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Cardiovasc 3 Angina

Angina

QuestionAnswer
Chvostek and Trousseau signs are assoc'd with what metabolic abnormality? Hypocalcemia
Cold water is flushed into a pt's ear and the fast phase of the nystagmus is toward the opposite side. Where is the lesion? No lesion! This is a normal finding.
A lesion to which area of the brain is responsible for the following clinical scenarios?: contralateral hemiballismus subthalamic nucleus
A lesion to which area of the brain is responsible for the following clinical scenarios?: hemispatial neglect syndrome non-dominant parietal lobe (R)
A lesion to which area of the brain is responsible for the following clinical scenarios?: coma reticular activating system
A lesion to which area of the brain is responsible for the following clinical scenarios?: poor repetition arcuate fasciculus
A lesion to which area of the brain is responsible for the following clinical scenarios?: poor comprehension wernicke's
A lesion to which area of the brain is responsible for the following clinical scenarios?: poor vocal expression broca's
What meds are used to tx Prinzmetal's angina? Nitrates, CCBs (most important)
Where do the non-dihydropiridine CCBs work? Name 2 drugs in this class. Work on heart. Verapamil and diltiazem.
Where do the dihydropiridine CCBs work? Name 2 drugs in this class. Work peripherally to decrease preload. Nifedipine and amlodipine.
What is the most likely cause of chest pain in the following scenarios?: ST segment elevation only during brief episodes of chest pain prinzmetal's
What is the most likely cause of chest pain in the following scenarios?: pt is able to point to localize chest pain using one finger musculoskeletal
What is the most likely cause of chest pain in the following scenarios?: chest wall tenderness on palpation musculoskeletal
What is the most likely cause of chest pain in the following scenarios?: rapid onset sharp chest pain that radiates to scapula aortic dissection
What is the most likely cause of chest pain in the following scenarios?: rapid onset sharp pain in a 20yo and assoc'd with dyspnea spontaneous pneumo
What is the most likely cause of chest pain in the following scenarios?: occurs after heavy meals and improved by antacids GERD (or esophageal spasm)
What is the most likely cause of chest pain in the following scenarios?: sharp pain lasting hours-days and is somewhat relieved by sitting forward pericarditis
What is the most likely cause of chest pain in the following scenarios?: pain made worse by deep breathing and/or motion musculoskeletal or pleuritic pain
What is the most likely cause of chest pain in the following scenarios?: chest pain in a dermatomal distribution zoster
What is the most likely cause of chest pain in the following scenarios?: MCC of non-cardiac chest pain GERD, muscoloskeletal
What is the most likely cause of chest pain in the following scenarios?: acute onset dyspnea, tachycardia, and confusion in a hospitalized pt PE
What is the most likely cause of chest pain in the following scenarios?: pain began the day following an intensive new exercise program muscoloskeletal
What is the most likely cause of chest pain in the following scenarios?: widened mediastinum on CXR aortic dissection
Which pts are more likely to have atypical angina (or no angina) during an episode of MI? DM and women
How does nitroglycerin work acutely in a cardiac ischemic episode? Nitro causes venodilation (peripherally) which decreases preload and O2 demand of the heart
Why should relief of chest pain with nitroglycerin administration not be used as a dx test for whether or not the chest pain is cardiac in nature? B/c it can also diminish pain from esophageal vasospasms or GERD.
What is the mechanism of action?: streptokinase converts plasminogen to plasmin which degrades fibrin
What is the mechanism of action?: aspirin COX-1 and COX-2 inhibitor; inihibits platelet aggregation
What is the mechanism of action?: clopidogrel ADP receptor inhibitor; prevents platelet aggregation
What is the mechanism of action?: abciximab GPIIb/IIIa inhibitor; prevents platelet aggregation
What is the mechanism of action?: tirofiban GPIIb/IIIa inhibitor; prevents platelet aggregation
What is the mechanism of action?: ticlodipine ADP receptor inhibitor; prevents platelet aggregation
What is the mechanism of action?: enoxaparin catalyzes stimulation of antithrobin (like heparin)
What is the mechanism of action?: eptifibatide GPIIb/IIIa inhibitor; prevents platelet aggregation
What ist he MCC of chest pain in a pt with a sudden tearing chest pain radiating to the back? Aortic dissection (look for false lumen on imaging)
Created by: sarah3148