Ambulatory Care Chronic Disease Management Flashcards
7 cards from real Ambulatory Care Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Ambulatory Care Chronic Disease Management flashcards as text
A patient with stable coronary artery disease asks about exercise. Which recommendation is MOST appropriate?
Answer: Perform moderate-intensity aerobic exercise 150 minutes per week
Moderate-intensity aerobic exercise for 150 minutes per week is recommended for stable CAD patients and reduces cardiovascular mortality and morbidity.
Which monitoring schedule is recommended for a patient with well-controlled type 2 diabetes on non-insulin therapy?
Answer: A1C every 6 months
For patients with well-controlled diabetes on stable non-insulin regimens, A1C monitoring every 6 months is appropriate per ADA standards of care.
A patient with moderate persistent asthma is on a low-dose ICS but remains poorly controlled. The MOST appropriate step-up therapy is:
Answer: Add a LABA to the existing ICS
Per NAEPP/GINA guidelines, adding a LABA to low-dose ICS is the preferred step-up for moderate persistent asthma uncontrolled on ICS alone.
Which vaccine is recommended ANNUALLY for all patients with chronic obstructive pulmonary disease?
Answer: Influenza vaccine
Annual influenza vaccination is strongly recommended for all COPD patients because respiratory infections are a major trigger of COPD exacerbations.
A patient with type 2 diabetes develops a creatinine of 2.1 mg/dL (eGFR 32 mL/min/1.73m²). Which medication adjustment is MOST appropriate?
Answer: Discontinue metformin due to risk of lactic acidosis
Metformin is contraindicated when eGFR falls below 30 mL/min/1.73m² and should be stopped at eGFR <30-45 depending on guidelines to prevent lactic acidosis accumulation.
In a patient with newly diagnosed hypertension who is Black, which antihypertensive drug class is recommended as PREFERRED first-line therapy?
Answer: Calcium channel blocker or thiazide diuretic
ACC/AHA guidelines recommend calcium channel blockers or thiazide diuretics as preferred initial therapy in Black patients because ACE inhibitors are less effective in this population.
A patient with chronic heart failure reports 3 lb weight gain in 2 days and increased ankle swelling. The MOST appropriate ambulatory management step is:
Answer: Instruct patient to increase diuretic dose per a pre-established titration plan
Pre-established flexible diuretic titration plans allow patients to self-adjust diuretic dose in response to rapid weight gain, reducing emergency hospitalizations for decompensated heart failure.