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Family Medicine PAEA blueprint Questions with correct answers

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Family Medicine PAEA blueprint Questions with correct answers

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Family Medicine PAEA blueprint Questions with
correct answers
Ischemic Heart Disease (Angina Pectoris) Correct Answer-Chest
discomfort/pressure/pain/squeezing due to insufficient oxygen rich
blood to heart,
MCC atherosclerosis (hardening and narrowing of coronary arteries)
RF: DM, smoking, hyperlipidemia
2 types: Chronic stable angina and Prinzmetal variant angina


Chronic Stable Angina Correct Answer-Angina lasts <30 min behind or
slightly left of mid-sternum that sometimes radiated to left shoulder and
upper arm
Worse with exertion or stress (climbing up stairs)
Relieved with rest +/- Nitroglycerin
Levine sign (clenched fist over sternum and clenched teeth when
describing chest pain)
1. Coronary angiography: invasive
2. ECG: Horizontal or ST depression during angina attack
3. Cardiac stress test: ST depression >1 mm and noninvasive
(4 drugs):Daily aspirin + Beta blockers + Sublingual nitroglycerin (PRN
for sxs relief, no PDE5 inhibitors) + daily statin
Ranolazin (not acute anginal episodes)
Revascularization (angioplasty or bypass grafting)


Prinzmetal variant angina Correct Answer-Coronary artery vasospasm

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