Science Medicine Cardiology
Adult Primary Care Exam #2
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Perfusion Circulatory A&P Review A&P2 lab: the heart Arrhyth
Teacher 34 terms 51 terms 52 terms 107 term
lpayne39 Preview MollyG7 Preview macey_ward345 Preview cas
Cardiac-specific troponin I and T (rise within the first 2-4 hrs after MI and remain
Best lab test to rule out MI
elevated for 7-10 days)
What should you do for the patient ASA, nitroglycerin and transfer to ED (preferably at a hospital with a cath lab)
experiencing ACS?
Number one symptom of CAD Angina
1) HTN
2) Obesity
Characteristics of metabolic syndrome
3) Dyslipidemia
4) DM
1) HTN
2) Obesity
3) Dyslipidemia
CV risk factors 4) DM
5) Cigarette smoking
6) Physical inactivity
7) Microalbuminuria
What manometers are best? Mercury bulb (if using digital, make sure they are periodically recalibrated)
What are you listening for when measuring 1st and 5th Korotkoff sound
BP?
1) Anxiety
2) Cold
What factors can transiently elevate BP?
3) A full bladder
4) Exercise, smoking or caffeine within the previous 30 minutes
, 1) Age (arteries stiffen with age)
2) Gender (male until age 60)
3) Race (AAs have higher rates than whites)
4) Obesity (10# wt loss can make a big difference; meds work better in conjunction
Essential HTN risk factors
with wt loss)
5) Family history
6) Alcohol intake (>2 oz per day)
7) Cigarette smoking
Physiologically what causes primary HTN Increased CO which results in increased peripheral arterial resistance
-Presentation is usually abrupt and severe
-Usually < 35 y/o
Typical presentation of secondary HTN
-Negative family hx
-Failure to respond to empirical therapy despite compliance
#1 cause of secondary HTN Renal artery stenosis
Pheochromocytoma, primary hyperaldosteronism, coarctation of the aorta,
Other causes of secondary HTN
Cushing's, Renal Parenchymal Disease, alcohol, medication
How would you diagnose Cushing's? 24 urine to see if cortisol levels are elevated
1) When were they initially diagnosed?
2) Highest reading ever obtained
Questions to ask about HTN
3) Have they been on any other anti-hypertensive meds previously? (If yes, why did
they stop taking them?)
1) >55 in men; >65 in women
2) Known CAD or cerebrovascular disease
3) Pain not reproducible by palpation
4) Pain worse during exercise
Factors from chest pain article
5) Pt assumes pain is cardiogenic
(For scores of 2-5 order EKG; for scores of 4 and 5 give O2 and ASA -- arrange for
ED transport)
1) NSAIDs
2) OTC cold remedies
3) Oral contraceptives
What medications should you ask about
4) Anabolic steroids
when concerned about HTN?
5) MOAIs
6) Tricyclic antidepressants
7) Diet pills
What candy (in excess) can elevate BP? Licorice
1) Abnormal blood vessels
2) Vitreous hemorrhage
What are abnormal fundoscopic findings
3) Flame hemorrhage
that are possible w/HTN?
4) Cotton wool sports
5) Hard exudates
Why would you draw a CBC w/HTN? HTN drugs can cause anemia/polycythemia
Why would you draw a uric acid level Thiazide diuretics can increase uric acid levels
w/HTN?
Why would you draw a calcium level Low calcium intake in the diet can increase BP
w/HTN?
Adult Primary Care Exam #2
Save
Students also studied
More
Flashcard sets Study guides Practice tests
Perfusion Circulatory A&P Review A&P2 lab: the heart Arrhyth
Teacher 34 terms 51 terms 52 terms 107 term
lpayne39 Preview MollyG7 Preview macey_ward345 Preview cas
Cardiac-specific troponin I and T (rise within the first 2-4 hrs after MI and remain
Best lab test to rule out MI
elevated for 7-10 days)
What should you do for the patient ASA, nitroglycerin and transfer to ED (preferably at a hospital with a cath lab)
experiencing ACS?
Number one symptom of CAD Angina
1) HTN
2) Obesity
Characteristics of metabolic syndrome
3) Dyslipidemia
4) DM
1) HTN
2) Obesity
3) Dyslipidemia
CV risk factors 4) DM
5) Cigarette smoking
6) Physical inactivity
7) Microalbuminuria
What manometers are best? Mercury bulb (if using digital, make sure they are periodically recalibrated)
What are you listening for when measuring 1st and 5th Korotkoff sound
BP?
1) Anxiety
2) Cold
What factors can transiently elevate BP?
3) A full bladder
4) Exercise, smoking or caffeine within the previous 30 minutes
, 1) Age (arteries stiffen with age)
2) Gender (male until age 60)
3) Race (AAs have higher rates than whites)
4) Obesity (10# wt loss can make a big difference; meds work better in conjunction
Essential HTN risk factors
with wt loss)
5) Family history
6) Alcohol intake (>2 oz per day)
7) Cigarette smoking
Physiologically what causes primary HTN Increased CO which results in increased peripheral arterial resistance
-Presentation is usually abrupt and severe
-Usually < 35 y/o
Typical presentation of secondary HTN
-Negative family hx
-Failure to respond to empirical therapy despite compliance
#1 cause of secondary HTN Renal artery stenosis
Pheochromocytoma, primary hyperaldosteronism, coarctation of the aorta,
Other causes of secondary HTN
Cushing's, Renal Parenchymal Disease, alcohol, medication
How would you diagnose Cushing's? 24 urine to see if cortisol levels are elevated
1) When were they initially diagnosed?
2) Highest reading ever obtained
Questions to ask about HTN
3) Have they been on any other anti-hypertensive meds previously? (If yes, why did
they stop taking them?)
1) >55 in men; >65 in women
2) Known CAD or cerebrovascular disease
3) Pain not reproducible by palpation
4) Pain worse during exercise
Factors from chest pain article
5) Pt assumes pain is cardiogenic
(For scores of 2-5 order EKG; for scores of 4 and 5 give O2 and ASA -- arrange for
ED transport)
1) NSAIDs
2) OTC cold remedies
3) Oral contraceptives
What medications should you ask about
4) Anabolic steroids
when concerned about HTN?
5) MOAIs
6) Tricyclic antidepressants
7) Diet pills
What candy (in excess) can elevate BP? Licorice
1) Abnormal blood vessels
2) Vitreous hemorrhage
What are abnormal fundoscopic findings
3) Flame hemorrhage
that are possible w/HTN?
4) Cotton wool sports
5) Hard exudates
Why would you draw a CBC w/HTN? HTN drugs can cause anemia/polycythemia
Why would you draw a uric acid level Thiazide diuretics can increase uric acid levels
w/HTN?
Why would you draw a calcium level Low calcium intake in the diet can increase BP
w/HTN?
