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FISDAP CARDIOLOGY COMPREHENSIVE ANSWERS AND QUESTIONS SET A.pdf

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FISDAP CARDIOLOGY COMPREHENSIVE ANSWERS
AND QUESTIONS SET A+
✔✔Time frame for door-to-balloon - ✔✔<90mins

✔✔Time frame for door-to-needle - ✔✔<30mins

✔✔Principle symptom of Coronary Artery Disease or Acute Coronary Syndrome that
occurs when supply of O2 is to the myocardium is insufficient to meet demand and cells
become ischemic? - ✔✔Angina Pectoris

✔✔Chest pain that occurs at rest and is caused by coronary artery vasospasm? Risk for
Dysrhythmia, MI, Heart Block and Death - ✔✔Prinzmetal Angina (PA)

✔✔Which electrolyte flows into cardiac cells to initiate depolarization? - ✔✔Sodium
(Na+)

✔✔Which electrolyte flows out of cardiac cells to to initiate repolarization? -
✔✔Potassium (K+)

✔✔Which electrolyte plays a major role in depolarization of pacemaker cells to maintain
depolarization and myocardial contractility? - ✔✔Calcium (Ca++)

✔✔Which electrolyte stabilizes cell membrane and acts in concert with K+ and opposes
actions of Ca++? - ✔✔Magnesium (Mg++)

✔✔Hypokalemia results in? - ✔✔increased myocardial irritability

✔✔Hyperkalemia results in? - ✔✔decreased automaticity/conduction

✔✔Hypocalcemia results in? - ✔✔decreased contractility and increased irritability

✔✔Hypercalcemia results in? - ✔✔Increased contractility

, ✔✔Hypomagnesemia results in? - ✔✔decreased conduction

✔✔Hypermagnesemia results in? - ✔✔increased myocardial irritability

✔✔Four properties of the Cardiac Conduction System - ✔✔Excitability - cells respond to
electrical impulse

Conductivity - cells pass impulse to one another

Automaticity - hearts ability to generate its own electrical impulse

Contractility - hearts ability to contract when stimulated

✔✔Affects of RCA occlusion in terms of the SA node ischemia? - ✔✔SA node becomes
ischemic = slower firing rate (<60-100) or cease fire completely causing another
automaticity foci to take over such as AV (40-60) or Purkinje (20-40).

✔✔Which electrolytes are responsible for depolarization? - ✔✔Sodium and Calcium
influx

✔✔Which electrolyte is responsible for repolarization? - ✔✔Potassium outflow

✔✔Indications for CPAP (5) - ✔✔Alert and able to follow commands
Moderate to Severe Respiratory Distress
Hyperventilation
SpO2 <90%
Systolic >90mmHg

✔✔Contraindications for CPAP (8) - ✔✔Respiratory Arrest
Hypoventilation
ALOC
Chest Trauma/Pneumo
Tracheostomy
GI bleed or Vomiting
Inability to fit CPAP
Excessive Facial Hair/Dysmorphic features

✔✔During what phase of circulation do coronary arteries receive blood? - ✔✔Diastolic

✔✔Coronary circulation begins from aorta at the? - ✔✔Right and Left Coronary Arteries

✔✔The right coronary artery has how many branches and supplies blood to where? -
✔✔9
Right Atrium, SA/AV node, and Right Ventricle

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