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AG-ACNP – Cardiovascular Questions With Complete Solutions
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AG-ACNP – Cardiovascular Questions With Complete Solutions
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AG-ACNP – Cardiovascular Questions With CompleteSolutions
43 yo. M presents to ED with complaints of substernal chest
pain that increases with inspiration, coughing and swallowing
and decreases when he leans forward. He recently had fever,
chills and loss of appetite. What is your primary differential?
Correct Answer Pericarditis
67 yo. F presents to the clinic with no significant PMH. Initial
BP read 168/92 with no other significant findings on physical
exam. Before leaving, second BP read 158/88. You should?
Correct Answer Teach the patient about lifestyle changes -
diet/exercise
A patient's coags read: PT 29, INR 4.4. What would you do, if
anything, to the patient's Coumadin dose? Correct Answer
Lower the coumadin. Goal INR 2.5-3.5
According to NYHA, which stage of heart failure is classified
as, "comfortable at rest, but less than ordinary activity causes
symptoms?" Correct Answer Class III
Acute weeping dermatitis is associated with what vascular
disease? Correct Answer Chronic venous insufficency
AFIB Heart rate control in HF pt without accessory pathway
Correct Answer Digoxin IV 0.25 mg q 2 hours, Amiodarone
AFIB Heart rate control without accessory pathway Correct
Answer Betablocker or Calcium Channel blocker
,AHA heart failure Correct Answer Stage A: patients at risk for
the development of HF but have no structural abnormality of the
heart
Stage B: patients who have structural abnormality but remain
free of symptoms
Stage C: patients who have structural abnormality and previous
or current symptoms
Stage D: patients with end-stage disease refractory to standard
treatment
Almost always due to rheumatic & in women. Hemoptysis is s/s
Correct Answer Mitral Stenosis
Aortic regurg Correct Answer Diastolic, blowing murmur at
2nd Left ICS
Aortic Stenosis Correct Answer Systolic blowing, rough harsh
murmur at 2nd ICS usually radiating to neck
Aortic Stenosis grades Correct Answer Mild-effective valve
area of > 1.5cm
Moderate_effective valve area >1-1.5cm
Severe-effective valve area < 1cm
Bandemia is always present in what type of cardiovascular
disorder? Correct Answer Endocarditis. WBC always elevated
with left shift.
BP goal of People >60 Correct Answer 150 or 90
, Cardiac rehabilitation is an example of what type of prevention?
Correct Answer Tertiary prevention.
CK-MB (skeletal and heart) Correct Answer onset 2-6 hrs,
peak 12-24 hr, duration 1-3 dyas
Class A aortic disection Correct Answer proximal dissection:
ascending aorta or arch, most devastating
Common pharm for angina Correct Answer Nitrates, BB, CCB
Control shivering in hypothermia Correct Answer demerol
Define acute heart failure. Correct Answer LCHF L= LUNGS
Follows AMI, LVH, HTN, valve rupture
Define Acute/Flash Pulmonary Edema Correct Answer Alveoli
filled with intravascular fluids caused decrease in gas exchange
resulting in poor oxygenation.
Causes - AMI, HF, increased LV pressure
Define chronic heart failure Correct Answer RCHF
Develops as a result of inadequate compensatory mechanisms
that have been in response to decrease CO
Define chronic venous insufficiency. Correct Answer Impaired
VENOUS return due to destruction of valves, DVT, leg trauma,
or sustained elevation of venous pressure (CHF)
Define diastole. Correct Answer Period between S2 and S1
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