APEA Predictor Remediation Study Set exam with correct answers

APEA Predictor Remediation Study Set ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\




AFIB/ EKG finding - correct answers ✔✔Abnormal
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




atrial depolarization w/ normal ventricular
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




depolarization ||\\||\\




CHAOS IN THE ATRIUM ||\\||\\ ||\\||\\ ||\\||\\




NO P waves
||\\||\\ ||\\||\\




Types of AFIB - correct answers ✔✔Controlled- <100
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




bpm
Uncontrolled- >100 bpm ||\\||\\ ||\\||\\




Management & Meds ( rate control, rhythm control, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




anticoags) - correct answers ✔✔Rate control: ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Metoprolol (BBS) or Diltiazem (CCBs) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




rhythm control w/ antiarrhythmics ( Amiodarone) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Anticoags- Warfarin - ASSESS CHADS-VASC score ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\

,CHADS-VASC score - correct answers ✔✔Stroke risk ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




tool used for AFIB ||\\||\\ ||\\||\\ ||\\||\\




CHF, HTN, >/= 75 yo, DM, prior stroke/
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




TIA/Thromboembolism


Amiodarone (MOA, LONG TERM USE CAUSES?) - ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




correct answers ✔✔prevents conduction of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




unwanted cardiac impulses ||\\||\\ ||\\||\\




Test tip: assess chest x-ray & PFTs prior to initiation
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Long term use can lead to hypothyroidism, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




pulmonary toxicity & optic neuropathy ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Warfarin - correct answers ✔✔normal:1 goal:2-3, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Tx: if <2 increase dose; antidote: Vitamin K
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




INR 2-9: hold & drop dose
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




INR >10 (- BLEEDING): Oral Vit K
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




INR >10 (+ BLEEDING_): IV vit K
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\

,Things to avoid with Wafarin - correct answers ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




✔✔Green leafy vegs, mayo, canola oil, beef liver, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Drug to drug interaction (Warfarin) 8 A'S - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answers ✔✔ABX, antifungal, antidepressants, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




alternative (St. Johns wort, Gingko), antiplatelet, and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




anti-inflammatories, amiodarone, acetaminophen ||\\||\\ ||\\||\\




HTN (goal) - correct answers ✔✔<140/90 in pts <60
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




and past hx of HTN/DM
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




<150/90 in pts >60 (more flexibity b/c arteries get ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




stiff)
JNC <130/80; If ACVSD risk >10 initiate HTN meds
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




TX HTN (1ST) - correct answers ✔✔Lifestyle
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




modifications, herbal ( COQ10) ||\\||\\ ||\\||\\ ||\\||\\

, ACE Inhibitors ( slow down how much AT2 your body
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




makes) - correct answers ✔✔"PRIL" Captopril,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Enalapril, Afosiopril ||\\||\\




Antihypertensive. Blocks ACE ( angiotension ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




converting enzyme) lungs from converting ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




angiotensin I to angiotensin II (powerful ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




vasoconstrictor). Decreases BP, Decreased ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Aldosterone secretions, Sodium and fluid loss. Heart ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




and renal protective for DM
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




*Orthostatic Hypotension, cough, angioedema, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




HYPERKALEMIA RISK ||\\||\\




ARB (Angiotensin Receptor Blocker) ( blocks the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




receptors that use AT2 use to narrow the blood ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




vessels) - correct answers ✔✔-Sartan (losartan
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




antagonizes action of aldosterone ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Heart and renal protective for DM
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Hyperkalemia risk, dizziness ||\\||\\ ||\\||\\