2024 MSN Final Exam New Latest Version with All
Questions from Actual Past Exam and 100% Correct
Answers
A 65-year-old man presents with complaints of palpitation, dizziness, and dyspnea for
the past 2 hours. The patient has a past medical history significant for hypertension,
diabetes mellitus, and hyperthyroidism. An electrocardiogram (ECG) is shown. After
initial stabilization, the patient is discharged with a Holter monitor and asked to return
after 7 days. At his next visit, ECG tracings show similar findings as seen on his first
visit. The patient's condition can be classified as which of the following? ---------- Correct
Answer ---------- Persistent atrial fibrillation
A 65-year-old man presents with a 4-hour history of progressively worsening left chest
pain that radiates to his left neck. A history of present illness reveals minor episodes of
transient chest pain over the last 6 months after climbing 2 flights of stairs or running.
His past medical history includes hypertension, type 2 diabetes mellitus, and
hyperlipidemia. His vital signs are oxygen saturation 98% on room air, respiratory rate
18 breaths/min, heart rate 91 bpm, blood pressure 131/91 mm Hg, and temperature
98.6 °F (37 °C). A 12-lead electrocardiogram (ECG) demonstrates ST depressions in
leads V5, V6, and aVL. The patient is administered oxygen, morphine, nitroglycerin, and
aspirin. What is the principle behind giving this patient nitroglycerin? ---------- Correct
Answer ---------- To dilate the venous system and decrease cardiac preload.
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