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How far in advance of a procedure/surgery, should a pre-op evaluation occur?

Orthostatic hypotension is defined as a drop of at least 20 mmHg in systolic BP with a change in position from lying to standing. Which of the following is NOT considered a common symptom of orthostatic hypotension?

A 58-year-old patient presents to her primary care provider (you) to discuss her risk of cardiovascular disease.  Her family history ov CV disease includes her mother having a MI at the age of 66.  Her past medical history includes hypertension, hyperlipidemia and elevated BMI > 30.  She has never smoked tobacco and drinks a glass of white wine daily.   Her current medications include 5 mg of amlodipine PO daily, 10 mg of atorvastatin PO daily.  PE findings include HR 68 bpm, BP 128/68 mmHg, cardiovascular and pulmonary exam within normal limits.  A recent fasting lipid profile obtained 2 weeks ago revealed a total cholesterol of  220mg/dL, HDL of 45 mg/dL and a LDL of 175 mg/dL. :  Which of the following is the most appropriate management to lower her risk of cardiovascular disease?

Prevalence of carotid artery disease is highest among older adults and people with hypertension and heart disease. You are concerned that your patient may have carotid artery disease. Which of the following is NOT a common indication for ordering a carotid duplex ultrasound?

The most common cause of bacterial peritonitis is cirrhosis. The diagnosis of peritonitis should be suspected on the basis of fever, abdominal pain, tenderness and leukocytosis. Which of the following is NOT a classic physical exam findings for peritonitis?

There are numerous noninvasive ways to evaluate a patient with symptoms of cardiovascular disease.  Which of the following statements is a true statement?

Metabolic syndrome is a cluster of disorders characterized by insulin resistance, hypertension, abdominal obesity, and dyslipidemia. Your patient has the diagnosis of metabolic syndrome. Which of the following findings is NOT included in the criteria to diagnose metabolic syndrome?

Cardiac disease is the number one cause of death in the United States. Patient and family education to prevent coronary disease is an important role of the primary care provider. It is also important that APRNs recognize the signs and symptoms of a myocardial infarction when the patient is presenting in the primary care setting, and to immediately call 911. Which of the following in NOT a common sign or symptom of a myocardial infarction?

Medications may contribute to symptoms of GERD by decreasing salivation, esophageal motility, lower esophageal sphincter tone, or a combination of these factors. Which of the following class of medications is NOT known to increase the prevalence of GERD?

What is the American Society of Anesthesiologists (ASA) recommendation for discontinuing herbal medications prior to a planned surgery?