FNP & AGPCNP Board Exam Prep

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Cardiovascular3 of 10

A 62-year-old patient presents with new-onset dyspnea on exertion and bilateral ankle edema. Which initial test is most appropriate?

A.Echocardiogram
B.BNP level
C.Chest X-ray
D.Cardiac stress test
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During the question

Cardiovascular

A 62-year-old patient presents with dyspnea and bilateral ankle edema. Which initial test is most appropriate?

A.Echocardiogram
B.BNP level
C.Chest X-ray
D.Cardiac stress test

After you answer

Correct

BNP (brain natriuretic peptide) is elevated in heart failure and is the most sensitive initial test for confirming the diagnosis in a patient presenting with dyspnea and edema.

Why not the others?

Echo is ordered after BNP confirms HF. CXR is less specific. Stress test is contraindicated here.

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