SCRIBEU FINAL EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
What other past histories would suggest that a pt has CAD? - Answer-Angina, MI,
CABG, Cardiac stents, angioplasty
Does PMHx of CVA mean the pt has CAD? - Answer-no
Does a surgical history of angioplasty mean the pt has CAD - Answer-yes
Explain the difference between CAD and an MI - Answer-CAD - heart disease MI -
active heart attack (included in CAD)
If someone has a PMHx of A-Fib or CHF, do they also have CAD? - Answer-no
What are the "cardiac risk factors"? - Answer-HTN, DM, HLD, CAD, Smoking, FHx CAD
<55 y/o
How is CAD diagnosed? - Answer-Cardiac catheterization (not in ER)
Name two ways that an MI can be diagnosed? - Answer-EKG (STEMI) or Elevated
troponin (NONSTEMI)
What are some associated symptoms of an MI other than CP? - Answer-N/V, SOB,
chest pressure with diaphoresis (sweating)
what are some associated symptoms for CHF? - Answer-SOB (Orthopnea, PND, DOE),
pedal edema
what 2 studies would diagnose CHF? - Answer-CXR or elevated BNP
what is A-Fib? - Answer-Quivering of the top of the heart due to electrical abnormality
(Diagnosed by EKG)
what might someone feel with a A-Fib? - Answer-palpitations, fast, pounding, irregular
heartbeat
what are some risk factors for a PE? - Answer-PMHx/FHx of DVT/PE, recent surgery,
Afib, CA, immobility, pregnancy, BCP, smoking
What would be the CC of someone with a PE? - Answer-SOB or pleuritic chest pain
what study would diagnose a PE? - Answer-CTA Chest, VQ scan
, what part of the heart does CAD affect; arteries, veins or nerves? - Answer-arteries
Can a CT Chest without IV contrast diagnose PE? Why are why not? - Answer-No,
contrast in the vessels (IV) helps see a blockage
What is PTX? - Answer-pneumothorax (collapsed lung)
What is the most common cause of PTX? - Answer-trauma
How is PTX diagnosed? - Answer-CXR
What social history will most COPD pt also have? - Answer-smoking
what is the difference between an inhaler and nebulizer for asthma? - Answer-nebulizer
is a breathing treatment & inhaler is a one time dose of medication
What is asthma? - Answer-constricting of the airway due to inflammation and muscular
constriction of the bronchioles (reactive airway disease)
what physical exam finding closest associates with asthma? - Answer-wheezing
what is PNA? - Answer-pneumonia
What might a person with PNA complain of? - Answer-Productive cough & fever
How is PNA diagnosed? - Answer-CXR
Name all 7 areas of the abdomen - Answer-Epigastric, RUQ, RLQ, LUQ, LLQ,
suprapubic, periumbilical
what is the laymans name for GERD - Answer-"Heartburn" or Acid Reflux
what might someone with GERD complain of? - Answer-epigastric pain, burning
for older patients with GERD symptoms, what life threatening disease may also need to
be ruled out? - Answer-MI
what does bile do? where is it stored? - Answer-Breaks down fats, stored in gallbladder
and made in liver
what is the difference between cholelithiasis and cholecystitis - Answer-cholelithiasis -
gallstone disease cholecystitis - acute inflammation of the gallbladder
what might be CC of a person with gallstones - Answer-RUQ abdominal pain
what p.e. finding is closely associated with cholecystitis - Answer-Murphy's Signs
WITH COMPLETE SOLUTIONS
What other past histories would suggest that a pt has CAD? - Answer-Angina, MI,
CABG, Cardiac stents, angioplasty
Does PMHx of CVA mean the pt has CAD? - Answer-no
Does a surgical history of angioplasty mean the pt has CAD - Answer-yes
Explain the difference between CAD and an MI - Answer-CAD - heart disease MI -
active heart attack (included in CAD)
If someone has a PMHx of A-Fib or CHF, do they also have CAD? - Answer-no
What are the "cardiac risk factors"? - Answer-HTN, DM, HLD, CAD, Smoking, FHx CAD
<55 y/o
How is CAD diagnosed? - Answer-Cardiac catheterization (not in ER)
Name two ways that an MI can be diagnosed? - Answer-EKG (STEMI) or Elevated
troponin (NONSTEMI)
What are some associated symptoms of an MI other than CP? - Answer-N/V, SOB,
chest pressure with diaphoresis (sweating)
what are some associated symptoms for CHF? - Answer-SOB (Orthopnea, PND, DOE),
pedal edema
what 2 studies would diagnose CHF? - Answer-CXR or elevated BNP
what is A-Fib? - Answer-Quivering of the top of the heart due to electrical abnormality
(Diagnosed by EKG)
what might someone feel with a A-Fib? - Answer-palpitations, fast, pounding, irregular
heartbeat
what are some risk factors for a PE? - Answer-PMHx/FHx of DVT/PE, recent surgery,
Afib, CA, immobility, pregnancy, BCP, smoking
What would be the CC of someone with a PE? - Answer-SOB or pleuritic chest pain
what study would diagnose a PE? - Answer-CTA Chest, VQ scan
, what part of the heart does CAD affect; arteries, veins or nerves? - Answer-arteries
Can a CT Chest without IV contrast diagnose PE? Why are why not? - Answer-No,
contrast in the vessels (IV) helps see a blockage
What is PTX? - Answer-pneumothorax (collapsed lung)
What is the most common cause of PTX? - Answer-trauma
How is PTX diagnosed? - Answer-CXR
What social history will most COPD pt also have? - Answer-smoking
what is the difference between an inhaler and nebulizer for asthma? - Answer-nebulizer
is a breathing treatment & inhaler is a one time dose of medication
What is asthma? - Answer-constricting of the airway due to inflammation and muscular
constriction of the bronchioles (reactive airway disease)
what physical exam finding closest associates with asthma? - Answer-wheezing
what is PNA? - Answer-pneumonia
What might a person with PNA complain of? - Answer-Productive cough & fever
How is PNA diagnosed? - Answer-CXR
Name all 7 areas of the abdomen - Answer-Epigastric, RUQ, RLQ, LUQ, LLQ,
suprapubic, periumbilical
what is the laymans name for GERD - Answer-"Heartburn" or Acid Reflux
what might someone with GERD complain of? - Answer-epigastric pain, burning
for older patients with GERD symptoms, what life threatening disease may also need to
be ruled out? - Answer-MI
what does bile do? where is it stored? - Answer-Breaks down fats, stored in gallbladder
and made in liver
what is the difference between cholelithiasis and cholecystitis - Answer-cholelithiasis -
gallstone disease cholecystitis - acute inflammation of the gallbladder
what might be CC of a person with gallstones - Answer-RUQ abdominal pain
what p.e. finding is closely associated with cholecystitis - Answer-Murphy's Signs
