MN 502 Quiz 2 - Question and Answers Question 1 A 29-year-old Englishman is seen in the office with complaints of pain in his chest and belly. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer®. The burning pain wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer? Question options: a) His gender b) His age c) His use of Alka-Seltzer d) His ethnic origin Question 2 0 / 2 points Which pain characteristic is usually indicative of cardiac pathology? Question options: a) Fleeting b) Moving c) Diffuse d) Localized Question 3 0 / 2 points What percentage of patients with angina pectoris will have simultaneous dyspnea, caused by transient increase in pulmonary venous pressures that accompany ventricular stiffening during an episode of myocardial ischemia? Question options: a) About 20% b) About 30% c) About 50% d) Almost all Question 4 2 / 2 points Jamie, age 55, has just started on a statin after having his liver function tests (LFTs) come back normal. He now asks you how often he has to have the LFTs repeated. What do you tell him? Question options: a) Initially in 6 weeks b) Every 3 months c) Every 6 months d) It’s no longer necessary for his statin regimen. Question 5 2 / 2 points George, age 64, has cardiovascular disease (CVD), a total cholesterol of 280 mg/dL, and a systolic BP of 158. He is being treated for hypertension. You are doing a Framingham Risk Assessment on him. Which assessment factor would give him the highest number of points on the scale? Question options: a) His age b) His cholesterol level c) His systolic BP d) The fact that he is on antihypertensive medication Question 6 2 / 2 points A patient is seen with dark-colored urine, and the urine dipstick reveals a high level of bilirubin. Which of the following could be a cause of this problem? Question options: a) Increased breakdown of red blood cells b) Inadequate hepatocyte function c) Biliary obstruction d) All of the above Question 7 2 / 2 points Which heart sound may be heard with poorly controlled hypertension, angina, and ischemic heart disease? Question options: a) A physiologic split S2 b) A fixed split S2 c) S3 d) S4