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MS2 Final Exam . Actual exam questions and answers
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MS2 Final Exam MS2 Final Exam MS2 Final Exam
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MS2 Final ExamHow to calculate heart rate on strip? - ANS Count small boxes from one peak to next and then divide
by 1500.
What are signs of good perfusion? - ANS warm, pink skin
cap refill <3 sec
stable vitals
no edema
in pediatrics: good i&o, no increased wob when feeding
What are signs of poor perfusion? - ANS cyanosis
increased wob
unstable vitals
poor i&o
in peds: increased wob when feeding, poor weight gain
increased preload - ANS FLUID OVERLOAD
decreased preload - ANS hypovolemia
Increased afterload - ANS HTN,
What does troponin measure - ANS heart damage (MI)
What does BNP measure - ANS indicator of heart failure
Ace inhibitors name - ANS pril
ACE inhibitors s/e and action - ANS angioedema, hyperkalemia, dry cough, orthostatic hypotension.
Decrease BP
,ARB inhibitor names - ANS sartan
ARB s/e and action - ANS orthostatic hypotension, kidney failure, cough. Decrease BP
Beta Blocker names - ANS lol
Beta blocker s/e and action - ANS low bp, wheezing. Lower BP AND HR
Calcium Channel Blocker drug names - ANS zem, mil, and pine
CCB s/e and action - ANS hypotension, edema
Diuretics names - ANS spironolactone, hydrochlorothiazide, furosemide
Diuretic s/e and action - ANS dehydration, hypotension. Lower BP
Nitro usage - ANS take 3 over 15 minutes, sit down while taking
if not relieved after 3, call ER
May have headache due to increased BP
Watch for patients on sildenafil (viagra)
Coronary Artery Disease - ANS atherosclerosis of the coronary arteries that reduces the blood supply
to the heart muscle
What are the drug treatments for CAD? - ANS Statins (lipid lowering), Antiplatelet therapy such as
ASA
Peripheral Artery Disease - ANS A form of peripheral vascular disease in which there is partial or total
blockage of an artery, usually one leading to a leg or arm.
6 P's of PAD - ANS Pain
, Pallor
Pulselessness
Paresthesia
Paralysis
Poikilothermia (inability to maintain proper body temp)
PAD S/S - ANS Loss of hair on legs
Shiny, dry, thin skin
Cool skin
Thickened nails
Claudication pain
Claudication pain - ANS cramping, weakness of the legs when walking or during exercise
How do we diagnose PAD? - ANS ankle-brachial index (ABI)
How do we treat PAD? - ANS Aspirin, Clopidogrel (Anti-platelet)
Pentoxifylline, Cilostazol (Anti-claudification)
Statins
Stent placement
Fem pop
Chronic stable angina - ANS chest pain that occurs intermittently over a long period with the same
pattern of onset, duration, and intensity of symptoms
Unstable angina - ANS chest pain that occurs while a person is at rest and not exerting himself. THIS
IS AN EMERGENCY
What to do in unstable angina - ANS MONA-
Morphine
Oxygen
Nitrate
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