MSN 622 FINAL ACTUAL EXAM 100+ QUESTION AND ANSWERSLATEST 2024A 65-year-old man who is a heavy smoker presents with a complaint of pain inboth legs when he walks. He claims he can only walk half a block over the past fewyears without pain. He has been a smoker for 35 years and also drinks alcohol. Hedoes not have a history of hypertension or heart disease. The ankle-brachial indexin both legs is 0.70. What should be done to lower this patient's myocardialinfarction risk? - Start patient on aspirin or clopidogrelA 65-year-old woman presents to the clinic for a 1-year follow-up and medicationmanagement. Her medical history is significant for congestive heart failure,hypertension, hyperlipidemia, diabetes mellitus type 2, and chronic obstructivepulmonary disease (COPD). She has smoked 2 packs of cigarettes for 45 years.She drinks alcohol socially. Her current medications include lisinopril,hydrochlorothiazide, atorvastatin, metformin, albuterol, and inhaled fluticasone.Per the patient, she feels fine other than "some mild tingling in my feet." Shedenies chest pain, dyspnea, palpitations, dizziness, and weakness. She has not hadlaboratory work done in over 1 year. Her vital signs are temperature 37 °C (98.6°F), heart rate 77 bpm, respiratory rate 16 breaths/min, and blood pressure155/89 mm Hg. A physical exam is significant for absent bilateral pedal andposterior tibial artery pulses, significant edema, and brownish - The ratio ofsystolic ankle blood pressure to systolic brachial blood pressureA 65-year-old woman with claudication symptoms for the last six monthspresents to the clinic for evaluation. The patient has a history of diabetes andhypertension. She denies smoking. Physical exam shows palpable pulses on thebilateral lower extremities. Ankle-brachial index done at bedside shows a 1.1 on thePreview Mode
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