Ambulatory Care Test Ambulatory Care Chronic Disease Management 3

Question 1

A 65-year-old with osteoporosis is prescribed alendronate. Which instruction is MOST critical to prevent esophageal injury?

Accepted Answer

Remain upright for at least 30 minutes after taking

Answer

Bisphosphonates like alendronate must be taken with a full glass of water and the patient must remain upright for at least 30 minutes to prevent esophageal irritation or ulceration.

Question 2

Which of the following is considered a macrovascular complication of poorly controlled type 2 diabetes?

Accepted Answer

Coronary artery disease

Answer

Coronary artery disease is a macrovascular complication of diabetes, while retinopathy, nephropathy, and neuropathy are microvascular complications.

Question 3

A patient with stable COPD has an FEV1/FVC ratio of 0.58 and FEV1 of 52% predicted. According to GOLD staging, this patient is classified as:

Accepted Answer

GOLD 2 (Moderate)

Answer

GOLD stage 2 (Moderate) is defined by FEV1 50-79% predicted with confirmed airflow obstruction (FEV1/FVC < 0.70).

Question 4

Which medication used in chronic heart failure management is classified as an ARNI (angiotensin receptor-neprilysin inhibitor)?

Accepted Answer

Sacubitril/valsartan

Answer

Sacubitril/valsartan (Entresto) is the only approved ARNI, combining neprilysin inhibition with angiotensin receptor blockade and is preferred over ACE inhibitors in HFrEF.

Question 5

A patient with hypothyroidism has a TSH of 8.2 mIU/L on levothyroxine 75 mcg daily. The MOST appropriate action is:

Accepted Answer

Increase the levothyroxine dose

Answer

An elevated TSH indicates under-replacement; increasing the levothyroxine dose is the appropriate response to normalize TSH.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Chronic Disease Management 3