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Md3 - Final Exam | Questions And Answers | 2025/2026 Update | With Complete Solution!!

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MD3 - FINAL EXAM | QUESTIONS AND ANSWERS | 2025/2026 UPDATE | WITH COMPLETE SOLUTION!!

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MD3 - FINAL EXAM | QUESTIONS AND ANSWERS | 2025/2026 UPDATE | WITH
COMPLETE SOLUTION!!




what are risk factors for Acute coronary syndrome (MI) - (ANSWER)-Artherosclerosis

-Woman present differently

-Age/ Genetics

-Smoking

-Elevated Troponin

-ST-elevation on 2 contiguous leads on ECG



S/S of Acute coronary syndrome classic - (ANSWER)-Chest pain

-SOB

-Diaphoresis



S/S Acute coronary syndrome classic Atypical - (ANSWER)Nausea

Dizziness

Epigastric pain



Angina treatment - (ANSWER)-Rest

-Nitro

-Emergency care if not relieved



Treatment for Acute coronary syndrome - (ANSWER)Morphine (Only if ordered)

Oxygen (If needed)

Nitro (R/o ED med)

Aspirin (Chew) 162 or 325Mg

-Cardiac catheterization

-CABG

,MD3 - FINAL EXAM | QUESTIONS AND ANSWERS | 2025/2026 UPDATE | WITH
COMPLETE SOLUTION!!




Why do you not give a thrombolytic to an Acute coronary syndrome patient? - (ANSWER)-Intracranial
pathology

-Active bleeding



S/S for Anemia Skin changes - (ANSWER)-Pale / Yellow skin

-Cool skin



S/S of anemia Cardiovascular compromise - (ANSWER)-Tachycardia

-Hypotension



S/S of anemia Respiratory - (ANSWER)SOB



S/S of anemia Neurological - (ANSWER)-Fatigue

-Weakness



Diet changes for Anemia patients - (ANSWER)-Iron rich deficiency

(leafy greens, Fe supplements: take with orange juice, black/tarry stools)(avoid taking with milk blocks
absorption)

-B12 deficiency

(beef, chicken, salmon, fortified breakfast cereal, low fat milk, eggs)

-Folate deficiency

(broccoli, brussels sprouts, leafy green vegetables, kidney beans)



Priority treatment and action for a Aortic dissection - (ANSWER)-Control BP, aim for a systolic 100-200Hg

-Establish 2 large bore IV's and start fluids as ordered rate, as well as other necessary meds

-Prepare for surgery

, MD3 - FINAL EXAM | QUESTIONS AND ANSWERS | 2025/2026 UPDATE | WITH
COMPLETE SOLUTION!!




Treatment & nursing care for Aortic dissection - (ANSWER)-Medications such as beta blockers,
antihypertensive, analgesics, blood products

-Aneurysmectomy

-Endovascular stent grafts

-Abdominal aortic repair



Risk factors for Atherosclerosis - (ANSWER)-Age

-Genetics/ Ethnicity

-Hyperlipidemia (High LDL & Low HDL)

-DM

-Obesity, Sedentary life, Smoking



Diets for Atherosclerosis patients - (ANSWER)Dash diet

Vegetables, Fruit, Whole grain, Low fat free diary, Fish, poulty, bean, nuts, vegetable oils,

Limit foods high in sugar, high in saturated fat like fat meats



Discharge education for Atherosclerosis patients - (ANSWER)-Focus on Diet and managment of HDL and
LDL



Asystole priority action - (ANSWER)Compressions



Atrial fibrillation complications - (ANSWER)•Can impair QoL

•Linked to major morbidity and mortality - especially clotting concerns - embolic stroke, DVT, or PE

•Disorganized atrial impulses create 'quivers' to atria

•There is no atrial kick

•Ventricular contracts are irregularly usually at a rate of 120-200

•This irregularity increases cardiac blood pooling, increasing risk of clot formation

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