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BOARD question:
65 yo male presents to ER with CP + SOB for last 7 minutes. Initial
EKG & cardiac enzymes are negative. What is the most appropriate
NEXT step in management:
a) admit for ACS and head straight to cath lab
b) discharge home with BB + ACEi
c) Admit for ACS and schedule for treadmill stress test
d) repeat EKG/enzymes in 2 hours
Repeat tests in 2 hours
BOARD question:
Elevation of troponin is indicative of injury to what?
a) blood vessels
b) pericardium
c) myocardium
d) smooth muscle
elevated troponin indicates = MYOCARDIAL injury
,BOARD Question:
Patients with RCA (inferior MI) typcailly present with WHAT other
symptoms besides chest pain:
a) visual changes
b) hypertension
c) hypotension
d) epigastric pain
Epigastric pain
(remember inferior portion of the heart sits on diaphragm)
BOARDS:
The prevalence of AFIB increases dramatically with:
a) cardiac damage
b) age
c) ETOH intake
d) smoking
AGE
,BOARDS:
What is the MOST IMPORTANT diagnostic test to order in a newly
diagnosed AFIB patient:
a) EKG
b) TSH
c) ECHO
d) Angiogram
TSH
BOARDS:
You have a 65 year old male with newly diagnosed AFIB secondary
to severe aortic stenosis. What is the most appropriate
anticoagulation regimen?
a) Coumadin
b) Rivaroxiban (Xarelto)
c) Dabigatran (Praxada)
COUMADIN
**remember that:
a) AFIB d/t valvular (NEED BIG GUN) = coumadin
b) AFIB d/t NON-valvular = may use alternative agents (anti-factor
Xa & direct thrombin inhibitors)
, BOARD QUESTION:
Which of the following foods can a individual on Coumadin not
eat?
a) meats
b) breads
c) fish
d) salads
SALADS
(dark green leafy veggies = contain VITAMIN K)
BOARD QUESTION:
Which test can you order to see if Rivaroxaban is working?
a) INR
b) PTT
c) PT
d) Bleeding time
Bleeding time (platelet function)