Ambulatory Care Clinical Data Interpretation 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 Clinical Data Interpretation flashcards as text
A patient's HbA1c is 8.9%. According to ADA standards, what does this result indicate?
Answer: Poorly controlled diabetes requiring therapy intensification
An HbA1c above 8% indicates poor glycemic control, and the ADA recommends intensifying therapy to reach a goal below 7% for most adults.
A 68-year-old on warfarin has an INR of 4.8 with no bleeding. What is the most appropriate action?
Answer: Hold 1-2 doses and recheck INR more frequently
For supratherapeutic INR 4.5–10 without serious bleeding, holding doses and rechecking INR is the recommended approach per ACCP guidelines.
A serum potassium of 3.1 mEq/L is reported in a patient on hydrochlorothiazide. Which symptom is most directly associated with this value?
Answer: Muscle weakness and cramping
Hypokalemia commonly causes neuromuscular symptoms including weakness, fatigue, and muscle cramps due to altered membrane potential.
A patient's LDL is 145 mg/dL and they have established ASCVD. Per ACC/AHA guidelines, what is the treatment goal?
Answer: LDL < 70 mg/dL with ≥50% reduction
For very high-risk ASCVD patients, ACC/AHA 2019 guidelines recommend an LDL goal of <70 mg/dL with at least a 50% reduction from baseline.
A urinalysis shows >100,000 CFU/mL of E. coli in an asymptomatic 55-year-old woman with type 2 diabetes. What is the recommended approach?
Answer: No antibiotic treatment is indicated
Current IDSA guidelines do not recommend treating asymptomatic bacteriuria in patients with diabetes, as treatment does not reduce complications and increases antibiotic resistance.
A 72-year-old patient has an eGFR of 28 mL/min/1.73m². Which medication should be dose-adjusted or avoided?
Answer: Metformin
Metformin is contraindicated when eGFR falls below 30 mL/min/1.73m² due to the risk of lactic acidosis from drug accumulation.
A TSH of 0.08 mIU/L is found in a 60-year-old woman on levothyroxine. What is the most appropriate clinical interpretation?
Answer: Subclinical hyperthyroidism; consider dose reduction
A suppressed TSH below 0.4 mIU/L in a patient on levothyroxine suggests overreplacement and subclinical hyperthyroidism, warranting dose reduction.