FNP 2 Cardiology Exam |Questions and
Complete Verified Answers
What is stable angina? - ANSWER Also known as exertion angina. The lumen cannot
dilate in response to the increased O2 demand and the patient experiences chest pain.
It is believed by rest and usually predictable.
What are the pharmacological treatments for stable angina? - ANSWER 81mg ASA, Beta
blockers and ACE, Ranexa can help reduce pain, Nitrates can help to dilate, STATINS
help reverse atherosclerotic process
What are the non-pharmacological treatments for stable angina? - ANSWER Exercise
30-60 minutes for 5-7 days/week, weight and stress management, smoking cessation,
limit alcohol intake
What is unstable angina and how does it differ from ACS? - ANSWER Unstable angina is
prolonged chest pain that does not produce ST elevation or changes to cardiac
enzymes. It is a branch of ACS but lacks the changes that indicate STEMI and NSTEMI
How is an NSTEMI diagnosed and what EKG changes might be seen? - ANSWER Cardiac
enzymes are the diagnostic tool. Could also see t-wave inversion and ST depression.
How does the presentation of an ACS differ in females? - ANSWER Women often
have non-traditional symptoms such as heart burn
, How does the presentation of an ACS differ in elderly? - ANSWER May presenta s
acute onset dyspnea, weakness, confusion, or loss of consciousness
How does the presentation of an ACS differ in diabetics? - ANSWER May not report pain
due to neuropathy
What are the EKG changes seen in a STEMI? - ANSWER ST elevation
Changes in what leads indicate an inferior MI? - ANSWER Lead II, III and AVF; RCA
Changes in what leads indicate an anterior MI? - ANSWER Leads V3 and V4 possibly
V1 and V2; LAD
Changes in what leads indicate a lateral MI? - ANSWER Leads V5 and V6, I, AVL; Circ
Changes in what leads indicate a posterior MI? - ANSWER V1, V2, V3; RCA
What cardiac enzyme is most specific to an MI? - ANSWER Troponin
What are the pharmacologic treatments for post-MI? - ANSWER Beta blockers to reduce
myocardial oxygen demand (CCB if not tolerant but contraindicated in CHF), ACE
inhibitors, Statins, ASA for life, and some type of anti-platelet (Plavix, prasugrel,
ticagrelor)
What is door to balloon time for STEMI? - ANSWER 90 minutes
Complete Verified Answers
What is stable angina? - ANSWER Also known as exertion angina. The lumen cannot
dilate in response to the increased O2 demand and the patient experiences chest pain.
It is believed by rest and usually predictable.
What are the pharmacological treatments for stable angina? - ANSWER 81mg ASA, Beta
blockers and ACE, Ranexa can help reduce pain, Nitrates can help to dilate, STATINS
help reverse atherosclerotic process
What are the non-pharmacological treatments for stable angina? - ANSWER Exercise
30-60 minutes for 5-7 days/week, weight and stress management, smoking cessation,
limit alcohol intake
What is unstable angina and how does it differ from ACS? - ANSWER Unstable angina is
prolonged chest pain that does not produce ST elevation or changes to cardiac
enzymes. It is a branch of ACS but lacks the changes that indicate STEMI and NSTEMI
How is an NSTEMI diagnosed and what EKG changes might be seen? - ANSWER Cardiac
enzymes are the diagnostic tool. Could also see t-wave inversion and ST depression.
How does the presentation of an ACS differ in females? - ANSWER Women often
have non-traditional symptoms such as heart burn
, How does the presentation of an ACS differ in elderly? - ANSWER May presenta s
acute onset dyspnea, weakness, confusion, or loss of consciousness
How does the presentation of an ACS differ in diabetics? - ANSWER May not report pain
due to neuropathy
What are the EKG changes seen in a STEMI? - ANSWER ST elevation
Changes in what leads indicate an inferior MI? - ANSWER Lead II, III and AVF; RCA
Changes in what leads indicate an anterior MI? - ANSWER Leads V3 and V4 possibly
V1 and V2; LAD
Changes in what leads indicate a lateral MI? - ANSWER Leads V5 and V6, I, AVL; Circ
Changes in what leads indicate a posterior MI? - ANSWER V1, V2, V3; RCA
What cardiac enzyme is most specific to an MI? - ANSWER Troponin
What are the pharmacologic treatments for post-MI? - ANSWER Beta blockers to reduce
myocardial oxygen demand (CCB if not tolerant but contraindicated in CHF), ACE
inhibitors, Statins, ASA for life, and some type of anti-platelet (Plavix, prasugrel,
ticagrelor)
What is door to balloon time for STEMI? - ANSWER 90 minutes
