Science Medicine Emergency Medicine
FNP10
Save
Students also studied
Flashcard sets Practice tests
CH37 Chapter Test Medical Unit Terms PPE 1 chapte
42 terms 118 terms 5 terms 93 terms
liza38964 Preview johnnybravo2021 Preview Lillian_Stears Preview JCO
Localized chest pain that persists for up to 15 minutes.
Acute coronary syndrome (ACS) can include ST-segment elevation myocardial
infarction (STEMI), non-ST-segment elevation MI (NSTEMI), and unstable angina. The
Which of the following is least consistent hallmark feature of myocardial infarction is permanent cellular injury. A STEMI results
with a person presenting with acute from complete blockage of a coronary artery while a NSTEMI can result from partial
coronary syndrome? blockage of a coronary artery and cause less damage to the heart. In either case, the
Diaphoresis and nausea cells are oxygen deprived long enough to die. The threshold beyond which
Ill-defined pain that often radiates myocardium cannot survive without oxygen is approximately 20 minutes. While the
Retrosternal pain for 30 minutes pain of hypoxia can be quite profound, if oxygenation is restored before the 20-
Localized chest pain that persists for up to minute threshold, cells typically do not die and infarction does not occur. Cell death
15 minutes also typically causes systemic responses such as diaphoresis and nausea. Because of
innervation patterns, myocardial infarction virtually always causes pain that is ill-
defined with respect to location and often radiates. Chest pain described as
localized is typically not myocardial infarction, but more likely pleuritic or
gastrointestinal pain
, You see a 62-year-old male with COPD Administer nitroglycerin and call 911 for immediate transport to an acute care
who is scheduled for a follow-up on recent medical center.
hospitalization for COPD exacerbation. As
he ambulates into the exam room, he Guidelines from the American Heart Association recommend nitroglycerin via spray
begins to stagger, perspires profusely, and or sublingual tablet, followed by parenteral nitroglycerin, for patients who
complains of generalized pain and a experience acute coronary syndrome symptoms. The patient should be transported
tightening feeling in his chest. The most to an acute care institution for further evaluation and treatment. Supplemental
appropriate action is to: oxygen should be considered for patients with cyanosis or respiratory distress.
Have him lie down with feet elevated for 10 Patients should also chew a nonenteric-coated aspirin at the first sign of ACS.
minutes before resuming the test Adequate analgesia should be provided when symptoms are not immediately
Obtain an ECG to detect heart rhythm relieved by nitroglycerin.
abnormalities
Immediately initiate oxygen therapy
Administer nitroglycerin and call 911 for
immediate transport to an acute care
medical center
A 62-year-old man with atrial fibrillation.
Which of the following patients is the use
of a direct oral anticoagulant (DOAC) most DOACs include direct Factor Xa inhibitors (e.g., rivaroxaban [Xarelto®], apixaban
appropriate? [Eliquis®], edoxaban [Savaysa™]) and direct thrombin (Factor IIa) inhibitors (e.g.
A 78-year-old man with a prosthetic heart dabigatran [Pradaxa®]). These anticoagulant drugs can be used to prevent
valve and recent history of transient embolisms and blood clots, and can be considered as an alternative to heparin
ischemic attack derivatives and warfarin. The anticoagulant effect of Factor Xa inhibitors is
A 62-year-old woman with a history of irreversible, and thus should be stopped in patients prior to surgery or a medical or
venous thrombotic event and an upcoming dental procedure due to bleeding risk. A reversal agent is available for dabigatran
surgery (idarucizumab [Praxbind®] that can be used prior to medical procedures or in
A 62-year-old man with atrial fibrillation situations of life-threatening bleeding events. These agents should not be used in
A 64-year-old male with pulmonary patients with current or a history of abnormal bleeding (e.g., gastrointestinal
embolism and peptic ulcer bleeding) or significant bleeding risk (e.g. active peptic ulcer disease). Use of DOACs
is not recommended for patients with prosthetic heart valves
Max is a 57-year-old man who was Order a short course of systemic oral corticosteroid.
diagnosed two days ago with acute viral
pericarditis. He was started on ibuprofen Viral pericarditis, the most common type of pericarditis, is an acute viral inflammation
600 mg PO QID. Today he returns to the of the pericardium and, in most cases, responds well to nonsteroidal anti-
clinic complaining that the pain is still inflammatory drugs. However, occasionally the inflammation is refractory and a short
intense and he has little relief with the course of oral systemic corticosteroids is indicated for pain relief. If the prednisone
ibuprofen. As a result, he called out sick does not provide relief, or symptoms persist for several days, then a more aggressive
from his job yesterday. The most diagnostic evaluation is appropriate
appropriate response would be to:
Order a 12-lead ECG to confirm the
diagnosis
Provide a prescription for oxycodone 5 mg
QID PRN
Consider echocardiography
Order a short course of systemic oral
corticosteroid
FNP10
Save
Students also studied
Flashcard sets Practice tests
CH37 Chapter Test Medical Unit Terms PPE 1 chapte
42 terms 118 terms 5 terms 93 terms
liza38964 Preview johnnybravo2021 Preview Lillian_Stears Preview JCO
Localized chest pain that persists for up to 15 minutes.
Acute coronary syndrome (ACS) can include ST-segment elevation myocardial
infarction (STEMI), non-ST-segment elevation MI (NSTEMI), and unstable angina. The
Which of the following is least consistent hallmark feature of myocardial infarction is permanent cellular injury. A STEMI results
with a person presenting with acute from complete blockage of a coronary artery while a NSTEMI can result from partial
coronary syndrome? blockage of a coronary artery and cause less damage to the heart. In either case, the
Diaphoresis and nausea cells are oxygen deprived long enough to die. The threshold beyond which
Ill-defined pain that often radiates myocardium cannot survive without oxygen is approximately 20 minutes. While the
Retrosternal pain for 30 minutes pain of hypoxia can be quite profound, if oxygenation is restored before the 20-
Localized chest pain that persists for up to minute threshold, cells typically do not die and infarction does not occur. Cell death
15 minutes also typically causes systemic responses such as diaphoresis and nausea. Because of
innervation patterns, myocardial infarction virtually always causes pain that is ill-
defined with respect to location and often radiates. Chest pain described as
localized is typically not myocardial infarction, but more likely pleuritic or
gastrointestinal pain
, You see a 62-year-old male with COPD Administer nitroglycerin and call 911 for immediate transport to an acute care
who is scheduled for a follow-up on recent medical center.
hospitalization for COPD exacerbation. As
he ambulates into the exam room, he Guidelines from the American Heart Association recommend nitroglycerin via spray
begins to stagger, perspires profusely, and or sublingual tablet, followed by parenteral nitroglycerin, for patients who
complains of generalized pain and a experience acute coronary syndrome symptoms. The patient should be transported
tightening feeling in his chest. The most to an acute care institution for further evaluation and treatment. Supplemental
appropriate action is to: oxygen should be considered for patients with cyanosis or respiratory distress.
Have him lie down with feet elevated for 10 Patients should also chew a nonenteric-coated aspirin at the first sign of ACS.
minutes before resuming the test Adequate analgesia should be provided when symptoms are not immediately
Obtain an ECG to detect heart rhythm relieved by nitroglycerin.
abnormalities
Immediately initiate oxygen therapy
Administer nitroglycerin and call 911 for
immediate transport to an acute care
medical center
A 62-year-old man with atrial fibrillation.
Which of the following patients is the use
of a direct oral anticoagulant (DOAC) most DOACs include direct Factor Xa inhibitors (e.g., rivaroxaban [Xarelto®], apixaban
appropriate? [Eliquis®], edoxaban [Savaysa™]) and direct thrombin (Factor IIa) inhibitors (e.g.
A 78-year-old man with a prosthetic heart dabigatran [Pradaxa®]). These anticoagulant drugs can be used to prevent
valve and recent history of transient embolisms and blood clots, and can be considered as an alternative to heparin
ischemic attack derivatives and warfarin. The anticoagulant effect of Factor Xa inhibitors is
A 62-year-old woman with a history of irreversible, and thus should be stopped in patients prior to surgery or a medical or
venous thrombotic event and an upcoming dental procedure due to bleeding risk. A reversal agent is available for dabigatran
surgery (idarucizumab [Praxbind®] that can be used prior to medical procedures or in
A 62-year-old man with atrial fibrillation situations of life-threatening bleeding events. These agents should not be used in
A 64-year-old male with pulmonary patients with current or a history of abnormal bleeding (e.g., gastrointestinal
embolism and peptic ulcer bleeding) or significant bleeding risk (e.g. active peptic ulcer disease). Use of DOACs
is not recommended for patients with prosthetic heart valves
Max is a 57-year-old man who was Order a short course of systemic oral corticosteroid.
diagnosed two days ago with acute viral
pericarditis. He was started on ibuprofen Viral pericarditis, the most common type of pericarditis, is an acute viral inflammation
600 mg PO QID. Today he returns to the of the pericardium and, in most cases, responds well to nonsteroidal anti-
clinic complaining that the pain is still inflammatory drugs. However, occasionally the inflammation is refractory and a short
intense and he has little relief with the course of oral systemic corticosteroids is indicated for pain relief. If the prednisone
ibuprofen. As a result, he called out sick does not provide relief, or symptoms persist for several days, then a more aggressive
from his job yesterday. The most diagnostic evaluation is appropriate
appropriate response would be to:
Order a 12-lead ECG to confirm the
diagnosis
Provide a prescription for oxycodone 5 mg
QID PRN
Consider echocardiography
Order a short course of systemic oral
corticosteroid
