PCCN review 2024 Questions and Answers 100% Pass

PCCN review 2024 Questions and Answers 100% Pass Anterior septal wall MI - Correct Answer ️️ -LAD, changes in V1-V4, recip changes in II, III, aVF Anterior septal wall MI sx - Correct Answer ️️ -S3, shock, heart block 2 deg T2 or 3 deg, BBB, new murmur Inferior wall MI - Correct Answer ️️ -RCA, changes in II, III, aVF, recip changes in 1, aVL Inferior wall MI sx - Correct Answer ️️ -Decreased HR and BP, heart block, N/V, sweating Right ventricular infarction - Correct Answer ️️ -Proximal RCA and inferior wall MI, elevation in V1 Right ventricular infarction sx - Correct Answer ️️ -Increased HR, decreased BP, JVD w clear lungs, treat w IV fluids and +inotrope (dobutamine), NO NTG, MORPHINE, BB, DIURETICS Lateral Wall MI - Correct Answer ️️ -L circumflex, changes in V5, V6, I, aVL Posterior wall MI - Correct Answer ️️ -RCA or L circumflex, changes in V1, V2, ST depression, associated w inferior or lateral wall MI, posterior ECG shows ST elevation V7-V9 Hyperkalemia cardiac sx - Correct Answer ️️ -Tented T wave ( >6.5), wide QRS, prolonged PR, wide P (>8.0), poor automaticity (10-11), p waves disappear to form sine wave Asystole, v-fib PE 12 lead - Correct Answer ️️ -R axis deviation, RBBB, st depression, t wave depression in V1-V4, tall peaked T wave in II, III, aVF S1 - Correct Answer ️️ -mitral and tricuspid close, systole S2 - Correct Answer ️️ -Pulmonic and aortic close, diastole Aortic stenosis - Correct Answer ️️ -Systolic, LV hypertrophic w increased resistance Sx- HF, SOB, chronic increased afterload Tx- TAVR (risk stroke, bradycardia, heart block, pacemaker) Aortic regurgitation - Correct Answer ️️ -diastolic murmur, backflow blood, L vent hypertrophy Causes- HTN, RHD, endocarditis, Marfan syndrome Sx- demusset sign, brisk carotid upstroke, wide pulse pressure, water hammer ECG mitral stenosis - Correct Answer ️️ -diastolic murmur Sx- pink cheeks, pulm edema, a fib, increased R heart pressures, pulm HTN Tx- decreased preload and afterload, valve repair, balloon valvuloplasty mitral regurgitation - Correct Answer ️️ -systolic murmur Causes- MI, L HF, ruptured chordae tendineae, L vent hypertrophy, cardiomyopathy, mitral valve prolapse, RHD, endocarditis Sx- orthopnea, fatigue, angina, increased L atria pressure, R&L HF, afib Tx- meds to decrease preload and afterload, mitraclip, valve replacement Systolic murmur - Correct Answer ️️ -Pulmonic and aortic stenosis Tricuspid and mitral regurgitation S1- murmur- S2 Diastolic murmur - Correct Answer ️️ -Tricuspid and mitral stenosis Pulmonic and aortic regurgitation S1- S2- murmur Dobutamine (Dobutrex) - Correct Answer ️️ -+ Inotrope, i