AANP review Questions and ANSWERS

AANP review Questions and ANSWERS Classic ECG finding in atrial flutter. Correct Answer: "Sawtooth" P waves Definition of unstable angina. Correct Answer: Angina is new, is worsening, or occurs at rest Antihypertensive for a diabetic patient with proteinuria. Correct Answer: ACEI Beck's triad for cardiac tamponade. Correct Answer: Hypotension, distant heart sounds, and JVD Drugs that slow AV node transmission. Correct Answer: β-blockers, digoxin, calcium channel blockers Hypercholesterolemia treatment that → flushing and pruritus. Correct Answer: Niacin Treatment for atrial fibrillation. Correct Answer: Anticoagulation, rate control, cardioversion Treatment for ventricular fibrillation. Correct Answer: Immediate cardioversion Autoimmune complication occurring 2-4 weeks post-MI. Correct Answer: Dressler's syndrome: fever, pericarditis, ↑ ESR Diagnostic test for hypertrophic cardiomyopathy. Correct Answer: Echocardiogram (showing thickened left ventricular wall and outflow obstruction) A fall in systolic BP of > 10 mmHg with inspiration. Correct Answer: Pulsus paradoxus (seen in cardiac tamponade) Classic ECG findings in pericarditis. Correct Answer: Low-voltage, diffuse ST-segment elevation Definition of hypertension. Correct Answer: BP > 140/90 on three separate occasions two weeks apart Eight surgically correctable causes of hypertension. Correct Answer: Renal artery stenosis, coarctation of the aorta, pheochromocytoma, Conn's syndrome, Cushing's syndrome, unilateral renal parenchymal disease, hyperthyroidism, hyperparathyroidism Evaluation of a pulsatile abdominal mass and bruit. Correct Answer: Abdominal ultrasound and CT Indications for surgical repair of abdominal aortic aneurysm. Correct Answer: > 5.5 cm, rapidly enlarging, symptomatic, or ruptured Treatment for acute coronary syndrome. Correct Answer: Morphine, O2, sublingual nitroglycerin, ASA, IV β-blockers, heparin What is the metabolic syndrome? Correct Answer: Abdominal obesity, high triglycerides, low HDL, hypertension, insulin resistance, prothrombotic or proinflammatory states