TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 98: Cardiac Diagnostic Testing: Noninvasive Assessment of Coronary Artery Disease Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. An asymptomatic 63-year-old adult has a low-density lipoprotein level of 135 mg/dL. Which
test is beneficial to assess this patient’s coronary artery disease risk? a. Coronary artery calcium score (CACS) b. hsCRP (high-sensitivity CRP) c. Exercise echocardiography d. Myocardial perfusion imaging ANS: B
The hsCRP is useful in asymptomatic men >50 years and women >60 years who have LDL <160 mg/dL to predict CAD risk. Although the CACS has shown some benefit in patients with moderate risk, the role for this diagnostic test is unclear. Exercise echocardiography and myocardial perfusion imaging are not performed initially. 2. Which risk assessment for coronary artery disease is recommended for all female patients? a. Coronary artery calcium score b. Electrocardiogram c. Exercise stress test d. Framingham risk score ANS: D
URSImethod NGTB. M The Framingham risk score is aNquick forCO identifying potential risk for CAD and can guide providers in choosing subsequent tests based on risk level. The ECG is performed on women with risk factors. The exercise stress test is useful in symptomatic women who have a normal ECG. The CACS may be used if moderate risk is present.
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