CHA Exam 1 Questions and Answers Latest Update 2025 Graded A+
What are 9 modifiable risk factors of coronary artery disease? - Answers Uncontrolled HTN, Smoking,
High fat diet, Stress, Obesisty, Sedentary Lifestyle, Uncontrolled hyperlipidemia, Uncontrolled diabetes,
Metabolic syndrome
What is metabolic syndrome? - Answers Must have 3 of the following: Insulin resistance, central obesity,
dyslipidemia, elevated bp, proinflammatory or prothrombotic state
What are 4 unmodifiable risks of CAD? - Answers Aging (men >45 years of age, women >55 years of age),
family hx of CAD, Male gender, Race: African American
People at greatest risk of having a cardiac event? - Answers -existing CAD
-existing DM
-existing PAD
-existing AAA
-existing Carotid Artery disease
When do the coronary arteries receive blood? - Answers diastole
#1 risk factor of CAD - Answers Family history/genetics of CAD
Types of CAD - Answers 1. Stable angina
2. Acute Coronary Syndrome
-Unstable Angina
-NSTEMI
-STEMI
What is stable angina? What triggers and what relieves this? - Answers Plaque is stable. Triggered by
emotional stress or exertion. Relieved by rest or drugs. ( May have other symptoms other than chest
pain)
What is unstable angina? What triggers and what relieves this? - Answers The plaque is calcified. No
trigger, Pain is not relieved by rest or a drug.
What is a patient with unstable angina at risk for in the pain is not relieved? - Answers Myocardial
infarction
, If a patient c/o chest pain what would you do? - Answers Obtain rapid focused assessment, obtain
information about chest pain, check vitals(HR, BP, RR), check for dysrhythmias, listen to heart (rate,
rhythm, sounds, normal/abnormal beats), check for dyspena, listen to lung sounds
What questions would you ask a patient with chest pain? - Answers 1. Location (have patient POINT to
where pain is)
2. Radiation (does it travel anywhere)
3. Quality (what does this feel like) let pt. come up with own words
4. Severity (0-10, 0 is no pain, 10 is the most pain you've ever had. Can use faces scale)
5. Aggravations (what makes it better, what makes it worse)
6.Accompanying signs/ symptoms (SOB, nausea, feel heart skipping beats, fatigue)
7 Comparison to previous angina attacks
8 When did the chest pain begin? (Treatment is based on TIME)
9 What were you doing when the chest pain started? (Stable with exercise, unstable starts no activity,
rest)
If a person woke up with chest pain, what kind of chest pain would you assume - Answers Unstable
Angina
If a person was running and had chest pain, what kind of chest pain would they have - Answers Stable
angina
What labs for a CAD patient - Answers CK-MB, Troponin, Lipid Panel
What is CK-MB useful for? - Answers A cardiac enzyme that is useful for detecting reinfarction 3 days
after an MI
-This is due to the fact that it decreases by 72 hours
What is troponin? - Answers Protein that is released from the cardiac cells when the muscle is damaged
2 types of stress testing used - Answers Tredmill testing or pharmacologic stress test
What is s3? - Answers Ventricular wall vibration due to decreased myocardial contractability
What is s4? - Answers Vibration of atrial walls as the blood is forced to move into stiffened ventricles
Murmers - Answers Caused by mitral valve regurgitation
What produces the sound known as crackles? - Answers Air is going to trying to force through fluid in
the lungs. Think that CAD/MI led to Heart Failure
What are 9 modifiable risk factors of coronary artery disease? - Answers Uncontrolled HTN, Smoking,
High fat diet, Stress, Obesisty, Sedentary Lifestyle, Uncontrolled hyperlipidemia, Uncontrolled diabetes,
Metabolic syndrome
What is metabolic syndrome? - Answers Must have 3 of the following: Insulin resistance, central obesity,
dyslipidemia, elevated bp, proinflammatory or prothrombotic state
What are 4 unmodifiable risks of CAD? - Answers Aging (men >45 years of age, women >55 years of age),
family hx of CAD, Male gender, Race: African American
People at greatest risk of having a cardiac event? - Answers -existing CAD
-existing DM
-existing PAD
-existing AAA
-existing Carotid Artery disease
When do the coronary arteries receive blood? - Answers diastole
#1 risk factor of CAD - Answers Family history/genetics of CAD
Types of CAD - Answers 1. Stable angina
2. Acute Coronary Syndrome
-Unstable Angina
-NSTEMI
-STEMI
What is stable angina? What triggers and what relieves this? - Answers Plaque is stable. Triggered by
emotional stress or exertion. Relieved by rest or drugs. ( May have other symptoms other than chest
pain)
What is unstable angina? What triggers and what relieves this? - Answers The plaque is calcified. No
trigger, Pain is not relieved by rest or a drug.
What is a patient with unstable angina at risk for in the pain is not relieved? - Answers Myocardial
infarction
, If a patient c/o chest pain what would you do? - Answers Obtain rapid focused assessment, obtain
information about chest pain, check vitals(HR, BP, RR), check for dysrhythmias, listen to heart (rate,
rhythm, sounds, normal/abnormal beats), check for dyspena, listen to lung sounds
What questions would you ask a patient with chest pain? - Answers 1. Location (have patient POINT to
where pain is)
2. Radiation (does it travel anywhere)
3. Quality (what does this feel like) let pt. come up with own words
4. Severity (0-10, 0 is no pain, 10 is the most pain you've ever had. Can use faces scale)
5. Aggravations (what makes it better, what makes it worse)
6.Accompanying signs/ symptoms (SOB, nausea, feel heart skipping beats, fatigue)
7 Comparison to previous angina attacks
8 When did the chest pain begin? (Treatment is based on TIME)
9 What were you doing when the chest pain started? (Stable with exercise, unstable starts no activity,
rest)
If a person woke up with chest pain, what kind of chest pain would you assume - Answers Unstable
Angina
If a person was running and had chest pain, what kind of chest pain would they have - Answers Stable
angina
What labs for a CAD patient - Answers CK-MB, Troponin, Lipid Panel
What is CK-MB useful for? - Answers A cardiac enzyme that is useful for detecting reinfarction 3 days
after an MI
-This is due to the fact that it decreases by 72 hours
What is troponin? - Answers Protein that is released from the cardiac cells when the muscle is damaged
2 types of stress testing used - Answers Tredmill testing or pharmacologic stress test
What is s3? - Answers Ventricular wall vibration due to decreased myocardial contractability
What is s4? - Answers Vibration of atrial walls as the blood is forced to move into stiffened ventricles
Murmers - Answers Caused by mitral valve regurgitation
What produces the sound known as crackles? - Answers Air is going to trying to force through fluid in
the lungs. Think that CAD/MI led to Heart Failure
