Ambulatory Care Test Ambulatory Care Clinical Data Interpretation 2

Question 1

A patient's HbA1c is 8.9%. According to ADA standards, what does this result indicate?

Accepted Answer

Poorly controlled diabetes requiring therapy intensification

Answer

An HbA1c above 8% indicates poor glycemic control, and the ADA recommends intensifying therapy to reach a goal below 7% for most adults.

Question 2

A 68-year-old on warfarin has an INR of 4.8 with no bleeding. What is the most appropriate action?

Accepted Answer

Hold 1-2 doses and recheck INR more frequently

Answer

For supratherapeutic INR 4.5–10 without serious bleeding, holding doses and rechecking INR is the recommended approach per ACCP guidelines.

Question 3

A serum potassium of 3.1 mEq/L is reported in a patient on hydrochlorothiazide. Which symptom is most directly associated with this value?

Accepted Answer

Muscle weakness and cramping

Answer

Hypokalemia commonly causes neuromuscular symptoms including weakness, fatigue, and muscle cramps due to altered membrane potential.

Question 4

A patient's LDL is 145 mg/dL and they have established ASCVD. Per ACC/AHA guidelines, what is the treatment goal?

Accepted Answer

LDL < 70 mg/dL with ≥50% reduction

Answer

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.

Question 5

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?

Accepted Answer

No antibiotic treatment is indicated

Answer

Current IDSA guidelines do not recommend treating asymptomatic bacteriuria in patients with diabetes, as treatment does not reduce complications and increases antibiotic resistance.

Ambulatory Care Test Practice Test

Ambulatory Care Test Practice Test

Ambulatory Care Test Ambulatory Care Clinical Data Interpretation 2