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WorksheetsCardio Exam 4 - Part 5
Total questions: 71
Worksheet time: 36mins
Name
Class
Date
1.
What statins are preferred in risk factor modification for angina?
a)
atorvastatin 80 mg
b)
rosuvastatin 40 mg
c)
atorvastatin 40 mg
d)
rosuvastatin 20 mg
2.
Macrovascular complications of DM were reduced when HbA1c < 7%
a)
true
b)
FALSE (microvascular)
3.
What is the initial dose of IV NTG?
a)
5 mcg/min
b)
0.3-0.4 mg
c)
2.5-9 mg TID
d)
0.5-1 in
e)
1 patch
4.
What is the initial dose of sublingual NTG?
a)
5 mcg/min
b)
0.3-0.4 mg
c)
2.5-9 mg TID
d)
0.5-1 in
e)
1 patch
5.
What is the initial dose of PO NTG?
a)
5 mcg/min
b)
0.3-0.4 mg
c)
2.5-9 mg TID
d)
0.5-1 in
e)
1 patch
6.
What is the initial dose of ointment NTG?
a)
5 mcg/min
b)
0.3-0.4 mg
c)
2.5-9 mg TID
d)
0.5-1 in
e)
1 patch
7.
What is the initial dose of patch NTG?
a)
5 mcg/min
b)
0.3-0.4 mg
c)
2.5-9 mg TID
d)
0.5-1 in
e)
1 patch
8.
What should be given to pts with anginal sx?
a)
ranolazine
b)
CCBs
c)
beta blocker
d)
revascularization
e)
aspirin
9.
A pt with anginal sx is put on NTG and they also present with a prior MI and HF, what should be added to therapy?
a)
ranolazine
b)
CCBs
c)
beta blocker
d)
revascularization
e)
aspirin
10.
If tx for angina with beta-blockers (after NTG) is unsuccessful or they are C/I what can be added to substituted in therapy?
a)
ranolazine
b)
CCBs
c)
LA nitrates
d)
revascularization
e)
aspirin
11.
If tx with CCBs/LA nitrates is unsuccessful (after BB and NTG) or they are C/I what can be added to substituted in therapy?
a)
ranolazine
b)
statin
c)
morphine
d)
revascularization
e)
aspirin
12.
If tx with ranolazine is unsuccessful or they are C/I and persistent sx despite adequate therapy, what can be done next?
a)
clopidogrel
b)
statin
c)
morphine
d)
revascularization
e)
aspirin
13.
What complications can arise from ACS?
a)
HF
b)
cardiogenic shock
c)
ventricular arrhythmias
d)
atrial fibrillation
14.
What are some nonmodifiable risk factors for ACS?
a)
Age >65
b)
FH
c)
gender
d)
ethnicity
e)
DM
15.
What are s/s of ACS?
a)
chest pain at rest (dull, aching, pressure-like)
b)
SOB
c)
fatigue
d)
syncope
e)
gas, bloating, indigestion
16.
What is the first line diagnostic tool for pt evaluation in suspected ACS?
a)
12-lead ECG
b)
CT
c)
BMP, SCr
d)
CBC, Lipid panel
e)
coagulation tests
17.
How does STEMI present on ECG?
a)
ST elevation
b)
ST depression
c)
prolonged QT
d)
sawtooth pattern
e)
T wave inversion<br />
18.
How does NSTEMI present on ECG?
a)
ST elevation
b)
ST depression
c)
prolonged QT
d)
sawtooth pattern
e)
T wave inversion<br />
19.
When should a 12-lead ECG be be performed in suspected ACS?
a)
<10 min of arrival
b)
<20 min of arrival
c)
<30 min of arrival
20.
What lab values should be obtained immediately and repeated every 3-6hrs?
a)
troponin
b)
creatine-kinase-myoglobin
c)
BMP, SCr
d)
CBC, Lipid panel
e)
coagulation tests
21.
What two cardiac markers can be measured to diagnose ACS?
a)
troponin
b)
creatine-kinase-myoglobin
c)
BMP, SCr
d)
CBC, Lipid panel
e)
coagulation tests
22.
What other tests/labs (not cardiac markers) can be done to get a proper diagnoses of ACS?
a)
troponin
b)
creatine-kinase-myoglobin
c)
BMP, SCr
d)
CBC, Lipid panel
e)
coagulation tests
23.
What are common complications of ACS? (DARTH VADER)
a)
death/depression, arrhythmias/cardiac arrest, rupture
b)
tamponade, HF, Valvular disease
c)
aneurysm of ventricle, Dressler's syndrome, embolism
d)
recurrence/mitral regurgitation
e)
stroke
24.
What are the goals of therapy for ACS?
a)
relieve chest pain and associated sx
b)
achieve early restoration of blood flow to the infarct-related artery
c)
prevent death and other MI complications
d)
prevent coronary artery re-occlusion
e)
control CAD risk factors and prevent major cardiac adverse events
25.
What are the initial drug therapy management stategies for ACS (THROMBINS2)
a)
thienopyridines, heparin, renin/angiotensin blockers
b)
oxygen, morphine
c)
beta blockers, intervention (PCI)
d)
NTG, salicylates (ASA)
e)
statins
26.
What type of heparin is used in STEMI?
a)
UFH
b)
LMWH
c)
morphine
27.
What type of heparin is used in NSTEMI?
a)
UFH
b)
LMWH
c)
morphine
28.
What is the DOC for pain relief in STEMI?
a)
aspirin
b)
clopidogrel
c)
morphine
29.
When is oxygen used for ACS?
a)
SpO2 <80%
b)
SpO2 <90%
c)
SpO2 <95%
d)
SpO2 <70%
30.
What are indications of NTG?
a)
acute angina
b)
HTN
c)
HF
d)
chronic angina
31.
What are ADRs of NTG?
a)
hypotension
b)
syncope
c)
bradycardia
d)
HA
e)
reflex tachycardia
32.
All pts with ACS unless C/I should be on ASA and beta-blocker
a)
true
b)
FALSE (morphine and beta blocker)
c)
FALSE (ASA and CCB)
33.
What is the primary way to restore patency in pts with STEMI?
a)
PCI
b)
fibrinolytic therapy
c)
ischemia guided strategy
34.
When should PCI be performed in pt with STEMI?
a)
90 mins from time of medical contact
b)
30 mins from time of medical contact
c)
120 mins from time of medical contact
d)
60 mins from time of medical contact
35.
What can be used when PCI is not available within 120mins?
a)
coronary angiography
b)
fibrinolytic therapy
c)
ischemia guided strategy
36.
When should fibrinolytic therapy be administered in pts with STEMI?
a)
90 mins from time of medical contact
b)
30 mins from time of medical contact
c)
120 mins from time of medical contact
d)
60 mins from time of medical contact
37.
How can disease progression be prevented in pts with NSTEMI?
a)
coronary angiography
b)
fibrinolytic therapy
c)
ischemia guided strategy
d)
PCI
38.
What are some relative C/I to fibrinolytic therapy?
a)
BP >180/110 or hx of poor controlled HTN
b)
hx of ischemic stroke >3mo prior, recent major surgery <3wks
c)
traumatic or prolonged CPR<br />
d)
recent internal bleeding, active peptic ulcer
e)
PO anticoagulant therapy
39.
What lifestyle modifications can be done to help with HTN?
a)
smoking cessation
b)
exercise
c)
weight loss
40.
What dietary restrictions can help with HTN?
a)
DASH, mediterranean
b)
cocoa
c)
red wine
d)
omega 3 FA, fiber
e)
increased Na intake
41.
What supplements can potentially interact with BP meds?
a)
cannabis, chamomile, coleus
b)
CoQ10, hawthorn
c)
melatonin, pomegranate
d)
st. john's wort
e)
yohimbe, devil's claw
42.
What supplements have potential hypotensive effects?
a)
CoQ10, garlic
b)
L-arginine
c)
lycopene, psyllium
d)
omega 3 FA
e)
yohimbe, devil's claw
43.
What supplements have potential hypertensive effects?
a)
bitter orange
b)
caffeine
c)
licorice
d)
green tea
e)
foxglove
44.
What herbals can be used for HF?
a)
foxglove
b)
CoQ10, fish oil
c)
L-carnitine, iron
d)
propionyl-L-carnitine
e)
vitamin D/E
45.
What supplements can interact with HF meds?
a)
aloe, berberine, ginseng
b)
licorice, CoQ10
c)
feverfew, ginger
d)
green tea
e)
hawthorn
46.
What is known as natural heparin
a)
foxglove
b)
mesoglycan
c)
licorice
d)
green tea
e)
hawthorn
47.
What are uses of artichoke?
a)
dyslipidemia
b)
upset stomach
c)
DM
d)
heparin
e)
digoxin
48.
What are uses of berberine?
a)
dyslipidemia
b)
upset stomach
c)
DM
d)
heparin
e)
digoxin
49.
What interactions does cannabis have?
a)
anticoagulants/antiplatelets, antipyrine, barbituates
b)
CNS depressants, contraceptive drugs
c)
CYP2E1/3A4 substrates, disulfiram, estrogens
d)
fluoxetine, P-GP substrates
e)
theophylline, warfarin
50.
What precautions should one take with cannabis?
a)
pts with CVD
b)
immunocompromised
c)
respiratory disease
d)
seizure disorders
e)
undergoing surgery
51.
What are uses of caffeine?
a)
migraine
b)
mental alertness
c)
weight loss
d)
hypotension
e)
hypertension
52.
What are uses of CoQ10?
a)
myalgia
b)
HTN
c)
immune function
d)
heart health
e)
common cold
53.
What are uses of garlic?
a)
dyslipidemia
b)
common cold
c)
HTN
d)
heart health
e)
seizure disorders
54.
What are interactions of ginger?
a)
anticoagulants
b)
antiplatelets
c)
stimulants
d)
antianxiety
e)
warfarin
55.
What precautions must one take with ginger?
a)
high dose may affect HR/rhythm
b)
pts with hx of seizures
c)
attempting to conceive
d)
DM
e)
bleeding disorders
56.
What are interactions of ginkgo?
a)
anticoagulants
b)
antiplatelets
c)
stimulants
d)
antianxiety
e)
warfarin
57.
What precautions should one take with gingko?
a)
high dose may affect HR/rhythm
b)
pts with hx of seizures
c)
attempting to conceive
d)
DM
e)
bleeding disorders
58.
What are interactions of ginseng?
a)
anticoagulants
b)
antiplatelets
c)
stimulants
d)
antianxiety
e)
warfarin
59.
What are interactions of glucosamine/chondroitin?
a)
anticoagulants
b)
antiplatelets
c)
stimulants
d)
antianxiety
e)
warfarin
60.
What are known ADRs of green tea?
a)
HA
b)
irritation
c)
nervousness, anxiety
d)
dizziness
e)
increase HR
61.
What are precautions one should take with green tea?
a)
high dose may affect HR/rhythm
b)
pts with hx of seizures
c)
attempting to conceive
d)
pts with anxiety disorders
e)
bleeding disorders
62.
What are uses of L-arginine?
a)
angina
b)
HTN
c)
immune function
d)
heart health
e)
common cold
63.
What are precautions to take with licorice?
a)
pts with heart disease
b)
pts with hx of seizures
c)
attempting to conceive
d)
pts with anxiety disorders
e)
bleeding disorders
64.
What other counseling points are known about licorice?
a)
grapefruit juice may enhance the MCC activities
b)
high salt diet can exacerbate ADRs
c)
DGL is deglycyrrhizinated licorice and is much safer
d)
avoid if trying to conceive
65.
What are uses of omega-3-FA/fish oil/flaxseed oil?
a)
dyslipidemia
b)
HTN
c)
neuropathy
d)
seizure disorders
e)
common cold
66.
What are uses of policosanol?
a)
anticoagulant
b)
leg cramps
c)
IBD
d)
constipation
e)
allergic rhinitis
67.
What are uses of probiotics?
a)
anticoagulant
b)
leg cramps
c)
IBD
d)
constipation
e)
allergic rhinitis
68.
What are uses of psyllium?
a)
dyslipidemia
b)
CAD/HTN
c)
IBD
d)
pain
e)
antiplatelet
69.
What are uses of read yeast rice
a)
dyslipidemia
b)
CAD
c)
IBD
d)
pain
e)
antiplatelet
70.
What are uses of turmeric/curcumin?
a)
dyslipidemia
b)
CAD
c)
IBD
d)
pain
e)
antiplatelet
71.
What are uses of willow bark?
a)
dyslipidemia
b)
CAD
c)
IBD
d)
pain
e)
antiplatelet
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