ACNP Test 1- Cardiology Questions and
Answers
Rewarming phase of hypothermia Correct Ans-warming rate at 0.2 to 0.3 degrees C per hour
until 36.5 reached to avoid large hemodynamic fluctuations.
Control shivering in hypothermia Correct Ans-demerol
S/s of tamponade Correct Ans-Tachycardia and hypotension are the rule, unless with
underlying disease of hypothyroid or uremia, JVD
Pulsus paradoxus Correct Ans-in tamponade. heightened inspiratory decrease in SBP with
inspiration.
PAD s/s Correct Ans-C/O calf pain, Cold/numb extremely, Progresses to pain at rest, Shiny
hairless skin,
PAD treatment Correct Ans-walking, stop causes
Unstable Chest pain Correct Ans-occurs at rest
Total cholesterol Correct Ans-<200
, Triglycerides Correct Ans-<150
LDL Correct Ans-< 100
HDL Correct Ans-> 60
STEMI drugs Correct Ans-ASA(81mg daily) and Plavix, Anticoagulant, BB, Statin therapy,
Echo ef< 40 ACE or ARB
Common pharm for angina Correct Ans-Nitrates, BB, CCB
Myoglobin (skeletal muscle) Correct Ans-onset 1-4hrs, peaks 6-8 hours (least definitive)
CK-MB (skeletal and heart) Correct Ans-onset 2-6 hrs, peak 12-24 hr, duration 1-3 dyas
Troponin I (heart specific) Correct Ans-onset 4-6 hrs, peak 10-24 hrs, durations 10-14 days
Osler's node Correct Ans-Painful, red, nodules in distal phalanges (infective endocarditis)
Janeway Lesions Correct Ans-Small non-painful macules on the palms and soles (infective
endocarditis)
Answers
Rewarming phase of hypothermia Correct Ans-warming rate at 0.2 to 0.3 degrees C per hour
until 36.5 reached to avoid large hemodynamic fluctuations.
Control shivering in hypothermia Correct Ans-demerol
S/s of tamponade Correct Ans-Tachycardia and hypotension are the rule, unless with
underlying disease of hypothyroid or uremia, JVD
Pulsus paradoxus Correct Ans-in tamponade. heightened inspiratory decrease in SBP with
inspiration.
PAD s/s Correct Ans-C/O calf pain, Cold/numb extremely, Progresses to pain at rest, Shiny
hairless skin,
PAD treatment Correct Ans-walking, stop causes
Unstable Chest pain Correct Ans-occurs at rest
Total cholesterol Correct Ans-<200
, Triglycerides Correct Ans-<150
LDL Correct Ans-< 100
HDL Correct Ans-> 60
STEMI drugs Correct Ans-ASA(81mg daily) and Plavix, Anticoagulant, BB, Statin therapy,
Echo ef< 40 ACE or ARB
Common pharm for angina Correct Ans-Nitrates, BB, CCB
Myoglobin (skeletal muscle) Correct Ans-onset 1-4hrs, peaks 6-8 hours (least definitive)
CK-MB (skeletal and heart) Correct Ans-onset 2-6 hrs, peak 12-24 hr, duration 1-3 dyas
Troponin I (heart specific) Correct Ans-onset 4-6 hrs, peak 10-24 hrs, durations 10-14 days
Osler's node Correct Ans-Painful, red, nodules in distal phalanges (infective endocarditis)
Janeway Lesions Correct Ans-Small non-painful macules on the palms and soles (infective
endocarditis)
