylline, a medication that improves blood flow, is indicated for the medical management of PAD to improve symptoms and walking distance.
A 60-year-old patient with a history of diabetes and hypertension presents with intermittent claudication in the right leg. On examination, you note diminished pedal pulses and signs of tissue ischemia. Ankle-brachial index (ABI) measurement confirms significant peripheral artery disease (PAD) in the right leg. Which of the following medications is indicated for the medical management of PAD in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Cilostazol
E) Ramipril
Rationale: Cilostazol, a phosphodiesterase inhibitor, is indicated for the medical management of PAD to improve walking distance and reduce symptoms of intermittent claudication.
A 72-year-old patient with a history of hypertension and coronary artery disease presents with recurrent episodes of leg pain while walking. On examination, you note diminished pedal pulses and signs of tissue ischemia in both lower extremities. Ankle-brachial index (ABI) measurement confirms significant peripheral artery disease (PAD) in both legs. Which of the following medications is indicated for the medical management of PAD in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Cilostazol
E) Atorvastatin
Rationale: Atorvastatin, a statin medication, is indicated for the medical management of PAD to reduce the risk of cardiovascular events and improve blood flow.
A 64-year-old patient with a history of smoking and peripheral artery disease (PAD) presents with worsening claudication symptoms in the left leg. On examination, you note diminished pedal pulses and signs of tissue ischemia. Ankle-brachial index (ABI) measurement confirms significant PAD in the left leg. Which of the following medications is indicated for the medical management of PAD in this patient?
A) Aspirin
B) Furosemide
C) Clopidogrel
D) Pentoxifylline
E) Warfarin
Rationale: Pentoxifylline, a medication that improves blood flow, is indicated for the medical management of PAD to improve symptoms and walking distance.
A 45-year-old patient with a history of prolonged sitting due to a desk job presents with swelling, pain, and tenderness in the left leg. The leg appears red and warm to the touch. Doppler ultrasound confirms the diagnosis of acute deep vein thrombosis (DVT) in the left lower extremity. Which of the following medications is the first-line treatment for this patient with acute DVT?
A) Aspirin
B) Furosemide
C) Heparin
D) Warfarin
E) Pentoxifylline
Rationale: Heparin is the first-line treatment for acute deep vein thrombosis (DVT) to prevent further clot propagation and reduce the risk of pulmonary embolism.
A 55-year-old patient with a history of obesity and a sedentary lifestyle presents with persistent leg pain, swelling, and skin changes in the lower legs. On examination, you note varicose veins and stasis dermatitis. Which of the following medications is indicated for the medical management of chronic venous insufficiency and venous stasis ulcers in this patient?
A) Aspirin
B) Furosemide
C) Heparin
D) Pentoxifylline
E) Warfarin
Rationale: Pentoxifylline is indicated for the medical management of chronic venous insufficiency and venous stasis ulcers to improve blood flow and reduce symptoms.
A 60-year-old patient with a history of smoking and deep vein thrombosis (DVT) presents with recurrent DVT despite anticoagulation therapy. On examination, you note varicose veins and signs of chronic venous insufficiency. Which of the following medications is indicated for the medical management of chronic venous insufficiency and prevention of recurrent DVT in this patient?
A) Aspirin
B) Furosemide
C) Rivaroxaban
D) Pentoxifylline
E) Clopidogrel
Rationale: Rivaroxaban, a direct oral anticoagulant, may be indicated for the medical management of chronic venous insufficiency and prevention of recurrent DVT in patients with recurrent DVT despite anticoagulation therapy.
A 50-year-old patient with a history of prolonged standing at work presents with bilateral leg discomfort, visible varicose veins, and swelling. On examination, you note varicose veins and symptoms of chronic venous insufficiency. Which of the following medications is indicated for the medical management of chronic venous insufficiency in this patient?
A) Aspirin
B) Furosemide
C) Heparin
D) Pentoxifylline
E) Warfarin
Rationale: Pentoxifylline is indicated for the medical management of chronic venous insufficiency to improve blood flow and reduce symptoms.
A 65-year-old patient with a history of heart failure presents with bilateral leg swelling and pain. On examination, you note edema, skin changes, and stasis dermatitis. Which of the following medications is indicated for the medical management of venous stasis ulcers in this patient?
A) Aspirin
B) Furosemide
C) Heparin
D) Pentoxifylline
E) Lisinopril
Rationale: Pentoxifylline is indicated for the medical management of venous stasis ulcers to improve blood flow and facilitate wound healing.
A 55-year-old patient with a history of obesity presents with leg pain, swelling, and skin changes. On examination, you note varicose veins and stasis dermatitis. Which of the following medications is indicated for the medical management of chronic venous insufficiency in this patient?
A) Aspirin
B) Furosemide
C) Heparin
D) Pentoxifylline
E) Atorvastatin
Rationale: Pentoxifylline is indicated for the medical management of chronic venous insufficiency to improve blood flow and reduce symptoms.
A 58-year-old patient with a history of smoking presents with leg swelling and discomfort. On examination, you note varicose veins and symptoms of chronic venous insufficiency. Which of the following medications is indicated for the medical management of chronic venous insufficiency in this patient?
A) Aspirin
B) Furosemide
C) Heparin
D) Pentoxifylline
E) Clopidogrel
Rationale: Pentoxifylline is indicated for the medical management of chronic venous insufficiency to improve blood flow and reduce symptoms.
A 60-year-old patient with a history of obesity presents with leg pain, swelling, and skin changes. On examination, you note varicose veins and symptoms of chronic venous insufficiency. Which of the following medications is indicated for the medical management of chronic venous insufficiency in this patient?
A) Aspirin
B) Furosemide
C) Heparin
D) Pentoxifylline
E) Rivaroxaban
Rationale: Pentoxifylline is indicated for the medical management of chronic venous insufficiency to improve blood flow and reduce symptoms.