Exam (elaborations)
PCCN FINAL EXAM
- Course
- Institution
- Book
Exam study book PCCN Exam Secrets of Mometrix Media LLC. - ISBN: 9781610724920 (PCCN FINAL EXAM)
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Seller
Follow
charitywairimuuu
Content preview
PCCN FINAL EXAM 2024 LATEST ACTUAL EXAMCOMPLETE 2 VERSIONS (VERSION A AND B) COMPLETE
250 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT) BRAND NEW / ALREADY GRADED A+
RIGHT CORONARY ARTERY - ANSWER: Supplies blood to:
SA node
AV node
RA and RV muscle
Bundle of His
Inferiorposterior wall of LV
1/3 septum, posterior fascicle of left bundle branch
Inferior surface RV
LEFT ANTERIOR DESCENDING CORONARY ARTERY - ANSWER: Supplies blood to:
Anterior/lateral surface LV
Anterior 2.3 intraventricular septum
R bundle branch
Anterior L bundle branch
LV papillary muscle
ST DEPRESSION - ANSWER: ISCHEMIA!
ST depression is considered significant if: depression > 1 mm below the baseline; see
in 2 or more leads facing the same area of the heart
- occurs in < 20 minutes of ischemia
ST ELEVATION - ANSWER: INJURY!
if elevation is > 1 mm in the limb leads or > 2mm in the precordial leads
- occurs within 20 -40 minutes after injury occurs
Q WAVES - ANSWER: Represents an area of dead tissue or infarction
Q waves is > 0.04 seconds wide
- usually take up to 24 hours to develop. DO NOT REVAL WHEN THE INFARCTION
OCCURRED.
Drug Therapy for CHF - ANSWER: A - ACE inhibitors to block RAAS
B - Beta blockers to block SNS
C - Increase Contractility: Digitalis
D - Diuretics, VasoDILATORS: to decrease preload and afterload
BNP - ANSWER: Marker for ventricular dysfunction
BNP > 100 is indicative of HF
May also be elevated in R sided failure due to pulmonary disease and ESRD
May see FALSE NEGATIVE in patients w flash pulmonary edema and HF due to mitral
regurgitation
, Myocarditis - ANSWER: Inflammation of the myocardium
- cardinal sign: pain when supine; respiratory infection; pain w/ inspiration; S3 and
S4
- endomyocardial biopsy is the only definitive way to diagnose
- viral cause is common
Infective Endocarditis - ANSWER: - Bacteria carried through system and deposited
into endocardial surfaces
- valves have irregular or "cauliflower" appearance
- Dental procedures/poor oral hygiene
-streptococcus most common
- MITRAL VALVE IS MOST AFFECTED
- AORTIC INSUFFICIENCY HEART MURMUR
- Pts w/ valve disease should receive abx prior to any invasive procedure
- abx for 6-8 wks
Pericarditis - ANSWER: - Idiopathic
- Post MI
-SHARP, STABBING pain that radiates to left shoulder
- aggravated by inspiration, supine position
- relieved by sitting up or leaning forward
- pericardial friction rub
- Diagnostics: elevated troponin, elevated WBC, diffuse ST elevation in all leads
- Tx: NSAIDs, monitor for complications: tamponade
Cardiac tamponade - ANSWER: -Cardiac effusion is the accumulation of fluid within
the pericardial space
-Most common cause: pericarditis (s/s: diffuse ST elevation in all leads, CP worse
when supine, pericardial friction rub)
- Beck's triad: JVD, narrow pulse pressure & hypotension, muffled heart sounds
- TEE (transesophageal echo) is usually necessary - most sensitive and specific
Kussmaul's sign - ANSWER: increase in JVP seen during inspiration
Pulsus Paradoxus - ANSWER: Difference of as much as >10 mmHg in SBP between
inspiration and expiration
- found in cardiac tamponade
Hypertensive crisis - ANSWER: DBP > 120
causes risk of end organ damage
Hypertensive emergency - ANSWER: DBP > 120 w/ acute or ongoing end organ
damage
- immediate BP reduction is required within a few hours to prevent or limit target
organ damage
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller charitywairimuuu. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81298 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now