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Barry Patho II Test

Enter the letter for the matching Answer
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1.
Chronic or stable angina is caused by
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2.
The most frequent cause of decreased coronary flow is
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3.
What are the clinical symptoms that differ between Acute and Chronic angina
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4.
MI management includes (4 things)
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5.
Angina Pectoris is pain felt due to
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6.
What does PNS (parasymp) stimulation do to the heart
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7.
What is the difference between Ischemia and Infarction (MI)
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8.
What is the most common cause of transmural infarction
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9.
What is the best management treatment for patients with Variant angina
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10.
The key component to diagnosing Variant angina is
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11.
What things (2 of them ) do not relieve symptoms in Acute angina but do in Chronic angina
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12.
What is the most important factor in local blood flow regulation of the coronary perfussion
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13.
What oxytocic drug in give to diagnose Variant angina
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14.
Management of an MI (3 things)
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15.
T/F: Varient angina is like Chronic angina, it is related to physical exertion or emotion stress
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16.
How many ml of O2 is required to maintain cell life
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17.
What is the name of the cardiac diagnostic test that injects a radionuclide and compares peak exercise to rest periods
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18.
T/F: Chronic angina disappears with rest
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19.
Sub-endocardial infarction includes
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20.
Name 3 independant predictors for the development of athrosclerosis
A.
Ergonovine
B.
Acute coronary thrombosis
C.
Drugs (b-blockers, nitrates, analgesics, and O2), Controll of physical activity, Thrombolitics (intracoronary and intravenously), and PTCA (easier through fresh thrombus)
D.
Ischemia (not necrosis, no pain with necrosis)
E.
True
F.
1.3 ml of O2/100g of tissue/min
G.
the subendocardium, the intramural myocardium or both --does not extend into the epicardium
H.
Lifestyle changes, drug tx, revascularization
I.
False, Varient angina does is not related to physical activity or emotional stress; Chronic angina is
J.
decreases strength and HR
K.
Increase O2 demand over supply (physical activity, emotions, eating, Mary Beth, hurrying, fever, chills, tachycardia, motion of hands over head)
L.
Stres thalium 201 Myocardial perfusion imaging - it shows defects
M.
the development of ST segment elevation with pain
N.
The best treatment is to combine nitrates and Ca++ antagonists (calciun channel blockers)
O.
Dead tissue (from prolonged ischemia)
P.
Atherosclerosis
Q.
cigarett smoking, High BP, plasma cholesterol
R.
Acute symptoms include more intense pain and longer duration and usually while the patient is resting
S.
Bed rest and nitroglycerin cannot eliminate acute pain completely or permanently
T.
O2 demand
Type the Answer that corresponds to the displayed Question.
incorrect
21.
What will the administration of Ergonovine cause in a patient with Variant angina
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22.
Coronary blood flow is controlled by
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23.
Atherosclerosis starts at what age
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24.
??? is when coronary demand is greater than supply
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25.
What theory is this: each lession of athrosclerosis is originated from a single smooth muscle cell that serves as a source of all of the cells within a lesion - each lesion is a benign neoplasm - caused by viruses, chemicals, or mutants
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26.
Zero O2 supply with adeqate perfusion is called
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27.
What Theory is this: some form of injury in the endothelium will trigger the events by changing the fx activity of the endothelium which combined with incr. cholest, smooth muscle prolif. and platlet activity lead to the atherosclerosis plaque
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28.
Adequate perfussion with decreased O2 supply is called
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29.
The pain associated with Variant Angina Pectoris is related to
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30.
Exercise can increase coronary demand by ? many times (in relation to CO)

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