Exam (elaborations)
ACNP Cardio : Questions With Correct Solutions (Rated A+)
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ACNP Cardio : Questions With Correct Solutions (Rated A+)
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ACNP Cardio : Questions With Correct Solutions (RatedA+)
CAD etiology Right Ans - Elevated LDL
Chronic C pneumoniae infections
Increased plasma homocysteine level (take folic acid)
Indications for Pharmacologic revascularization Right Ans - ST elev >0.1
mV in 2 or >leads
Chest pain, St elev NOT relievd by SL NTG
<80 y o
Pt is AAO- or med history is known
No contradictions
Absolute contradictions for pharm revascularization Right Ans - Hx of CVA
Cranial or spinal trauma<2 m o
Severe HTN
Bleeding
Trauma or major surgery in the last 10 days in a non-compressible site
Pregnancy
Cariac rehab activity, goal HR rate Right Ans - prescribed heart rate for
training be maintained at least 10 beats/min below the anginal or ischemic
ECG
Hear murmur IV Right Ans - Loud, with thrill
Heart murmur V Right Ans - Very loud, with thrill
CHF, cause of edema Right Ans - Increase in hydrostatic pressure
Systole Right Ans - any sound that occurs between S1-S2
S1 Right Ans - AV valves closure: mitral/tricuspid
S2 Right Ans - makes the sound dubb; occurs at the beginning of
ventricular filling, when the semilunar valves close
, S2 Right Ans - associated w/ closure of semilunar valves; can hear with
diaphragm, over entire precordium, although loudest at base
S3 Right Ans - abnormal; due to blood entering volume overloaded
ventricle in early diastole
S4 Right Ans - an abnormal heart sound detected late in diastole as
resistance is met to blood entering either ventricle during atrial contraction;
most often caused by hypertrophy of the ventricle
Murmurs grades Right Ans - I- barely audible
II- quiet but clearly heard
III- moderately loud
IV- loud and thrill present
V- very loud, hear with stethoscope partly off chest
VI- audible without stethoscope
Ms. Ard Right Ans - Diastolic murmurs (always pathologic)
Mitral Stenosis
Aortic Regurgitation
Diastolic
Mr. Ass Right Ans - SYSTOLIC MURMURS
Mitral Regurgitation/Aortic Stenosis Systolic murmurs
NYHA Functional Classes HF Right Ans - 1. No limitations of physical
activity
II. Slight limitations of phys. activity, comfortable at rest
III. Marked limitations but still is comfortable at rest
IV. Severe, symptoms at rest
HTN Right Ans - sustained systolic pressure greater than 140 mm Hg and a
diastolic pressure greater than 90 mm Hg, based on BP measurements taken
AT LEAST 3 times on 2 different occasions
HTN signs and symptoms Right Ans - - often times none= "silent killer"
- Suboccipital pilsating headache: early AM, resolving during the day
- Dizziness
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