E Med Exam 4 Cardiopulmonary Clinical correlations Exams Questions & Answers with Rationales 2024/2025 (Already Gade A+)

E Med Exam 4 Cardiopulmonary Clinical correlations Exams Questions & Answers with Rationales 2024/2025 (Already Gade A+) NSTEMI - ANSWER-58-year-old obese male who is brought to the emergency department with severe substernal chest pain of one hour's duration. The patient was taking a morning walk when the onset of pain led him to seek care. His past medical history includes coronary artery disease, hyperlipidemia, and hypertension. Medications include aspirin, losartan, and atorvastatin. An electrocardiogram reveals T-wave inversions in leads II, III, and AVF and ST depressions in V5 and V6. The basic metabolic panel and complete blood count were within normal limits. A point-of-care troponin I level was elevated at 1.8 ng/mL (normal ≤ 0.06 ng/mL). What does he present with? 2 - ANSWER-68-year-old female comes to the office for an annual physical examination. Her past medical history is significant for a 40-pack year cigarette smoking history. She takes no medications and has not been hospitalized for any surgery. Family medical history reveals that her mother is living, age 87, in good health without medical problems. Her father is deceased at age 45 from a motor vehicle crash. She has two siblings that are alive and well. From this information, how many identifiable risk factors for cardiovascular heart disease exist in this patient? 0 1 2 3 4 Most cases of ACS occur from disruption of a previously non severe lesion - ANSWERWhich of the following is accurate about the etiology of ACS? Most cases of ACS occur from disruption of a previously nonsevere lesion Decreased blood glucose levels are risk factors for a major adverse cardiac event (MACE) in patients with suspected ACS ACS without elevation in demand typically excludes thrombosis or plaque hemorrhage Takotsubo syndrome only occurs in the presence of clinical coronary artery disease (CAD) Women may have coronary events more often without typical symptoms - ANSWERWhich of the following is accurate about the presentation of ACS? Exertional dyspnea due to ACS rarely resolves with pain and rarely improves with rest Hypertension typically indicates ventricular dysfunction due to myocardial ischemia Rales on pulmonary examination may suggest right ventricular dysfunction or aortic valve regurgitation Women may have coronary events more often without typical symptoms Low risk adults should not be screened using stress myocardial perfusion imaging - ANSWER-Which of the following is accurate regarding screening for coronary heart disease (CHD), according to American College of Physicians (ACP) guidelines? Cardiac screening improves patient outcomes, even in asymptomatic, low-risk adults The screening of asymptomatic, low-risk adults for cardiac disease should include resting or stress electrocardiography or echocardiography Low-risk adults should not be screened using stress myocardial perfusion imaging Individual risk factor measurements alone are sufficient to determine overall estimate of risk High sensitivity cardiac troponin - ANSWER-Which of the following is accurate regarding the workup of ACS? High-sensitivity cardiac troponin is more sensitive than creatine kinase isoenzyme (CKMB) in detecting myocardial infarctions Echocardiography is routinely indicated as a first-line test for diagnosis of ACS Myoglobin levels alone may be used to detect ACS Normal ECG findings or ECG results that remain unchanged from the baseline exclude the possibility that chest pain is ischemic in origin diagnostic angiography - ANSWER-Which of the following is accurate regarding treatment of ACS? Continue.....