ER EOR Exam Questions and Answers
Relieved by rest of nitroglycerin chest pain - dx?
what is the treatment (2 drugs)?
what will the EKG look like in regards to T waves and ST segment?
what is the definite procedure? - Answer-STABLE ANGINA
nitroglycerin and BB
T wave inversion and ST depression
Coronary angiography
Present at rest chest pain - dx?
,is this an emergency?
when does this happen?
what are the different meds to be given for this?
GOLD STANDARD DX?
what does the EKG show in regards to T waves and ST segment? - Answer-UNSTABLE ANGINA
EMERGENCY
happens anytime
nitroglycerin, morphine, ASA, clopidogrel, BB
NEED CONTINUOUS CARDIAC MONITORING
T wave inversion and ST depression
coronary artery vasospasm?
WHAT DOES THE EKG SHOW?
What does the tropinions show?
,what two drugs do you give for long term?
WHAT IS THE GOLD STANDARD FOR DX? - Answer-prinzmetal
TRANSIENT ST-ELEVATION and potential inverted U-waves
happens anytime
TROPONIN POSITIVE
nitro and CCB (prophylactically)
CORONARY ANGIOGRAPHY WITH IV ERGONOVINE
EARLY WIDE BIZARRE QRS, NO P WAVE - greater than >0.12
what ventricular site generates an impulse
what is the treatment? - Answer-PVC
BB then consider ablation
ABNORMALLY SHAPED P WAVES
, ectopic site in atria fires before next impulse from SA node - Answer-PAC
benign - reassurance
NARROW QRS COMPLEX, NO P WAVE - LESS THAN 0.1 SEC OR LESS OR INVERTED P WAVES
AV nodes fires before SA node
how do you treat? - Answer-PJC
lidocaine or anti arrhythmic (amiodarone)
above the bundle of HIS - paroxysmal supraventircular tachycardia (HR 150 - 250) - RETROGRADE P
WAVE - inverted
small extra pathway in or near AV node and travels in circular pattern
what is the treatment? - Answer-atrioventirular nodal reentrant tachycardia - MC kind of SVT
adenosine
abnormal accessory electrical pathway BETWEEN ATRIA AND VENTRICLES (bundle of kent fibers)
EKG - SHORTNEED PR INTERVAL, WIDENED QRS, DELTA WAVES
what is the DEFINITE TREATMETN?
Relieved by rest of nitroglycerin chest pain - dx?
what is the treatment (2 drugs)?
what will the EKG look like in regards to T waves and ST segment?
what is the definite procedure? - Answer-STABLE ANGINA
nitroglycerin and BB
T wave inversion and ST depression
Coronary angiography
Present at rest chest pain - dx?
,is this an emergency?
when does this happen?
what are the different meds to be given for this?
GOLD STANDARD DX?
what does the EKG show in regards to T waves and ST segment? - Answer-UNSTABLE ANGINA
EMERGENCY
happens anytime
nitroglycerin, morphine, ASA, clopidogrel, BB
NEED CONTINUOUS CARDIAC MONITORING
T wave inversion and ST depression
coronary artery vasospasm?
WHAT DOES THE EKG SHOW?
What does the tropinions show?
,what two drugs do you give for long term?
WHAT IS THE GOLD STANDARD FOR DX? - Answer-prinzmetal
TRANSIENT ST-ELEVATION and potential inverted U-waves
happens anytime
TROPONIN POSITIVE
nitro and CCB (prophylactically)
CORONARY ANGIOGRAPHY WITH IV ERGONOVINE
EARLY WIDE BIZARRE QRS, NO P WAVE - greater than >0.12
what ventricular site generates an impulse
what is the treatment? - Answer-PVC
BB then consider ablation
ABNORMALLY SHAPED P WAVES
, ectopic site in atria fires before next impulse from SA node - Answer-PAC
benign - reassurance
NARROW QRS COMPLEX, NO P WAVE - LESS THAN 0.1 SEC OR LESS OR INVERTED P WAVES
AV nodes fires before SA node
how do you treat? - Answer-PJC
lidocaine or anti arrhythmic (amiodarone)
above the bundle of HIS - paroxysmal supraventircular tachycardia (HR 150 - 250) - RETROGRADE P
WAVE - inverted
small extra pathway in or near AV node and travels in circular pattern
what is the treatment? - Answer-atrioventirular nodal reentrant tachycardia - MC kind of SVT
adenosine
abnormal accessory electrical pathway BETWEEN ATRIA AND VENTRICLES (bundle of kent fibers)
EKG - SHORTNEED PR INTERVAL, WIDENED QRS, DELTA WAVES
what is the DEFINITE TREATMETN?
