2026|2027 Actual Complete Real Exam Questions And Correct
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What's the goal of nitroglycerin? -ANSWER-Decrease O2 demand
and/or increase O2 supply
What do short-acting nitrates do? -ANSWER-1. Dilate peripheral and
coronary blood vessels
2. Give sublingually or by spray
3. If no relief in five minutes, call EMS. If some relief, repeat every 5
minutes for a maximum of 3 doses.
4. SEs: Headache and dizziness (patient teaching)
4. Can use prophylactically
What do long-acting nitrates do? -ANSWER-1. To reduce angina
incidence
2. SEs: Headache and orthostatic hypotension
3. Methods of administration: PO, ointment, and transdermal patch
What are some diagnostics studies that can be done for someone with
chronic unstable angina? -ANSWER-1. Chest x-ray
2. 12-lead ECG
,3. Echocardiogram
4. Exercise Stress Test
5. Nuclear Med studies - lexiscan and nuclear isotropes
6. CTA (Coronary Computed Tomography Angiography - looks at blood
vessels of the heart
7. Cardiac Catheterization - most invasive, can be diagnostic or
intervention. A PCI (percutaneous coronary intervention) can be done
to open up narrowed or blocked sections of the coronary artery or
arteries, restoring blood flow to the heart.
What's cardiac catheterization/coronary angiography? -ANSWER-Its
diagnostic purpose is to visualize blockages. Its interventional purpose
is to open blockages. This is done with a percutaneous coronary
intervention (PCI). A stent is placed inside an artery with balloon
angioplasty.
What falls under acute coronary syndrome? -ANSWER-Unstable angina
and acute MI (NSTEMI and STEMI)
What's an acute MI? -ANSWER-This results from abrupt stoppage of
blood flow through a coronary artery, causing irreversible myocardial
cell death (necrosis). This occurs with preexisting CAD, and either a
STEMI or NSTEMI will occur.
,What are initial interventions for acute coronary syndrome? -ANSWER-
1. 12-lead ECG
2. Upright position
3. Oxygen; keep SaO2 > 93%
4. IV access
5. Nitroglycerin (SL) and ASA (chewable)
6. Morphine (pain)
What are post MI risks? -ANSWER-1. Arrhythmias (VF)
2. Cardiogenic shock (HF)
3. Cardiac rupture (papillary muscle rupture)
4. EKG changes
5. Pericarditis
6. Ventricular aneurysm
7. Angina
8. Thromboembolism
What are the clinical manifestations of MI different between men and
women? -ANSWER-1. In women, chest heaviness and SOB may be more
common than crushing chest pain. Men have crushing chest pain into
the left arm, neck, or shoulder.
2. Both sexes have cold and clammy skin and gray pallor.
, 3. Onset for women is after menopause, but can occur earlier. Onset
for men often occurs at an earlier age, and the trajectory remains
consistent.
4. Women tend to downplay symptoms, often interpreting them as
heartburn. Men tend to seek treatment more aggressively.
5. For women, heavy perspiration and vague discomfort or fatigue upon
exertion is common.
What's the inflammatory response? -ANSWER-1. Vascular response
2. Cellular response
3. Formation of exudate
4. Healing
What are local inflammatory response clinical manifestations? -
ANSWER-1. Redness
2. Heat
3. Pain
4. Swelling
5. Potential loss of function
What's a fever, and how does it start? -ANSWER-The onset of a fever is
triggered by the release of cytokines. This initiates metabolic changes in
the temperature-regulating center in the hypothalamus to raise the
thermostatic set point. The hypothalamus stimulates the ANS to