ORMC PCU Test 100% Solved 2024

ORMC PCU Test 100% Solved 2024 What are the three types of ACS? - Answer-1. Unstable angina 2. Non stemi 3. STEMI What is the difference between STEMI and non STEMI? - Answer-The biggest difference is when the blood flow to the heart is COMPLETELY BLOCK which causes ischemia and tissue damage. T or F - NSTEMI can lead to STEMI - Answer-True. T or F - ALL patient who is having an MI will feel chest tightness/pain - Answer-False; not everybody will fill pain especially patient who are diabetic due to neuropathy What are the lab that are checked to diagnosed MI? - Answer-1. Troponin 2. CK MB How to determine if patient is having a NSTEMI or STEMI? - Answer-STEMI shows ST elevation in the ECG T or F - Unstable angina will causes an abnormal return of CK MB and troponin - Answer-False; unstable angina does not cause this T or F - Unstable angina will reflect on an ECG - Answer-False, it will not What is the main treatment for STEMI? - Answer-RE PERFUSION THERAPY What is the treatment for NSTEMI? - Answer-MONA T or F: ST elevations will only show up for patient who is having a STEMI - Answer-True What is ischemia? - Answer-lack of blood flow What is the most common cause of MI? - Answer-blood clot in an artery already narrowed down with atheroslerotic plaque What is the difference between NSTEMI and STEMI? - Answer-NSTEMI does not cause myocardial damage. STEMI causes myocardial damage. How to differentiate diagnosing NSTEMI and STEMI - Answer-1. STEMI shows ST elevation on ECG, while NSTEMI will not 2. Both will show a change in cardiac markers T or F: Fibrinolytics therapy is the goal treatment for NSTEMI - Answer-False, this is not need for patient who are having NSTEMI What is triple A? - Answer-abdominal aortic aneurysm. 1. localized enlargement of the abdominal aorta What are the signs of ruptured triple A? - Answer-1. unexplained rapid hypotension 2. abdominal pain 3. sweating What is the treatment for Triple A? - Answer- What are signs and symptoms of "stable triple A"? - Answer-1. back pain 2. abdominal pain 3. pulsating mass What is the treatment for triple A? - Answer-1. goal is preventing from rupturing 2. for large and fast growing surgical option is needed What does ST depression represents? - Answer-ST depression is a sign of an ischemic event that doesn't cross the whole width of the heart muscle T or F: ST depression can be present for patient who is having NSTEMI - Answer-True What are the indications of transcutaneous pacing? - Answer-1. bradycardia unresponsive to drugs 2. 3rd degree heart block 3. overdrive pacing What does failure to pace looks like? - Answer- What is oversensing? - Answer-a pacemaker detects signals other than depolarization of the relevant chamber. this can cause the pacemaker to withhold pacing What does pacemaker oversensing looks like? - Answer- What causes pacemaker oversensing? - Answer- What is the treatment for oversensing? - Answer-changing the sensitivity higher so it doesn't read artifacts as depolarization What is the pacemaker undersensing? - Answer-the pacemaker fails to register depolarization of a chamber What is usually the problem when pacemaker is undersensing? - Answer-the sensitivity of pacemaker is to high What is happening in left sided HF? - Answer-the blood back flow to the atrium and to the lungs which will lead to pulmonary symptoms such as crackles, shortness of breath, or orthopenia What is happening in right sided HF? - Answer-blood back flows to the superior and inferior vena cava and back to the body which will shows excessive weight gain, edema, ascites, hepatomegaly What are signs and symptoms of Right sided HF? - Answer-SWELLING (S)welling of leg hands and liver (W)eight gain (E)dema pitting (L)arge neck veins JVD