NSG 555 Quiz 2 module 5 CV
part 1 CAD EXAMA LATEST
2026-2027 QUESTIONS AND
VERIFIED ANSWERS
use ambulatory ekg. Increased risk of sudden death and MI. people with prior MI are more at
risk and with dbts
microvascular angina - correct answer women more affected than men. chest discomfort with
exercise + positive stress test but no obstruction of coronary arteries (seen with angiography).
may be due to microvascular dysfunction or spasms that decrease blood supply to coronary
arteries.
vasospastig angina (variant, prinzmetal) - correct answer chest pain at rest due to coronary
artery spasm-->ST elevation or depression on EKG
unstable angine, NSTEMI - correct answer due to thrombus , vasoconstriction of coronary
artery, increased myocardial o2 demant, intraluminal narrowing.
plaque ruptures00>monocytes circulate and turn into macrophages, ingest LDLs, become lipid
filled (foam cells), die, create lipid pool with fibrous cap that is easily ruptured.
CRP is needed-->inflammation is trigger for plaque rupture so high CRP means higher CV risk for
MI.
Acute STEMI - correct answer plaque ruptures, thrombus formed and occludes coronary
artery-->ischemia/death of cardiac cells.
MINOCA - correct answer suspected MI with nonobstructed coronary arteries.
, stable angine presentation - correct answer symptoms relieved by rest or nitro tablets. pain 1-3
minutes. usually diffuse chest pain/pressure. So if there is a localized area no larger than
fingertip consider a different cause
presentation microvascular angina - correct answer chest pain that is unpredictable, sometimes
at rest, sometimes with activity or stress. intense pain that lasts for long period of time and
doesn't go away with rest. Non responsive to nitroglycerine
vasspastic angina presentation - correct answer spontaneous/unprovoked angina. usually at
rest
unstable angina/NSTEMI presentation - correct answer assess symptoms/risk factors:
prior hx CAD
age >65
risk of CAD
S3 heart sound, pulmonary edema, mitral regurg murmur, low bp, brady/tachycardia
Acute STEMI presentation - correct answer chest pressure/pain/discomfort_ n/v, diaphoresis,
dyspnea
chronic stable angina diagnostics - correct answer EKG-->ST depressions, T wave inversions
during pain episodes
Nuclear or exercise Stress test-->positive if EKG changes consistent with ischemia
CT angiography: assesses degree of coronary atherosclerosis, needs to be with contrast. THIS IS
NOW GOLD STANDARD, LOWER RADIATION THAN NUC STRESS TEST. not great for obese
patients (poor quality images) and insurances prefer nuc stress tests first
part 1 CAD EXAMA LATEST
2026-2027 QUESTIONS AND
VERIFIED ANSWERS
use ambulatory ekg. Increased risk of sudden death and MI. people with prior MI are more at
risk and with dbts
microvascular angina - correct answer women more affected than men. chest discomfort with
exercise + positive stress test but no obstruction of coronary arteries (seen with angiography).
may be due to microvascular dysfunction or spasms that decrease blood supply to coronary
arteries.
vasospastig angina (variant, prinzmetal) - correct answer chest pain at rest due to coronary
artery spasm-->ST elevation or depression on EKG
unstable angine, NSTEMI - correct answer due to thrombus , vasoconstriction of coronary
artery, increased myocardial o2 demant, intraluminal narrowing.
plaque ruptures00>monocytes circulate and turn into macrophages, ingest LDLs, become lipid
filled (foam cells), die, create lipid pool with fibrous cap that is easily ruptured.
CRP is needed-->inflammation is trigger for plaque rupture so high CRP means higher CV risk for
MI.
Acute STEMI - correct answer plaque ruptures, thrombus formed and occludes coronary
artery-->ischemia/death of cardiac cells.
MINOCA - correct answer suspected MI with nonobstructed coronary arteries.
, stable angine presentation - correct answer symptoms relieved by rest or nitro tablets. pain 1-3
minutes. usually diffuse chest pain/pressure. So if there is a localized area no larger than
fingertip consider a different cause
presentation microvascular angina - correct answer chest pain that is unpredictable, sometimes
at rest, sometimes with activity or stress. intense pain that lasts for long period of time and
doesn't go away with rest. Non responsive to nitroglycerine
vasspastic angina presentation - correct answer spontaneous/unprovoked angina. usually at
rest
unstable angina/NSTEMI presentation - correct answer assess symptoms/risk factors:
prior hx CAD
age >65
risk of CAD
S3 heart sound, pulmonary edema, mitral regurg murmur, low bp, brady/tachycardia
Acute STEMI presentation - correct answer chest pressure/pain/discomfort_ n/v, diaphoresis,
dyspnea
chronic stable angina diagnostics - correct answer EKG-->ST depressions, T wave inversions
during pain episodes
Nuclear or exercise Stress test-->positive if EKG changes consistent with ischemia
CT angiography: assesses degree of coronary atherosclerosis, needs to be with contrast. THIS IS
NOW GOLD STANDARD, LOWER RADIATION THAN NUC STRESS TEST. not great for obese
patients (poor quality images) and insurances prefer nuc stress tests first
