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Exam (elaborations)

CCT EXAM ACTUAL TEST QUESTIONS AND CORRECT ANSWERS

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CCT EXAM ACTUAL TEST QUESTIONS AND CORRECT ANSWERS

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CCT EXAM ACTUAL TEST QUESTIONS AND
CORRECT ANSWERS

◉ Indicates myocardial ischemia.
Answer: -upsloping ST which doesn't return to baseline within 80
milliseconds (.08)
-J point depression followed by a horizontal ST segment below
baseline
-downward sloping ST segment
-J point & ST elevation


◉ Indications for a pharmacological stress test.
Answer: -inability to exercise due to orthopedic, neurological,
circulator or respiratory conditions
-general debilitation
-presence of calcium channel blockers


◉ Data for stress results.
Answer: -ECG results
-HR & BP response
-presence or absence of CV symptoms
-aerobic exercise capacity

,-presence of symptoms
-percent of pt's max HR


◉ MET - Metabolic Equivalent.
Answer: -a measure of exercise intensity based on oxygen
consumption
-1 is = the amount of o2 a person consumes per unit of body weight
during 1 min of rest


◉ Non-coronary causes of ST depression.
Answer: -severe HTN
-severe aortic stenosis
-cardiomyopathy
-anemia
-hypokalemia
-severe hypoxia
-digitalis
-sudden excessive exercise
-left ventricular hypertrophy
-mitral valve prolapse
-pre-excitation syndrome: WPW
-aortic or mitral regurg (volume overload)

, -supraventricular tachyarrhythmias


◉ V5.
Answer: Lead that detects myocardial ischemia


◉ Persantine Chemical Stress Test.
Answer: -aka dipyridamole
-anti-platelet agent that dilates the coronary blood vessels
-side effects: abd upset, arrhythmias, dizziness, headache, CP, low BP,
rarely a heart attack or stroke
-aminophylline reverses the side effects


◉ Negative Stress Test.
Answer: -no abnormalities seen in the J-point or ST segment
-pt achieves at least 85% of max HR
-pt's have a low likelihood of developing CV disease or experiencing
myocardial ischemia or inury


◉ Thallium Stress Test.
Answer: -useful in determining the extent of preexisting damage or
blockage due to the heart, effectiveness of CV therapies, or cause of
CP

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