PAEA EOC & Summative Practice questions and correct answers

what exactly causes the occlusive vascular disease of thromboangiitis obliterans? - correct answer aka Buerger's disease inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis) polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells may be presen Treatment options for thromboangiitis obliterans? - correct answer smoking cessation most important! cilostazol (PDE 3 inhibitor) has vasodilator properties (alleviated symptoms) if raynauds also present, CCB (nifedipine) what heart failure treatment provides a benefit of reduction in morbidity and mortality? - correct answer ACE inhibitors beta blockers can also reduce M&M diuretics have no reduction in mortality how would you manage a patient with a MI in the setting of cocaine use? - correct answer benzodiazepine early no beta blockers If PCI cannot be done for a STEMI patient within 120 minutes, what should be done? - correct answer fibrolytic therapy then do PCI & coronary angiography when it can be done ideally PCI is done within 90 minutes