Pharmacology Exam 4 2025 Questions and
Answers
What are three lab tests we run for chest pain? - ANS Creatine Kinase, Troponin, Myoglobin
What are the details about Creatine Kinase? - ANS It's specific to myocardial cells, because if
myocardial cells are damaged, CK is released. This number peaks in 15-20 hours after incident.
What about Troponin? - ANS Levels rise more quickly, and is more specific to heart damage
than CK. Peaks in same amount of time.
What about Myoglobin test? - ANS Rises very quickly after MI, and is cleared in one day. IT
can only be measured within 12 of hours of MI
Cardiac Natriuretic Peptide Markers - ANS When the value is elevated, then the heart is
being overworked. The uretic is given so kidneys will pee out fluid and relieve stress on the
heart.
Difference between HDL, LDL, and triglycerides? - ANS HDL is considered the good, LDL the
bad, and Tri is the ugly. HDL should be higher to protect the body
Define these four ECG's
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, Telemetry, 12 lead, holter, and stress - ANS Telemetry keeps a track of the electrical activity
of the heart
12 lead is twelve different electrodes across the body to get all the best angles of the heart
function
Holter is remote tracing that people wear for a few days to look for correlation between activity
and heart rate
Tress test is where you put a 12 lead on someone and have them walk.
What is an ECHO and how do you read it? Transesophageal? - ANS You read it upside down
and backwards (LV is upper right). This helps us see how the left ventricle is working because it
has the most amount of push and work in the heart.
We sedate patients and put a tube down the esophagus to help get a clearer picture
What is an angiogram and where do you do it from? - ANS This is the most evasive way to
view the heart. You do it femorally or radially, and it helps us check for blockages and/or heart
disease. We inject die into vascular part of the heart.
Numbers for prehypertension and stage 1 hypertension - ANS Pre: 120-139 or 80-89
Stage 1: greater than 139 or 89
Difference between systole and diastole - ANS Systole is the heart squeezing and pumping
from the artery
Diastole is when the heart is at rest and filling up
Numbers for stage 2 hypertension - ANS Over 160 and 100
Why was primary hypertension once called essential hypertension? - ANS Because it was
providing the adequate amount of perfusion
What are contributing factors to primary hypertension? - ANS Age
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