NR 571 MidTerm Study Set Exam Questions with 100% Correct
Answers | Verified | Updated (Actual Exam) LATEST VERSION!!
What is high sensitivity troponin and when to use? - (answer)first line test for cardiac cell damage
used for initial injury
What is CKMB - (answer)CK isoenzyme specific to cardiac muscle tissue (MI)
When should CKMB be used? - (answer)for suspicion of secondary ischemia after an initial infarct
normal level for Troponin I - (answer)<0.04
normal level for CKMB - (answer)3-5% of total CK
What is BNP - (answer)B-type natriuretic peptide
Normal BNP levels - (answer)<100 pg/mL
Differential for chest pain - (answer)Consider:
Myocardium- angina, MI, myocarditis, heart failure
Pericardium- pericarditis
Aorta- dissecting aortic aneurysm
Trachea and bronchi- bronchitis
Parietal pleura- pericarditis, pneumonia, pneumothorax, pleural effusion, pulmonary embolus
Chest wall- costochondritis, herpes zoster
Esophagus- reflux, esophageal spasm, esophageal tear
Referred pain from elsewhere- cervical arthritis, biliary colic, gastritis
,NR 571 MidTerm Study Set Exam Questions with 100% Correct
Answers | Verified | Updated (Actual Exam) LATEST VERSION!!
Psych: anxiety attacks
Revascularization in under ____ minutes - (answer)90
Initial diagnostics for chest pain - (answer)12-lead EKG
Troponin q3h x3 at least
BNP - HF
CBC - baseline H&H and Plts
PTT, PT/INR - baseline coagulation status
BMP - renal function and lytes
TSH, Mg, and Phos
ECHO
Cath
Requirements for STEMI dx - (answer)new ST elevation in 2 contiguous leads of >0.1 mV except V2&V3
elevated troponin
STEMI findings in V2-V3 - (answer)>0.2mV in >40yo M
>0.25 mV in <40 yo M
>0.15 mV in women
Difference between NSTEMI and unstable angina - (answer)NSTEMI involves Elevated Cardiac Bio
markers (cell death)
NSTEMI & unstable angina tx - (answer)Dual antiplatelet therapy
,NR 571 MidTerm Study Set Exam Questions with 100% Correct
Answers | Verified | Updated (Actual Exam) LATEST VERSION!!
Full-dose AC
High-intensity statin
BB
Nitrates
oxygen
pain medication
Dual antiplatelet therapy - (answer)DAPT
Aspirin (325 x1 = daily 81mg)
AND
P2Y2 inhibitor
clopidogrel or ticagrelor
full dose AC - (answer)SQ lovenox 1mg/kg BID
if PCI planned of low GFR use heparin gtt
50-70 units/kg bolus plus 12units/kg/hr titrated to PTT 1.5-2.5 x baseline
High-intensity statin - (answer)atorvastatin 40-80 mg or rosuvastatin 20-40 mg
Considerations for BB avoiding BB use - (answer)HR <60
SBP <100
EF <30%
PR >240 ms
2nd or 3rd degree HB
, NR 571 MidTerm Study Set Exam Questions with 100% Correct
Answers | Verified | Updated (Actual Exam) LATEST VERSION!!
active asthma or reactive airway disease
COPD
Cocaine use
When is NGT contraindicated? - (answer)RV infarct b/c it reduces preload
Absolute contraindications for fibrinolytic therapy - (answer)Any prior ICH
known structural cerebral vascular lesions
known malignant intracranial neoplasm
Ischemic stroke <3mo unless <4.5 h
suspected aortic dissection
active bleeding
significant closed head or facial trauma within 3mo
severe uncontrolled hypertension (unresponsive to therapy)
Identification of LBBB - (answer)QRS is negatively deflected in V1
Identification of RBBB - (answer)QRS is positively deflected in V1
Relative contraindications for fibrinolytic therapy - (answer)Hx of chronic, severe, poorly controlled HTN
SBP >180 or DBP >110
Hx of ischemic stork >3mo
dementia
other known intracranial pathology
Answers | Verified | Updated (Actual Exam) LATEST VERSION!!
What is high sensitivity troponin and when to use? - (answer)first line test for cardiac cell damage
used for initial injury
What is CKMB - (answer)CK isoenzyme specific to cardiac muscle tissue (MI)
When should CKMB be used? - (answer)for suspicion of secondary ischemia after an initial infarct
normal level for Troponin I - (answer)<0.04
normal level for CKMB - (answer)3-5% of total CK
What is BNP - (answer)B-type natriuretic peptide
Normal BNP levels - (answer)<100 pg/mL
Differential for chest pain - (answer)Consider:
Myocardium- angina, MI, myocarditis, heart failure
Pericardium- pericarditis
Aorta- dissecting aortic aneurysm
Trachea and bronchi- bronchitis
Parietal pleura- pericarditis, pneumonia, pneumothorax, pleural effusion, pulmonary embolus
Chest wall- costochondritis, herpes zoster
Esophagus- reflux, esophageal spasm, esophageal tear
Referred pain from elsewhere- cervical arthritis, biliary colic, gastritis
,NR 571 MidTerm Study Set Exam Questions with 100% Correct
Answers | Verified | Updated (Actual Exam) LATEST VERSION!!
Psych: anxiety attacks
Revascularization in under ____ minutes - (answer)90
Initial diagnostics for chest pain - (answer)12-lead EKG
Troponin q3h x3 at least
BNP - HF
CBC - baseline H&H and Plts
PTT, PT/INR - baseline coagulation status
BMP - renal function and lytes
TSH, Mg, and Phos
ECHO
Cath
Requirements for STEMI dx - (answer)new ST elevation in 2 contiguous leads of >0.1 mV except V2&V3
elevated troponin
STEMI findings in V2-V3 - (answer)>0.2mV in >40yo M
>0.25 mV in <40 yo M
>0.15 mV in women
Difference between NSTEMI and unstable angina - (answer)NSTEMI involves Elevated Cardiac Bio
markers (cell death)
NSTEMI & unstable angina tx - (answer)Dual antiplatelet therapy
,NR 571 MidTerm Study Set Exam Questions with 100% Correct
Answers | Verified | Updated (Actual Exam) LATEST VERSION!!
Full-dose AC
High-intensity statin
BB
Nitrates
oxygen
pain medication
Dual antiplatelet therapy - (answer)DAPT
Aspirin (325 x1 = daily 81mg)
AND
P2Y2 inhibitor
clopidogrel or ticagrelor
full dose AC - (answer)SQ lovenox 1mg/kg BID
if PCI planned of low GFR use heparin gtt
50-70 units/kg bolus plus 12units/kg/hr titrated to PTT 1.5-2.5 x baseline
High-intensity statin - (answer)atorvastatin 40-80 mg or rosuvastatin 20-40 mg
Considerations for BB avoiding BB use - (answer)HR <60
SBP <100
EF <30%
PR >240 ms
2nd or 3rd degree HB
, NR 571 MidTerm Study Set Exam Questions with 100% Correct
Answers | Verified | Updated (Actual Exam) LATEST VERSION!!
active asthma or reactive airway disease
COPD
Cocaine use
When is NGT contraindicated? - (answer)RV infarct b/c it reduces preload
Absolute contraindications for fibrinolytic therapy - (answer)Any prior ICH
known structural cerebral vascular lesions
known malignant intracranial neoplasm
Ischemic stroke <3mo unless <4.5 h
suspected aortic dissection
active bleeding
significant closed head or facial trauma within 3mo
severe uncontrolled hypertension (unresponsive to therapy)
Identification of LBBB - (answer)QRS is negatively deflected in V1
Identification of RBBB - (answer)QRS is positively deflected in V1
Relative contraindications for fibrinolytic therapy - (answer)Hx of chronic, severe, poorly controlled HTN
SBP >180 or DBP >110
Hx of ischemic stork >3mo
dementia
other known intracranial pathology
