PCCN CARDIAC ACTUAL STUDYS QUESTIONS AND
ANSWERS SET A+
✔✔Which Temporary Assist Device would you expect in Cardiogenic Shock? - ✔✔Intra
Aortic Balloon Pump
Impelled
EchMo
LVAD
✔✔Causes of Cardiogenic Shock - ✔✔Diastolic HF (stiff, enlarged LV)
Cardiomyopathies (MI; weak heart = weak contraction)
Arrhythmias (Brady/ tachy, loss of atrial kick)
Valve problems (i.e. regurgitation)
✔✔Medications used in Cardiogenic Shock - ✔✔Epinephrine, Norepinephrine,
Dopamine, Dobutamine, Neo, Levophed
Diuretics
Amiodarone
Procainamide
Lidocaine
✔✔Dobutamine is used to increase CO/ BP when: - ✔✔Patient is unstable
SBP <100 mmHg
✔✔Pharmacological goals in Cardiogenic Shock - ✔✔Maintain adequate blood
pressure and CO
✔✔Use of Norepinephrine in Cardiogenic Shock - ✔✔Norepinephrine is an A1 agonist,
and a limited B1 agonist
Used to increase CO
, ✔✔Syncopal episodes in a young person with prolonged QT interval are indicative of: -
✔✔Congenital Long QT Syndrome (LQTS)
*Genetic analysis is needed for risk stratification
✔✔Mitral Stenosis is categorized by: - ✔✔Enlargement of the LA —> change in
depolarization/ depolarization
—> increased risk of Afib
✔✔What class of medication is used to treat Dilated Cardiomyopathy? - ✔✔ACEI
Effective in improving symptoms and survival
✔✔Medical Management of Dilated Cardiomyopathy - ✔✔After load reduction should
be initiated before escalating to Inotropes
✔✔Clinical manifestations of Cardiogenic Shock - ✔✔Hypotension
Decreased sensorium
Compensatory tachycardia
Chest Pain
Weak/ threads pulse
Pulmonary Edema
✔✔Thromblytic Therapy is an absolute contraindication in which patient? - ✔✔Post
operative patient
✔✔Which non-cardiac problem can mimic signs of a stroke? - ✔✔Hypoglycemia
✔✔Exercise is an important but underutilized treatment for: - ✔✔Acute Arterial
Occulusion
✔✔Goals of exercise in Acute Arterial Occlusion - ✔✔Improve collateral circulation,
decrease blood viscosity, decrease ischemia induced inflammation
✔✔Treatment for Acute Arterial Occlusion - ✔✔Walk 35-60 min 3-4 x/ week
Keep legs below heart level
Elevate head 4-6 inches
Heart Healthy diet
✔✔Risk for Mediastinitis - ✔✔DM type I
Homologous blood transfusion
✔✔Differential Diagnosis for New Onset Confusion - ✔✔Stroke vs hypoglycemia
✔✔Goals of Care in Pericarditis - ✔✔Pain relief
Supplemental O2 = decreased SOB/ tachycardia
ANSWERS SET A+
✔✔Which Temporary Assist Device would you expect in Cardiogenic Shock? - ✔✔Intra
Aortic Balloon Pump
Impelled
EchMo
LVAD
✔✔Causes of Cardiogenic Shock - ✔✔Diastolic HF (stiff, enlarged LV)
Cardiomyopathies (MI; weak heart = weak contraction)
Arrhythmias (Brady/ tachy, loss of atrial kick)
Valve problems (i.e. regurgitation)
✔✔Medications used in Cardiogenic Shock - ✔✔Epinephrine, Norepinephrine,
Dopamine, Dobutamine, Neo, Levophed
Diuretics
Amiodarone
Procainamide
Lidocaine
✔✔Dobutamine is used to increase CO/ BP when: - ✔✔Patient is unstable
SBP <100 mmHg
✔✔Pharmacological goals in Cardiogenic Shock - ✔✔Maintain adequate blood
pressure and CO
✔✔Use of Norepinephrine in Cardiogenic Shock - ✔✔Norepinephrine is an A1 agonist,
and a limited B1 agonist
Used to increase CO
, ✔✔Syncopal episodes in a young person with prolonged QT interval are indicative of: -
✔✔Congenital Long QT Syndrome (LQTS)
*Genetic analysis is needed for risk stratification
✔✔Mitral Stenosis is categorized by: - ✔✔Enlargement of the LA —> change in
depolarization/ depolarization
—> increased risk of Afib
✔✔What class of medication is used to treat Dilated Cardiomyopathy? - ✔✔ACEI
Effective in improving symptoms and survival
✔✔Medical Management of Dilated Cardiomyopathy - ✔✔After load reduction should
be initiated before escalating to Inotropes
✔✔Clinical manifestations of Cardiogenic Shock - ✔✔Hypotension
Decreased sensorium
Compensatory tachycardia
Chest Pain
Weak/ threads pulse
Pulmonary Edema
✔✔Thromblytic Therapy is an absolute contraindication in which patient? - ✔✔Post
operative patient
✔✔Which non-cardiac problem can mimic signs of a stroke? - ✔✔Hypoglycemia
✔✔Exercise is an important but underutilized treatment for: - ✔✔Acute Arterial
Occulusion
✔✔Goals of exercise in Acute Arterial Occlusion - ✔✔Improve collateral circulation,
decrease blood viscosity, decrease ischemia induced inflammation
✔✔Treatment for Acute Arterial Occlusion - ✔✔Walk 35-60 min 3-4 x/ week
Keep legs below heart level
Elevate head 4-6 inches
Heart Healthy diet
✔✔Risk for Mediastinitis - ✔✔DM type I
Homologous blood transfusion
✔✔Differential Diagnosis for New Onset Confusion - ✔✔Stroke vs hypoglycemia
✔✔Goals of Care in Pericarditis - ✔✔Pain relief
Supplemental O2 = decreased SOB/ tachycardia
