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Chapter 25. Heart Failure MTM Data Set

Heart failure (HF) is defined as a clinical syndrome with signs and symptoms precipitated by abnormal function or structure of the heart. What is the definition of HF with reduced ejection fraction (EF)?

a. Signs and symptoms of HF with an EF of >40%.

b. Signs and symptoms of HF with an EF of ≤40%.

c. Signs and symptoms of right-sided HF with an EF of ≤40%.

d. Signs and symptoms of right-sided HF with an EF of >40%.

Answer b.

Symptoms of HF may be “left-sided” or “right-sided.” All of the following are left-sided symptoms of HF EXCEPT:

a. Orthopnea

b. Tachypnea

c. Cough

d. Ascites

Answer d.

When a diagnosis of HF is made, treatment depends on etiology, disease severity, and type of HF. Which of the following is an important treatment goal in the management of HF?

a. Decrease blood pressure to <140/90 mmHg.

b. Maintain current cardiovascular status.

c. Prevent hospitalization.

d. Lower LDL-cholesterol to <70 mg/dL.

Answer c.

It is important to use living room language when talking to a patient about HF. What is appropriate living room language for describing dyspnea?

a. Difficulty breathing with activity

b. Chest pain when breathing in

c. Rapid breathing

d. A feeling of chest pressure

Answer a.

A 65-year-old male is newly diagnosed with HF with reduced EF. His cardiologist prescribes metoprolol succinate 12.5 mg once daily. What is an appropriate step to include in the medication action plan?

a. At this stage, I do not have to monitor sodium intake.

b. I should check and record my blood sugar 3 times per week.

c. I should check and record my blood pressure daily.

d. I should get blood drawn one month after starting this medication.

Answer ...

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