Exam (elaborations)
IHD - ISCHEMIC HEART DISEASE EXAM QUESTIONS AND VERIFIED ANSWERS
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IHD - ISCHEMIC HEART DISEASE EXAM QUESTIONS AND VERIFIED ANSWERS...
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IHD - ISCHEMIC HEART DISEASEEXAM QUESTIONS AND VERIFIED
ANSWERS
What are the classes of recommendation in the guidelines and what do
they mean? - ANSWER 1, 2a, 2b, 3
1: Benefit > Risk
2a&b: Benefit-Risk depends on the patient
3: No Benefit/Harm
What per cent of fats should patients (trying to manage their lipids) eat?
- ANSWER Sat. Fats <7% of total calories
Cholesterol <200mg/d
What therapies can help lower LDL if patients can't tolerate statins? -
ANSWER Bile Acid Sequestrants
Niacin
What ASCVD risk requires a high-intensity statin? - ANSWER +20%
What ASCVD risk suggests a moderate-intensity statin? - ANSWER 5-
19%
What counselling points do patients need to manage BP? - ANSWER
Lifestyle modification
Weight control
Increased physical activity
, Alcohol moderation
Sodium reduction
Emphasis on increased consumption of fresh fruits, vegetables, and low-
fat dairy products.
When should patients with SIHD start anti-HTN therapy? - ANSWER
BP +140/90
What is the BP goal for patients with HTN? - ANSWER <130/80
What is the A1C goal for patients with DM? - ANSWER <7%
But 7-9% is reasonable for some patients
How often should patients be physically active? - ANSWER 30-60 mins
x5-7d/wk
What BMI is recommended? - ANSWER 18.5 - 25
What are the 5 A's of smoking cessation? - ANSWER Ask
Advise
Assess
Assist
Arrange
What medications treat angina? - ANSWER Nitrates
BB
CCB
How do nitrates work? - ANSWER Reduce pre-load/wall tension
What are the levels of evidence in the guidelines and what do they
mean? - ANSWER A, B, C
A: Good scientific evidence
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