ATI LPN
Cardiovascular System Questions Questions
Question 1 of 5
In a patient with type 1 diabetes mellitus, a typical calculated daily dose of insulin would be:
Correct Answer: C
Rationale: Type 1 diabetics require both basal and bolus insulin for adequate glycemic control.
Question 2 of 5
46 y/o asymptomatic male has a brother with hemochromatosis. He drinks 2 beers per day. PE: Normal. Labs: Iron 180 ug/dL, Transferrin saturation 88%, Ferritin 1200 ug/L, CBC normal, AST 52, Abd US normal. HFE gene test +C282Y/C282Y mutation. The most appropriate next step would be:
Correct Answer: A
Rationale: Liver biopsy assesses for fibrosis or cirrhosis in hemochromatosis with significantly elevated ferritin, despite normal ultrasound.
Question 3 of 5
For which of the following circumstances would anastrozole be best indicated?
Correct Answer: C
Rationale: Anastrozole is effective for postmenopausal women with ER+ breast cancer; thus, a 69-year-old woman with these characteristics would benefit from it.
Question 4 of 5
Your patient with a recently placed prosthetic aortic valve is about to undergo dental extraction. She reports anaphylaxis to amoxicillin. Which of the following should be offered:
Correct Answer: D
Rationale: Clindamycin 600 mg x 1 prior to procedure is appropriate for patients allergic to penicillin.
Question 5 of 5
You are seeing a 61 yo African-American male for back pain, the follow lab is obtained: creatinine 1.9 mg/dl, Hb 8.8, uric acid 10.1mg/dl, Ca 11.8 mg/dl, anion gap is 5 and urine dip is negative for protein. What would be your next diagnostic test?
Correct Answer: D
Rationale: The patient's presentation with elevated calcium levels and renal insufficiency suggests multiple myeloma as a potential diagnosis. Serum protein electrophoresis is essential in detecting monoclonal proteins, which are commonly found in multiple myeloma.