FNP II Cardiac Exam 2 Review: Comprehensive Practice Questions Inspired by Fitzpatrick, Dunphy, and LEIK for Advanced Cardiology Mastery What can a 69yo with heart failure and type 2 diabetes take for CAP? a. respiratory fluroquinolone b. amoxicillin with a beta-lactamase inhibitor c. cephalosporin d. a macrolide - --- ANSWER IS>>>-a. respiratory fluroquinolone Levofloxacin (Levaquin) and moxifloxacin (Avelox) have excellent activity against strep pneumonia. Gaatiflozacin (Tequin) can also be given for CAP with comorbidity (incl. ETOH; CHF; chronic heart, lung, liver, or kidney disease; abx previous 3 months; DM; splenectomy/asplenia) You examine an 82yo woman who has a hx of HF. She is in the office b/c of increasing SOB. When auscultating her heart, you note tachycardia with a rate of 104bpm and an extra heart sound in early diastole. This sound most likely represents: a. summation gallop b. S3c. opening snap d. S4 - --- ANSWER IS>>>-b. S3 Marker of ventricular overload, systolic dysfunction, or both Heard in early diastole, can sound like it is "hooked on" to the back of the S2 Low pitch, best heard with bell, might miss with diaphragm Correlate with additional findings such as dyspnea, tachycardia, crackles You examine a 65yo man with dilated