The percentage of the FVC expired in one second is - answerFEV1/FVC ratio The aging process causes what normal physiological changes in the heart - answerThe heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough and sometimes he has difficulty breathing. Which med was most likely prescribed? - answerLisinopril MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of HF which is - answerStage C 65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage of HF is - answerStage B The best way to diagnose structural heart disease/dysfunction noninvasively is - answerEchocardiogram Chronic pain can have major impact on patients ability to function and have profound impact on overall QOL. Ongoing pain may be linked to - answerDepression, sleep disturbance, decreased socialization The Beers criteria are appropriate for use in evaluating use of certain meds in patients - answer>65 y/o All of the following statements are true about lab values in older adults except - answerAbnormal findings are often due to physiological aging According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American woman with a h/o HTN and DM and no h/o CKD is - answer<140>100. Patient also has a new tremor in both hands. Which of the following would you suspect - answerHyperthyroidism Which patient is more likely to have osteoporosis - answer80 y/o. Underweight male who smokes and has been on steroids for psoriasis Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action info statement would indicate she understood your instructions regarding this med? - answerTake med with full glass of water when up in the AM 30 min before other food and meds 60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him about his modifiable cardiac risk factors which include - answerDM, obesity, hyperlipidemia OA of cervical and lumbar spine causes pain related to all of the following except - answerCrystal deposition In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable diagnostic study would be - answerSynovial fluid analysis Patients with OA of the hip and knee often have a distinguishable gait described as - answerAntalgic Which of the following best describes pain associated with OA - answerBegins upon arising and after prolonged weight bearing and or use of the joint Joint effusions typically occurs later in the course of OA, especially in the - answerKnee You ordered CBC for your patient you suspect has polymyalgia rheumatica. Which 2 clinical findings are common in patients with PMR - answerNormochromic, normocytic anemia and thrombocytosis You suspect your patient has PMR and now are concerned that they may have Giant Cell Arteritis too. Which of the following 2 symptoms are most indicative of GCA and PMR - answerScalp tenderness and aching in shoulder and pelvic girdle 63 yo Caucasian patient with PMR will begin tx corticosteroids until the condition has resolved. You look over her records and it has been 2 years since her last physical exam and any labs or diagnostic tests as she relocated and had not yet ID'd a provider. In prioritizing your management plan your first orders should include - answerDuel energy X-ray scan and updating immunizations