When discussing cardio-vascular health there are several risk-enhancing factors you would want to address with your patient.  Which of the following are not considered risk enhancing ASCVD factors?     

When compared to Caucasians, African Americans tend to have a reduced effect with monotherapy with all of the following blood pressure medications except for:

Parameters for diagnosis on intermittent asthma include which one of the following:

John H presents to your office for his “regular physical.” He is 48 years old. In the office his initial blood pressure is 154/88 mmHg. It falls to 142/88 mmHg after ten minutes. Record review shows that his BP was 142/78 mmHg last year. His weight is 265 lbs, height 5’9″. His heart rate was 88 and regular. He has no previous diagnosis of hypertension. What of the following is the best plan for Mr. H today?

Which of the following pathogens is often implicated in a COPD exacerbation caused by respiratory tract infection?

Ms. Gloria Briggs continued – see below her subjective and objective data points. Gloria is now taking a B-blocker in addition to her other medications. What other steps might be used to treat her stage C/class II HF?   Ms. Gloria Briggs works as a librarian and presents with a 6-week history of fatigue and increasing shortness of breath. She believes that these symptoms are related to recent renovations at the library, which have reactivated her asthma; however, her nebulizer and inhaler have not relieved her symptoms. Gloria reports that her dyspnea is worse with ordinary activity and lying flat, but she is comfortable sitting. She has not experienced chest pain. She complains of her legs swelling and shoes “pinching.” She can no longer take her brisk lunchtime walk and has gained weight. Her history includes hypertension, type 2 diabetes (T2DM), and dyslipidemia; she is a nondrinker and quit smoking 7 years ago. Physical examination: o   Height: 5 ft 6 in; weight: 165 lb (body mass index : 26.6 kg/m2) o   Blood pressure (treated): 140/92 mm Hg o   Heart rate: 116 bpm; respiratory rate: 22; temperature: 98.4°F o   1+ pitting edema ankles; S3 heart sound; bilateral rales at lung bases o   Mild cardiomegaly

Mr. James is a 43-year-old African American male who you just diagnosed with hypertension.  As part of his diagnostic work-up you are ordering the following except for

Describe how a PSK9 inhibitor work.  

Which is TRUE concerning Obstructive Sleep Apnea (OSA)?

Mr.  Peter Miller has a hx of HF and recently was started on Entresto (sacubitril/valsartan).   The patient followed the instructions to discontinue Lisinopril.   He calls the office and reports that he is feeling a “little” short of breath, especially when he is walking up the one-flight of stairs to his bedroom.  He also gained 3 lbs since he was seen last in the office 3 weeks ago.  The NP orders lab and wonders what lab to order – a BNP or a NT-pro-BNP?   Answer the following questions: 1.  Which lab test should the NP order? 2.  Explain the rationale for the correct lab order.