CARDIAC COMPLEX CARE COMPREHENSIVE
EXAM 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ Medical management for AMI Answer: MONAB!
Morphine
Oxygen
Nitrates
Aspirin
Beta Blockers
Plus, ACE inhibitors and antidysrhythmics
◉ What should you monitor when given Beta Blocker or Nitrate?
Answer: Blood pressure
◉ What is the limit for Nitrates? Answer: Three, 5 min in between if
pain is not relieved
*if at home, call 911 before dose # 2 and do not let family member
drive to hospital
,◉ What is preferable: angioplasty or thrombolytic therapy? Answer:
Angioplasty = better outcome
◉ Indicate: 6 hour window and 90 min window Answer: 6 HOUR
WINDOW = Time is muscle (thrombolytic therapy)
90 MIN WINDOW = "Door to ballon" (time patient needs to go to
cath lab upon arrival of ED)
◉ Differentiate heparin and thrombolytics Answer: Heparin - allows
blood to flow around clot; DOES NOT DISSOLVE CLOT
Thrombolytics - DISSOLVES CLOT
◉ What should be completed before administering thrombolytics?
Answer: 1. Patient has IV access
2. EKG
3. Enzymes
◉ Contraindications of Thrombolytics: Answer: Dysrhythmias,
oozing at venipuncture sites, gingival bleeding, reocclusion or
reinfarction, symptoms of hemorrhagic - RISK FOR BLEEDING
, ◉ True/False: it is normal to see bleeding at IV site, Foley or gums
when on thrombolytic therapy? Answer: True; intervene if profusely
bleeding
◉ What is essentially administered AFTER angioplasty or
intracoronary stent procedures? Answer: Antiplatelet IV
◉ Criteria for Angioplasty Answer: - Uncompromised collateral flow
- Noncalcified lesion
- Lesions not on bifurcation
◉ Goal of an Angioplasty Answer: INCREASE BLOOD FLOW TO THE
MYOCARDIUM
◉ Wire is used to press plague against artery wall Answer:
Percutaneous Transluminal Coronary Angioplasty (PTCA)
◉ Stent placed in conjunction with angioplasty to keep vessel patent
Answer: Intracoronary Stent
◉ Types of interventional cardiology Answer: Percutaneous
Transluminal Coronary Angioplasty (PTCA) & Intracoronary
Stenting
EXAM 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ Medical management for AMI Answer: MONAB!
Morphine
Oxygen
Nitrates
Aspirin
Beta Blockers
Plus, ACE inhibitors and antidysrhythmics
◉ What should you monitor when given Beta Blocker or Nitrate?
Answer: Blood pressure
◉ What is the limit for Nitrates? Answer: Three, 5 min in between if
pain is not relieved
*if at home, call 911 before dose # 2 and do not let family member
drive to hospital
,◉ What is preferable: angioplasty or thrombolytic therapy? Answer:
Angioplasty = better outcome
◉ Indicate: 6 hour window and 90 min window Answer: 6 HOUR
WINDOW = Time is muscle (thrombolytic therapy)
90 MIN WINDOW = "Door to ballon" (time patient needs to go to
cath lab upon arrival of ED)
◉ Differentiate heparin and thrombolytics Answer: Heparin - allows
blood to flow around clot; DOES NOT DISSOLVE CLOT
Thrombolytics - DISSOLVES CLOT
◉ What should be completed before administering thrombolytics?
Answer: 1. Patient has IV access
2. EKG
3. Enzymes
◉ Contraindications of Thrombolytics: Answer: Dysrhythmias,
oozing at venipuncture sites, gingival bleeding, reocclusion or
reinfarction, symptoms of hemorrhagic - RISK FOR BLEEDING
, ◉ True/False: it is normal to see bleeding at IV site, Foley or gums
when on thrombolytic therapy? Answer: True; intervene if profusely
bleeding
◉ What is essentially administered AFTER angioplasty or
intracoronary stent procedures? Answer: Antiplatelet IV
◉ Criteria for Angioplasty Answer: - Uncompromised collateral flow
- Noncalcified lesion
- Lesions not on bifurcation
◉ Goal of an Angioplasty Answer: INCREASE BLOOD FLOW TO THE
MYOCARDIUM
◉ Wire is used to press plague against artery wall Answer:
Percutaneous Transluminal Coronary Angioplasty (PTCA)
◉ Stent placed in conjunction with angioplasty to keep vessel patent
Answer: Intracoronary Stent
◉ Types of interventional cardiology Answer: Percutaneous
Transluminal Coronary Angioplasty (PTCA) & Intracoronary
Stenting
