CMST 1061 COMPREHENSIVE EXAM SCRIPT COMPLETE QUESTIONS VERIFIED
SOLUTIONS
CMST 1061 Actual TEST Paper 2026/2027 Questions
and Answers Verified Solutions Latest Update
Question:
Variant = Prinzmetal's (vasospasms).
Answer:
Can happen at rest or anytime ST ■ then ■ during pain episodes ST segment goes back to normal
and Nitro won't help Tx: CCB to relax muscles in the vessel
Question:
treatment for angina.
Answer:
Maintain cardiac output Bed rest Keep pt calm Want a HYPOmetabolic state Pain relief = morphine
+ nitroglycerin Both have vasodilatory properties Cardiac Bundle, educate pt on: Lipid lowering
med - a -statin Beta blockers - Metoprolol Long-acting Nitrates - Isosorbide dinitrate, Isosorbide
mononitrate ACE inhibitors - Captopril, Lisinopril, Ramipril
Question:
Beta1 BlockeRs (-olol).
Answer:
always check apical heart rate
Question:
ACE Inhibitors → o p r i l.
Answer:
No NSAIDS No salt substitute or K+ supplements
,Question:
nitroglycerin.
Answer:
Normal adverse effect = patient has a headache Take 1 tablet, call 911 if not relieved, then take 2
more till ambulance comes; don't exceed 3
Question:
diagnosing acute MI.
Answer:
unrelieved with nitro Serum troponin I (< 0.1 mcg/L)
Question:
MI priorities.
Answer:
VS including O2 saturation 12 lead ECG (quickly!) IV access (large bore in a large vein) - 2 IVs if
possible Blood sample for labs: CBC, cardiac enzymes and coagulation studies
Question:
acute mi treatment.
Answer:
MONA
Question:
Percutaneous transluminal coronary angioplasty (PTCA).
Answer:
Goal Increase blood flow to myocardium Balloon catheter is inflated inside the artery Coronary
stent may be placed to keep artery open
,Question:
meds post- stemi.
Answer:
Aspirin Clopidogrel
Question:
indications for CABG.
Answer:
Unstable angina AMI Failure of PCI
Question:
CABG (Coronary Artery Bypass Graft).
Answer:
Pre-op teaching Pt can watch educational movie Signed consent Answer questions Post-op teaching
Monitor rhythm + hemodynamics Risk of bleeding Risk of hypervolemia Monitor chest tube +
mediastinal tube Body temp (they got cold in sx) Pain Management Need to cough + deep breathe
Splinting Neurological
Question:
Pacemaker Issues.
Answer:
Failure to pace: pacer spikes are NOT there Biggest cause = low battery Failure to sense: the
pacemaker isn't sensing the pt's HR Can cause ventricular dysrhythmias (mainly V-tach) Treat:
change pacemaker's sensitivity setting Failure to capture: not causing contractions
Question:
teaching for ICD.
, Answer:
Keep incision dry for 4 days after insertion or as instructed Report any s/s of infection at incision
site or fever immediately It is usually safe to resume sexual activity once incision is healed Avoid
Avoid antitheft devices, MRIs, metal detectors, + hand-held screening wands Lifting arm on ICD
side above shoulder until approved Avoid driving until cleared by your cardiologist
Question:
v-tach QRS complex.
Answer:
very wide!
Question:
a-fib.
Answer:
no p waves, can't count atrial rate, r waves irregular
Question:
a-flutter.
Answer:
sawtooth appearance of f waves, no p waves, can't count atrial rate, r waves regular
Question:
myocardial infarction immediate treatment.
Answer:
MONA morphine oxygen nitroglycerin asa or plavix
Question:
SOLUTIONS
CMST 1061 Actual TEST Paper 2026/2027 Questions
and Answers Verified Solutions Latest Update
Question:
Variant = Prinzmetal's (vasospasms).
Answer:
Can happen at rest or anytime ST ■ then ■ during pain episodes ST segment goes back to normal
and Nitro won't help Tx: CCB to relax muscles in the vessel
Question:
treatment for angina.
Answer:
Maintain cardiac output Bed rest Keep pt calm Want a HYPOmetabolic state Pain relief = morphine
+ nitroglycerin Both have vasodilatory properties Cardiac Bundle, educate pt on: Lipid lowering
med - a -statin Beta blockers - Metoprolol Long-acting Nitrates - Isosorbide dinitrate, Isosorbide
mononitrate ACE inhibitors - Captopril, Lisinopril, Ramipril
Question:
Beta1 BlockeRs (-olol).
Answer:
always check apical heart rate
Question:
ACE Inhibitors → o p r i l.
Answer:
No NSAIDS No salt substitute or K+ supplements
,Question:
nitroglycerin.
Answer:
Normal adverse effect = patient has a headache Take 1 tablet, call 911 if not relieved, then take 2
more till ambulance comes; don't exceed 3
Question:
diagnosing acute MI.
Answer:
unrelieved with nitro Serum troponin I (< 0.1 mcg/L)
Question:
MI priorities.
Answer:
VS including O2 saturation 12 lead ECG (quickly!) IV access (large bore in a large vein) - 2 IVs if
possible Blood sample for labs: CBC, cardiac enzymes and coagulation studies
Question:
acute mi treatment.
Answer:
MONA
Question:
Percutaneous transluminal coronary angioplasty (PTCA).
Answer:
Goal Increase blood flow to myocardium Balloon catheter is inflated inside the artery Coronary
stent may be placed to keep artery open
,Question:
meds post- stemi.
Answer:
Aspirin Clopidogrel
Question:
indications for CABG.
Answer:
Unstable angina AMI Failure of PCI
Question:
CABG (Coronary Artery Bypass Graft).
Answer:
Pre-op teaching Pt can watch educational movie Signed consent Answer questions Post-op teaching
Monitor rhythm + hemodynamics Risk of bleeding Risk of hypervolemia Monitor chest tube +
mediastinal tube Body temp (they got cold in sx) Pain Management Need to cough + deep breathe
Splinting Neurological
Question:
Pacemaker Issues.
Answer:
Failure to pace: pacer spikes are NOT there Biggest cause = low battery Failure to sense: the
pacemaker isn't sensing the pt's HR Can cause ventricular dysrhythmias (mainly V-tach) Treat:
change pacemaker's sensitivity setting Failure to capture: not causing contractions
Question:
teaching for ICD.
, Answer:
Keep incision dry for 4 days after insertion or as instructed Report any s/s of infection at incision
site or fever immediately It is usually safe to resume sexual activity once incision is healed Avoid
Avoid antitheft devices, MRIs, metal detectors, + hand-held screening wands Lifting arm on ICD
side above shoulder until approved Avoid driving until cleared by your cardiologist
Question:
v-tach QRS complex.
Answer:
very wide!
Question:
a-fib.
Answer:
no p waves, can't count atrial rate, r waves irregular
Question:
a-flutter.
Answer:
sawtooth appearance of f waves, no p waves, can't count atrial rate, r waves regular
Question:
myocardial infarction immediate treatment.
Answer:
MONA morphine oxygen nitroglycerin asa or plavix
Question:
