Exercise tolerance Test (ETT) is the first line approach to detecting CAD in stable patients. However ETT is contraindicated for some patients. Knowing when to consult with specialists is an important part of NP practice. Which patient should be referred to cardiology prior to ordering an exercise tolerence test a. 60 year old male with cardiac chest pain and high cholesterol b. 60 year old male with cardiac chest pain and a history of smoking c. 60 year old male with cardiac chest pain and symptomatic congestive heart failure d. 60 year old male with cardiac chest pain, a history of diabetes and a BMI of 28 {Ans: c. 60 year old male with cardiac chest pain and symptomatic congestive heart failure}This hypertensive drug is the first choice for diabetic and renal failure pts per National Guidelines. {Ans: ACE inhibitors}A sedentary 58 year old African American female is here for her annual visit. Her VS are BP 130/70, HR 82, RR 18 BMI 30 Ht 5.2, works as an accountant in a law firm. Her past medical history includes and she states she'd like to begin training for a 10k marathon with some ladies at work. Per ACA/AHA