Bio Med - Day 5b Flashcards

1
Q

Diagnosis of Hypertension

A. BP > 120/80 on 3 separate occasions
B. BP > 130/90 on 3 separate occasions
C. BP > 140/90 on 3 separate occasions
D. BP > 160/90 on 3 separate occasions

A

C. BP > 140/90 on 3 separate occasions

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2
Q

Causes of Secondary Hypertension EXCEPT

A. Idiopathic hypertension
B. Hypertension due to Cushing’s Syndrome
C. Hypertension due to Chronic Kidney disease
D. Hypertension due to OCPs
E. Hypertension due to Obstructive sleep apnea

A

A. Idiopathic hypertension

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3
Q

Secondary Hypertension; where it comes from

CHAPS

A
Cushing's Disease
Hyperaldosteronism
Aorta coarctation 
Pheochromocytoma
Stenosis of Renal Arteries
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4
Q

Major Risk Factors for ischemic heart disease EXCEPT

A. Age >65
B. Female
C. Family History
D. Hypertension 
E. Smoking 
F. Hyperlipidemia 
G. Diabetes Mellitus
A

B. Female

***Male is higher risk factor

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5
Q

First step for Hypertension treatment

A. Lifestyle modification
B. Thiazide Diuretics
C. Calcium Channel Blockers
D. Angiotensin Converting Enzyme Inhibitors

A

A. Lifestyle modification

***Lose weight; exercise; decrease sodium intake; smoking cessation

Drugs that treat Hypertension ***ACE Inhibitors
Beta Blocker
Calcium Chanel Blocker
Diuretic (Thiazide)

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6
Q

Hypertension treatment EXCEPT

A. Tricyclics
B. Life Style  Modification 
C. ACE inhibitor
D. Beta Blockers 
E. Calcium Channel Blockers 
F. Diuretics (Thiazide)
A

A. Tricyclics

***this is an anti depressive

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7
Q

Desirable Cholesterol Levels

  • Total Cholesterol = Below ___
  • LDL (bad) Cholesterol = Below _____
  • HDL (good) Cholesterol = Above ____
  • Triglycerides = Below _____
A

200
100
40
150

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8
Q

The principe factors contributing to atherosclerotic vascular disease

A. High LDL, High HDL
B. High LDL, Low HDL
C. Low LDL, High HDL
D. Low LDL, Low HDL

A

B. High LDL, Low HDL

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9
Q

BMI for healthy weight

A. 14-18
B. 19-25
C. 25-30
D. 30-35

A

B. 19-25

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10
Q

Substernal chest tightness/pain or SOB with consistent amount of exertion; relief is obtained with rest or nitroglycerine

A. Stable angina
B. Unstable angina
C. Myocardial Infarction
D. Acute coronary syndrome

A

A. Stable angina

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11
Q

59yo male at the ER. History of DM, HTN, Hypercholesterolemia, Chest pain radiating to the jaw, Pain started 6 hours ago, ECG confirms anterior MI, Most “specific” test

A. Troponin I
B. CK-MB (Creatine Kinase-MB)
C. Myoglobin
D. LDH (Lactate dehydrogenase)

A

A. Troponin I

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12
Q

59yo male at the ER. Chest pain radiating to the jaw. Admitted and diagnosed with Acute MI 4 days ago. Which enzyme is the best to test the “reinfarction”

A. Troponin I
B. CK-MB (Creatine Kinase-MB)
C. Myoglobin
D. LDH (Lactate dehydrogenase)

A

B. CK-MB (Creatine Kinase-MB)

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13
Q

When do you do a ultrasound screening for Abdominal aortic aneurysm (AAA)

A. 44-55yo, for everyone
B. 45-55yo, for who have ever smoked
C. 65-75yo, for everyone
D. 65-75yo, for who have smoked

A

D. 65-75yo, for who have smoked

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14
Q

The Right side of the heart pump blood to

A. lungs
B. Right Ventricle
C. The Whole Body
D. The descending Aorta

A

A. lungs

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15
Q

Choose two blood vessels that contain oxygenated blood

A. Vena cava
B. Pulmonary artery
C. Pulmonary vein
D. Aorta

A

C. Pulmonary vein

D. Aorta

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16
Q

Contain deoxygenated blood EXCEPT

A. Superior vena cava
B. Inferior vena cava
C. Pulmonary artery
D. Pulmonary vein

A

D. Pulmonary vein

17
Q

Normal ECG pattern is composed of

A. ABCDE
B. LMNOP
C. VWXYZ
D. PQRST

A

D. PQRST

18
Q

Tachycardia is adult

A. Resting heart rate under 60 ppm
B. Resting heart rate over 60 ppm
C. Resting heart rate under 100 ppm
D. Resting heart rate over 100 ppm.

A

D. Resting heart rate over 100 ppm.

19
Q

The chain of blood pressure regulating hormones is referred to as

A. Renin-angiotensin-aldosterone system
B. Sympathetic-parasympathetic system
C. Hypothalamus-pituitary-thyroid system
D. Nervous-endocrine system

A

A. Renin-angiotensin-aldosterone system

20
Q

Converting enzyme for Angiotensinogen - to - Angiotensin I

A. Angiotensinogen
B. Renin
C. ACE
D. Aldosterone

A

B. Renin

21
Q

Renin is produced in the

A. Lung
B. Liver
C. Kidney
D. Brain

A

C. Kidney

22
Q

Converting enzyme for Angiotensinogen I - to - Angiotensin II

A. Angiotensinogen
B. Renin
C. ACE
D. Aldosterone

A

C. ACE

23
Q

Adverse effects for ACE inhibitor

A. Muscle ache
B. Dry cough
C. Productive cough
D. Hypertension

A

B. Dry cough

***ACE inhibitors end in “pril”

ex: Captopril, Enapril, Lisinopril

24
Q

action of Angiotensin II EXCEPT

A. Increase sympathetic activity
B. Increase Aldosterone secretion
C. Increase Na+ reabsorption
D. Arteriolar vasodilation

A

D. Arteriolar vasodilation

25
Q

CPR

A. Airway - Breathing - Circulation
B. Circulation - Breathing - Airway
C. Compression -Airway - Breathing
D. Breathing - Compressions - Airway

A

C. Compression -Airway - Breathing

***OLD SCHOOL = ABC

***NEW SCHOOL = CAB

26
Q

Single rescuer’s Compression-Ventilation ratio without advanced Airway for adult

A. 30 compressions: 2 ventilations
B. 30 compressions: 1 ventilations
C. 20 compressions: 2 ventilations
D. 15 compressions: 2 ventilations

A

A. 30 compressions: 2 ventilations

27
Q

Two rescuer’s Compression-Ventilation ratio without advanced airway for infants

A. 30 compressions: 2 ventilations
B. 30 compressions: 1 ventilations
C. 20 compressions: 2 ventilations
D. 15 compressions: 2 ventilations

A

D. 15 compressions: 2 ventilations

28
Q

Follows exposure to being threatened by death or serious injury that evoked intense fear, helplessness, or horror

A. Panic Disorder
B. Generalized Anxiety Disorder (GAD)
C. Post Traumatic Stress Disorder (PTSD)
D. Obsessive Compulsive Disorder (OCD)

A

C. Post Traumatic Stress Disorder (PTSD)

29
Q

Palpitation, Abdominal distress, Numbness, nausea, Intense fear of death, choking, chills, chest pain, sweating, shaking, SOB

A. Panic Disorder
B. Generalized Anxiety Disorder (GAD)
C. Post Traumatic Stress Disorder (PTSD)
D. Obsessive Compulsive Disorder (OCD)

A

A. Panic Disorder

P - Palpitation
A - Abdominal Distress
N - Nausea
I - Intense fear of Death
C - Choking, Chills, Chest Pain
S - SOB
30
Q

Screening Questions for Alcohol Use

A. SAD PERSONS
B. CAGE
C. MMSE
D. SIG E CAPS

A

B. CAGE

C = cut down
A = Annoyed
G = Guilty 
E = Eye-opener
31
Q

Insomnia, feeling of worthlessness, fatigue, decreased ability of concentration, weight loss

A. Major Depression Disorder
B. Bipolar Disorder
C. Panic Disorder
D. Generalized Anxiety Disorder (GAD)

A

A. Major Depression Disorder

SIG E CAPS

S = sleep decrease
I = Interest decrease
G = Guilt
E = Energy decreased 
C = Concentration decrease 
A = Appetite 
P = Psychomotor
S = Suicidal Ideation
32
Q

Euphoric and Irritable mood, insomnia, grandiosity, flight of ideas, sexual indiscretions

A. Major Depression Disorder
B. Bipolar Disorder
C. Panic Disorder
D. Generalized Anxiety Disorder (GAD)

A

B. Bipolar Disorder

33
Q

Hallucinations, delusions, disorganized speech, bizarre behaviors, no feeling of enjoyment, speaking less

A. Major Depression Disorder
B. Bipolar Disorder
C. Panic Disorder
D. Schizophrenia

A

D. Schizophrenia