Bio Med - Day 5b Flashcards
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
C. BP > 140/90 on 3 separate occasions
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. Idiopathic hypertension
Secondary Hypertension; where it comes from
CHAPS
Cushing's Disease Hyperaldosteronism Aorta coarctation Pheochromocytoma Stenosis of Renal Arteries
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
B. Female
***Male is higher risk factor
First step for Hypertension treatment
A. Lifestyle modification
B. Thiazide Diuretics
C. Calcium Channel Blockers
D. Angiotensin Converting Enzyme Inhibitors
A. Lifestyle modification
***Lose weight; exercise; decrease sodium intake; smoking cessation
Drugs that treat Hypertension ***ACE Inhibitors
Beta Blocker
Calcium Chanel Blocker
Diuretic (Thiazide)
Hypertension treatment EXCEPT
A. Tricyclics B. Life Style Modification C. ACE inhibitor D. Beta Blockers E. Calcium Channel Blockers F. Diuretics (Thiazide)
A. Tricyclics
***this is an anti depressive
Desirable Cholesterol Levels
- Total Cholesterol = Below ___
- LDL (bad) Cholesterol = Below _____
- HDL (good) Cholesterol = Above ____
- Triglycerides = Below _____
200
100
40
150
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
B. High LDL, Low HDL
BMI for healthy weight
A. 14-18
B. 19-25
C. 25-30
D. 30-35
B. 19-25
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. Stable angina
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. Troponin I
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)
B. CK-MB (Creatine Kinase-MB)
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
D. 65-75yo, for who have smoked
The Right side of the heart pump blood to
A. lungs
B. Right Ventricle
C. The Whole Body
D. The descending Aorta
A. lungs
Choose two blood vessels that contain oxygenated blood
A. Vena cava
B. Pulmonary artery
C. Pulmonary vein
D. Aorta
C. Pulmonary vein
D. Aorta
Contain deoxygenated blood EXCEPT
A. Superior vena cava
B. Inferior vena cava
C. Pulmonary artery
D. Pulmonary vein
D. Pulmonary vein
Normal ECG pattern is composed of
A. ABCDE
B. LMNOP
C. VWXYZ
D. PQRST
D. PQRST
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.
D. Resting heart rate over 100 ppm.
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. Renin-angiotensin-aldosterone system
Converting enzyme for Angiotensinogen - to - Angiotensin I
A. Angiotensinogen
B. Renin
C. ACE
D. Aldosterone
B. Renin
Renin is produced in the
A. Lung
B. Liver
C. Kidney
D. Brain
C. Kidney
Converting enzyme for Angiotensinogen I - to - Angiotensin II
A. Angiotensinogen
B. Renin
C. ACE
D. Aldosterone
C. ACE
Adverse effects for ACE inhibitor
A. Muscle ache
B. Dry cough
C. Productive cough
D. Hypertension
B. Dry cough
***ACE inhibitors end in “pril”
ex: Captopril, Enapril, Lisinopril
action of Angiotensin II EXCEPT
A. Increase sympathetic activity
B. Increase Aldosterone secretion
C. Increase Na+ reabsorption
D. Arteriolar vasodilation
D. Arteriolar vasodilation
CPR
A. Airway - Breathing - Circulation
B. Circulation - Breathing - Airway
C. Compression -Airway - Breathing
D. Breathing - Compressions - Airway
C. Compression -Airway - Breathing
***OLD SCHOOL = ABC
***NEW SCHOOL = CAB
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. 30 compressions: 2 ventilations
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
D. 15 compressions: 2 ventilations
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)
C. Post Traumatic Stress Disorder (PTSD)
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. Panic Disorder
P - Palpitation A - Abdominal Distress N - Nausea I - Intense fear of Death C - Choking, Chills, Chest Pain S - SOB
Screening Questions for Alcohol Use
A. SAD PERSONS
B. CAGE
C. MMSE
D. SIG E CAPS
B. CAGE
C = cut down A = Annoyed G = Guilty E = Eye-opener
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. 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
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)
B. Bipolar Disorder
Hallucinations, delusions, disorganized speech, bizarre behaviors, no feeling of enjoyment, speaking less
A. Major Depression Disorder
B. Bipolar Disorder
C. Panic Disorder
D. Schizophrenia
D. Schizophrenia