2023 MSN622 Final Exam with Answers (117 Solved Questions)

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MSN 622 FINAL EXAM ACTUAL100+QUESTION ANDANSWERSLATEST2023.A 65-year-old man presents with complaints of chest pain that started 30 mins ago butstopped on his way to the hospital. The patient has a past medical history significant forhypertension and diabetes mellitus. An electrocardiogram (ECG) is normal. A stressECG shows mild ST elevations after 12 minutes of exercise. Adiagnosis of stableangina is made. Which of the following should be the first step in counseling the patientabout his condition?-ANSWER-Determining the precipitating factors for his conditionA 47-year-old male presents to the office for routine health maintenance. His bloodpressure is 182/138, with all other vital signs within normal limits. The patient iscurrently complaining of a headache and blurred vision but denies chest pain, shortnessof breath, and abdominal pain. Under which of the following forms of hypertensionwould this patient be classified-ANSWER-hypertensive emergencyA 65-year-old male with a history of type 2 diabetes comes into the provider's officecomplaining of blurry vision, nosebleeds, and exertional chest pain for the pastsixmonths. The blood pressure is measured to be 160/94 mmHg. A CT angiogram isperformed, which reveals partially occlusive coronary artery plaques. Which of thefollowing medication regimens would be most appropriate for this patient?-ANSWER-Losartan/hydrochlorothiazide and atorvastatinA 68-year-old male with a past medical history of type 2 diabetes mellitus and diabeticnephropathy presented to the clinic for a follow-up appointment. His blood pressure onthe last visit was 150/90 mmHg. He was called in for a follow-up appointment in 4weeks to monitor his blood pressure. The blood pressure on this visit is 168/105 mmHg,and HbA1c is 8.9%. His antihypertensive regimen was adjusted, and an ACE inhibitorwas added. He is on metformin and sitagliptin for diabetes mellitus. One week later, hisblood pressure was 130/80 mmHg, the patient's potassium was 5.1 mEq/L, sodium was133 mEq/L, and the rest of the renal panel was within normal limits. He reports nosymptoms. What is the next best step in his care?-ANSWER-Reassure him that this isexpected from his ACE inhibitor and continue therapy with periodic monitoring.A 50-year-old man presents to the clinic for routine evaluation. His systolic bloodpressure has persistently been in the 150-160 mmHg range. Treatment with ramipril isinitiated. On the next visit, he complained of an itchy throat and a dry cough, which isnot distressing for him, but he is concerned that there might be something serious as heused to smoke but quit 5 years ago. A chest x-rayis within normal limits. What is thenext best step in the management of this patient?-ANSWER-ReassuranceA 65-year-old man presents for a review of his medications. The patient states his bloodpressure (BP) is always elevated whenever he checks it with his digital BP monitoringmachine, despite taking all of his medications. He has a past medical history significantfor hypertension, diabetes mellitus, and hyperlipidemia. Laboratory evaluation reveals a

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