According to the American College of Cardiology Foundation and the American

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According to the American College of Cardiology Foundation and the American

Heart Association (ACCF/AHA), the recommendation regarding antiplatelet therapy in patients with cardiovascular disease preoperatively is that:

A.Antiplatelet therapy should be held for 10 days preoperatively                                                          B. Cardiac consultation is required before an operation in patients who are on antiplatelet therapy  C. Medications should be continued unless concerns about hemostasis are significant         D.Antiplatelet therapy should be initiated in all high-risk cardiac procedures

 
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Mr. Austin is a 64-year-old male who has a long history of mitral valve

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Mr. Austin is a 64-year-old male who has a long history of mitral valve

stenosis. His condition has developed to the extent that he has symptomatic congestive heart failure, and due to a variety of comorbidities he is not a candidate for surgery. Ongoing medical therapy for Mr. Austin should include:

A.Anticoagulants     B. Diuretics       C. Antibiotics       D.Inotropes

 
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Best practices for assessing diseases of the thyroid gland

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Best practices for assessing diseases of the thyroid gland include a thorough

but targeted history, systematic physical examination, and selective use of appropriate diagnostic evaluation. The AGACNP knows that although serum T3 and T4 are not indicated routinely, a free T4 test is most useful in evaluating patients:

A.With profound symptoms of hypothyroidism      B. Following treatment for Graves’ disease            C. To rule out autonomous toxic nodule      D. At risk for thyroid cancer

 
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H. is a 71-year-old male with small cell lung cancer;

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H. is a 71-year-old male with small cell lung cancer; he has been treated with

chemotherapy. Initially he had symptom improvement but now appears to have had a recurrence. On examination today, he is quite edematous and has gained 12 lbs since his office visit 1 week ago. A metabolic panel reveals a serum Na+ of 119 mEq/dL. The AGACNP knows that J. H. likely has:

A.Brain metastasis      B. Congestive heart failure (CHF)      C. Syndrome of inappropriate antidiuretic hormone (SIADH)      D.Metabolic alkalosis

 
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