PAEA EOC & Summative Practice Questions with 100% correct answers
what exactly causes the occlusive vascular disease of thromboangiitis obliterans? correct answers aka Buerger's disease inflammatory thrombi affecting the medium and small vessels (nonatherosclerosis) polymorphonuclear leukocytes, microabscesses, and multinucleated giant cells may be presen Treatment options for thromboangiitis obliterans? correct answers smoking cessation most important! cilostazol (PDE 3 inhibitor) has vasodilator properties (alleviated symptoms) if raynauds also present, CCB (nifedipine) what heart failure treatment provides a benefit of reduction in morbidity and mortality? correct answers ACE inhibitors beta blockers can also reduce M&M diuretics have no reduction in mortality how would you manage a patient with a MI in the setting of cocaine use? correct answers benzodiazepine early no beta blockers If PCI cannot be done for a STEMI patient within 120 minutes, what should be done? correct answers fibrolytic therapy then do PCI & coronary angiography when it can be done ideally PCI is done within 90 minutes fibrolytic therapy can be used up to 12 hours of symptoms If you suspect an acute limb ischemia due to arterial embolism, what imaging should you get? correct answers catheter-based arteriography (digital subtraction arteriography) provides the most useful information. can also help with treatment can help distinguish between thrombosis and embolus where are arterial emboli often found? correct answers lower extremities more common than upper extremities The common femoral, common iliac, and popliteal artery bifurcations are frequent locations
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