TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 101: Carotid Artery Disease Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. During a routine health maintenance examination, the provider auscultates a cervical/carotid
bruit. The patient denies syncope, weakness, or headache. What will the provider do, based on this finding? a. Order a carotid duplex ultrasound (US). b. Order catheter-based angiography. c. Refer the patient to a neurosurgeon. d. Schedule a computed tomography angiography (CTA). ANS: A
Carotid duplex ultrasound is the primary diagnostic tool for carotid stenosis. A cervical bruit in an asymptomatic patient is an indication for this test. Catheter-based angiography is the criterion-based standard but has inherent costs and risks. A neurosurgery referral is not indicated without further testing. CTA is used instead of duplex US if the test is not available, if US results are inconclusive, or further evaluation is needed based on US results. MULTIPLE RESPONSE 1. According to current research, which are associated with a decreased incidence of stroke?
(Select all that apply.) a. Statin therapy for low density lipoproteins (LDL) of <75 mg NURSINGTB.COM b. B-complex vitamin supplements c. Glycemic control for patients with diabetes d. Low-sugar soda e. Maintain a body mass index (BMI) of <30 kg/m2 ANS: A, C, E
Statin therapy for low density lipoproteins (LDL) of <75 mg, glycemic control for patients with diabetes, and maintaining a body mass index (BMI) of <30 kg/m2 has shown to lower the risk of stroke. B-complex vitamins and low-sugar soda have not shown to decreased risk.
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