Ambulatory Care Test Ambulatory Care Chronic Disease Management 5

Question 1

A patient with stable coronary artery disease asks about exercise. Which recommendation is MOST appropriate?

Accepted Answer

Perform moderate-intensity aerobic exercise 150 minutes per week

Answer

Moderate-intensity aerobic exercise for 150 minutes per week is recommended for stable CAD patients and reduces cardiovascular mortality and morbidity.

Question 2

Which monitoring schedule is recommended for a patient with well-controlled type 2 diabetes on non-insulin therapy?

Accepted Answer

A1C every 6 months

Answer

For patients with well-controlled diabetes on stable non-insulin regimens, A1C monitoring every 6 months is appropriate per ADA standards of care.

Question 3

A patient with moderate persistent asthma is on a low-dose ICS but remains poorly controlled. The MOST appropriate step-up therapy is:

Accepted Answer

Add a LABA to the existing ICS

Answer

Per NAEPP/GINA guidelines, adding a LABA to low-dose ICS is the preferred step-up for moderate persistent asthma uncontrolled on ICS alone.

Question 4

Which vaccine is recommended ANNUALLY for all patients with chronic obstructive pulmonary disease?

Accepted Answer

Influenza vaccine

Answer

Annual influenza vaccination is strongly recommended for all COPD patients because respiratory infections are a major trigger of COPD exacerbations.

Question 5

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?

Accepted Answer

Discontinue metformin due to risk of lactic acidosis

Answer

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.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Chronic Disease Management 5