Exam question troubleling me..... - page 3

I just took my 4th exam for Medsurg 2 and there's a question that keeps lingering on my mind. The question is something about which patient has a higher risk for CAD? These were the choices: ... Read More

  1. by   Becca608
    Quote from Jessiek
    Nili I am feeling your pain.. I keep telling myself 4 MORE WEEKS and then 3 months away.. it can not come fast enough!! Good luck with your exam.. and finals..!!
    Amen to that Jessie!!!

    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.:trout:
  2. by   Becca608
    :trout: There are probably no wrong answers, just the most right answer:smiley_ab <--Test reviews :spin:
  3. by   moongirl
    Quote from JediWitch
    Amen to that Jessie!!!

    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.
    18 more months and I will be an RN. 18 more months and I will be an RN.:trout:
    right on!
    in 18 DAYS I graduate !!!!!!!!!!!!!!!!!!!
  4. by   Thedreamer
    Quote from moongirl
    right on!
    in 18 DAYS I graduate !!!!!!!!!!!!!!!!!!!


    <-- stricken with envy
  5. by   lisabeth
    Well, I can say I will learn a lot from questions/answers/debates, like this and the links are great.. Thanks guys.:spin:
  6. by   PILLANGO
    This exact question was on my 2nd exam in 4th semester (getting ready for my final) -- and the answer was DM due to the disease process and to the fact that having DM significantly increases your risk for CAD.
  7. by   jjjoy
    So... does the OP have the official answer to the question and the rationale?
  8. by   catlvr
    I would have chosen DM as well, since you can lower the cholesterol and stop smoking...but you cannot overcome DM, so your risk is higher with that. Of course, my reasoning has been wrong before for this type of question!

    I've got 4 more months...and sometime I wonder if I will make it. My grades are fine, but our school is closing after our class graduates in August, and frankly we're all getting a little nutty. The teachers, naturally, are concerned about their next move once the school closes, so we all have cabin fever. Oye.

    e
  9. by   Myxel67
    Absolutely--Diabetes--and for all the reasons stated by Melina.
  10. by   steelcityrn
    I feel the answer is cholesterol, because smoking has more of a effect on your lungs, d.m. more on the kidneys, but cholesterol can encompass hdl and ldl and as we know they are a direct link to cad. I know d.m. can also lead to that, but not a strongly as high cholesterol levels. You are not supposed to look so deap into a question. This is my humble opinion. P.S.... if you ask me the real answer is missing...genetics!
  11. by   Myxel67
    On lab results for lipids, lab reports will take a ratio between LDL/HDL or Total Chol/HDL and will calculate risk for MI or CAD such as <1/2 average risk, average risk, or 2 x average risk. Has anyone seen a result showing > twice the average risk?

    Diabetes increases risk of CAD 2 to 4 times. Also people with DM are more likely to have the tiny LDL particle size that is most damaging. My vote still goes to DM.
    Last edit by Myxel67 on Apr 23, '07
  12. by   Nili927
    Hi everyone I want to thank everyone for responding. I have to say that I've learned alot just be reading everyone's post! We didn't have an exam review for the last exam due to the teacher having a family emergency and having to travel last minute..... which is really frustrating. I did look it up in my textbook, If any of you have the Medical Surgical Nursing book by Lewis (MOSBY) 6th edition, starting on page 802-804 under modifiable risk factors for CAD the book talks about high cholesterol first then hypertension as 2nd major risk factor, smoking as 3rd, Physical inactivity 4th. Then the book goes on to talk about the incidence of CAD being greater among patients with DM than the general public. According to the book DM is classified as a modifiable contributing risk factor but cholesterol, HTN, and smoking are classified as modifiable MAJOR risk factors.
    I answered cholesterol on the exam and feel better about that answer after reading that section in the book.
    What do you think???
  13. by   jjjoy
    I think it's not a very good exam question

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