COMM 345 UPDATED ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
Question:
classic s/s of ACS.
Answer:
Classic s/s Midsternal pressure May radiate to the jaw or down the left arm May be associated with
related s/s, such as SOB or fatigue
Question:
Unstable angina.
Answer:
May see ST elevation but it goes back to normal May occur at rest and require more frequent nitrate
therapy Tx: rest + nitroglycerin; drugs affecting platelets
Question:
Variant = Prinzmetal's (vasospasms).
Answer:
Can happen at rest or anytime ST ■ then ■ during pain episodes ST segment goes back to normal
and Nitro won't help Tx: CCB to relax muscles in the vessel
Question:
treatment for angina.
Answer:
Maintain cardiac output Bed rest Keep pt calm Want a HYPOmetabolic state Pain relief = morphine
+ nitroglycerin Both have vasodilatory properties Cardiac Bundle, educate pt on: Lipid lowering
med - a -statin Beta blockers - Metoprolol Long-acting Nitrates - Isosorbide dinitrate, Isosorbide
mononitrate ACE inhibitors - Captopril, Lisinopril, Ramipril
, Question:
Beta1 BlockeRs (-olol).
Answer:
always check apical heart rate
Question:
ACE Inhibitors → o p r i l.
Answer:
No NSAIDS No salt substitute or K+ supplements
Question:
nitroglycerin.
Answer:
Normal adverse effect = patient has a headache Take 1 tablet, call 911 if not relieved, then take 2
more till ambulance comes; don't exceed 3
Question:
diagnosing acute MI.
Answer:
unrelieved with nitro Serum troponin I (< 0.1 mcg/L)
Question:
MI priorities.
Answer:
VS including O2 saturation 12 lead ECG (quickly!) IV access (large bore in a large vein) - 2 IVs if
possible Blood sample for labs: CBC, cardiac enzymes and coagulation studies
Question:
classic s/s of ACS.
Answer:
Classic s/s Midsternal pressure May radiate to the jaw or down the left arm May be associated with
related s/s, such as SOB or fatigue
Question:
Unstable angina.
Answer:
May see ST elevation but it goes back to normal May occur at rest and require more frequent nitrate
therapy Tx: rest + nitroglycerin; drugs affecting platelets
Question:
Variant = Prinzmetal's (vasospasms).
Answer:
Can happen at rest or anytime ST ■ then ■ during pain episodes ST segment goes back to normal
and Nitro won't help Tx: CCB to relax muscles in the vessel
Question:
treatment for angina.
Answer:
Maintain cardiac output Bed rest Keep pt calm Want a HYPOmetabolic state Pain relief = morphine
+ nitroglycerin Both have vasodilatory properties Cardiac Bundle, educate pt on: Lipid lowering
med - a -statin Beta blockers - Metoprolol Long-acting Nitrates - Isosorbide dinitrate, Isosorbide
mononitrate ACE inhibitors - Captopril, Lisinopril, Ramipril
, Question:
Beta1 BlockeRs (-olol).
Answer:
always check apical heart rate
Question:
ACE Inhibitors → o p r i l.
Answer:
No NSAIDS No salt substitute or K+ supplements
Question:
nitroglycerin.
Answer:
Normal adverse effect = patient has a headache Take 1 tablet, call 911 if not relieved, then take 2
more till ambulance comes; don't exceed 3
Question:
diagnosing acute MI.
Answer:
unrelieved with nitro Serum troponin I (< 0.1 mcg/L)
Question:
MI priorities.
Answer:
VS including O2 saturation 12 lead ECG (quickly!) IV access (large bore in a large vein) - 2 IVs if
possible Blood sample for labs: CBC, cardiac enzymes and coagulation studies
