exam 317 detailed solutions A+ Graded
100% correct.
NR667 Chamberlain CEA week 8 exit
exam 317 detailed solutions A+ Graded
100% correct.
Blood Flow - ANSWER-Lungs ® Pulmonary Veins ® Left Atrium ® Aorta ® Body Tissues ® Vena Cava ® Right
Atrium ® Right Ventricle ® Pulmonary Arteries ® Lungs
Symptoms with right vs left side heart blockage - ANSWER-· Blockage on the left side of the heart backs
up and causes lung symptoms
· Blockage on the right side of the heart backs up and causes body symptoms (peripheral edema)
HNC8 HTN Guidelines - ANSWER-Defined as 140/90
Treatment algorithm:
Less than 60 years old - 140/90
> 60 years old - Defined as 150/90 (more leniency b/c we do not want to drop their BP too low)
What hypertension medication should someone with DM and/or CKD be on? - ANSWER-ACE or ARB
(protects kidneys)
What HTN medication should an African American pt be on? - ANSWER-CCB
What HTN medications should be used in patients with heart failure? - ANSWER-Carvediolol and
Thiazide diuretics
Common side effects from ACE inhibitors - ANSWER-cough, angioedema
What HTN medication is contraindicated if an ACE inhibitor caused angioedema? - ANSWER-ARB
,NR667 Chamberlain CEA week 8 exit
exam 317 detailed solutions A+ Graded
100% correct.
What HTN medication should a heart failure pt NEVER be on? - ANSWER-CCB
(These cause the heart to "relax" which is not good in HF pts)
2 types of CCBs - ANSWER-Dihydropyridines & Non-dihydropyridines
What are dihydropyridine CCBs used for? - ANSWER-BP control
Example of a dihydropyridine CCB and side effects - ANSWER-Amlodipine
Bradycardic side effects, peripheral edema, constipation
What are non-dihydropyridine CCBs used for? - ANSWER-arrhythmias
Example of a non-dihydropyridine CCB and side effects - ANSWER-cardizem
Tachycardic side effects/palpitations - these meds were peripherally and have a rebound tachycardia
The atria (top chambers of the heart) work on which electrolytes? - ANSWER-K+ (potassium) and Ca
(calcium)
The ventricles (bottom chambers of the heart) work on which electrolytes? - ANSWER-Na (sodium) and
K+ (potassium)
Conditions in the atria needs medications that work on K+ or Ca such as .. - ANSWER-Cardizem (CCB) or
Amiodarone (potassium channel blocker)
Conditions in the ventricles needs medications that work on K+ or Na such as .. - ANSWER-Amiodarone
(potassium channel blocker)
,NR667 Chamberlain CEA week 8 exit
exam 317 detailed solutions A+ Graded
100% correct.
What class of medications could be used for atrial and ventricular conditions? - ANSWER-Beta-blockers
or potassium channel blocker (Amiodarone)
What is the percentage of EF for someone with HF with reduced EF? - ANSWER-< 40%
What is the percentage of EF for someone with HF with preserved EF? - ANSWER-40 or greater
HF patients with reduced EF need to be on what medications? - ANSWER-Carvedilol, loop diuretic, ACE,
or ARB
What type of diuretics are more potent? - ANSWER-Loop diuretics
Which hypertensive medications are "cardio-protective"? - ANSWER-ACEs and ARBs
Functional classes of HF (NYHA): - ANSWER-
- ANSWER-I: No sx
II: Sx w/ moderate exertion
III: Sx w ADLs
IV: Sx at rest
What is the ASCVD risk score? - ANSWER-measurement of a pt's 10 yr risk of an adverse cardiac event
What are the high-intensity statins? - ANSWER-Atorvastatin 40-80 mg
Rosuvastatin 20-40 mg
, NR667 Chamberlain CEA week 8 exit
exam 317 detailed solutions A+ Graded
100% correct.
What happens during S1 heart sounds? - ANSWER-mitral valve closes and aortic valve opens
Which structural heart condition can cause syncope or near-syncope? - ANSWER-Aortic stenosis
Which structural heart condition cause a harsh, high-pitches sound that can be heard in the neck or on
the right side of the chest near the 2nd intercostal space? - ANSWER-Aortic regurgitation/insufficiency
Which structural heart condition is very loud and can be heard on the lower left side of the chest? -
ANSWER-Mitral regurgitation/insufficiency
What are the 2 most common places for a AAA? - ANSWER-infra-renal and ascending aorta
Which aortic aneurysm requires surgery right away? - ANSWER-Stanford A (ascending)
Which aortic aneurysm is often treated medically or with a possible graft (but does not often need
surgery)? - ANSWER-Stanford B (descending)
What is a medical intervention that should be done for a patient with a Stanford B aneurysm? -
ANSWER-Keep BP low
What class medication should NEVER be given to a patient with an aneurysm or any sort of connective
tissue disorder? - ANSWER-flouroquinolones (end in "floxicin")
What are the 4 fat-soluble vitamins? (stay in the body for a long time) - ANSWER-ADEK
What percentage of pulmonary emboli or DVTs are provoked? - ANSWER-70%