MCCQE1 Internal Medicine 105 Questions with 100% Correct Answers | Verified | Updated 2024

STABLE angina definiton - ️️substernal "gripping" chest pain or pressure on exertion, relieved w/ rest or NTG One vessel disease treatment - ️️Tx β-blocker + aspirin + nitrates two vessel treatment - ️️Tx β-blocker + aspirin + nitrates vs PTCA OR CABG three vessel disease - ️️Tx CABG what is involved in a pharmacological stress test - ️️: IV adenosine, dipyridamole, or dobutamine can stress the heart in place of exercise The cardiac markers- when do they pick which is most specific? - ️️CK-MB: peaks in 24 hrs and lasts 2-3 days, good for recurrence Troponin I: peaks in 24 hrs and lasts 1-2 weeks, most specific Difference between left-sided and right-sided CHF? - ️️Left-sided CHF: dyspnea, orthopnea, PND Right-sided CHF: pitting edema, hepatic congestion, JVD, ascites NYHA classificaitons in order - ️️NYHA class I: sx only w/ vigorous activity (e.g. sports) NYHA class II: sx w/ moderate activity (e.g. stairs) NYHA class III: sx w/ ADLs NYHA class IV: sx at rest CHF classes and treatment - ️️class I → Tx loop diuretic + ACE inhibitor • class II-III → add β-blocker • class IV → add digoxin