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step 2: Cardio2
Cardio 2
| Question | Answer |
|---|---|
| Cause of chest pain: ST elevation only during brief episodes of chest pain? | Prinzmetal angina |
| Cause of chest pain: Patient able to localize chest pain with one finger | chest wall injury (musculoskeletal) |
| Cause of chest pain: Chest wall tenderness on palpation | chest wall injury (musculoskeletal) |
| Cause of chest pain: rapid onset sharp pain that radiates to scapula | aortic dissection |
| Cause of chest pain: rapid onset sharp pain in a 20yo w/ dyspnea | spontaneous PTX |
| Cause of chest pain: occurs after heavy meals and improved by antacids | GERD or esoph spasm |
| Cause of chest pain: sharp pain lasting hrs-days, relieved by sitting fwd | pericarditis |
| Cause of chest pain: pain made worse by deep breath or motion | musculoskeletal |
| Cause of chest pain: in a dermatomal distribution | herpes zoster |
| Cause of chest pain: most common cause of non cardiac pain | GERD |
| Cause of chest pain: acute onset dyspnea, tachycardia, confusion in hospitalized pt | Pulm embolism |
| Cause of chest pain: Pain began on day following a new exercise program | musculoskeletal |
| Cause of chest pain: widened mediastinum on CXR | Dissection |
| What is DOC in angina pt? What if same pt has HTN? | DOC = NG. If HTN present= B-blockers |
| At what TOTAL CHOLESTEROL level should a pt have their lipid fractions tested (LDL, HDL, etc)? | >200 mg/dL. If total is <200, retest after 5y |
| If a pt has reversible myocardial ischemia, what is the next step in mgmt? | Cardiac catheterization to assess need for further intervention |
| What does Unstable Angina present as? ECG picture? Risk of developing into _____. | presents as angina at rest (d/t plaque rupture, hemorrhage, thrombosis), ECG is ST DEPRESSION and T wave flattening. Progresses to MI |
| Which lipid Rx has facial flushing? How do you treat that s/e? | Niacin. Rx with ASA |
| _______ should never be mixed with statins d/t increased myositis and liver damage risk. | Fibrates |
| Name a cholesterol absorption inhibitor. | Ezetimibe |
| Which lipid Rx may actually increase TAGs? Which has best affect on HDL? | increased TAGs = bile acid sequestrant. improved HDL = niacin |
| pathogenesis behind statins causing LFT derangements? | low coQ and dolichol synthesis |
| What is the next step in mgmt of a pt with 3 vessel CAD, EF <50%? What about milder Sx? | CABG in very severe. Meds first, then PCTA or CABG if angina still present in milder cases. |
| What drug should be given after stent placement? | clopidogrel |
Created by:
jsad
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