Cardio CIS High Yield Flashcards

1
Q

What are the 7 systems that can cause chest pain?

A

CV, Resp, MSK, GI, End, Pys, and other.

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2
Q

What are the 4 emergency CV causes of chest pain?

A

NSTEMI, stemi, tamponade and aortic dissection

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3
Q

What are the 2 emergency pulmonary causes of chest pain?

A

PE and pneumothorax

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4
Q

What is the one emergency GI cause of chest pain?

A

Esophageal rupture

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5
Q

2 MSK causes of chest pain?

A

Costochondritis and rib fracture

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6
Q

1 endocrine cause of chest pain?

A

Hyperthyroidism

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7
Q

3 psychiatric causes of chest pain?

A

Anxiety, panic attacks, and cocaine induced vaso spasm

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8
Q

What are 5 clinical symptoms of ACS?

A
Chest pain that can radiate
Sweating
Dyspnea
Nausea 
And palpitations
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9
Q

What is the most common angina equivalent?

A

Exertional dyspnea

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10
Q

Atypical presentations of heart disease is increased in what 3 patient populations?

A

Diabetes, renal problems and dementia

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11
Q

What 5 things are warranted in a thorough CV exam?

A

4 posts, listen to carotid and abdominal aorta, pulses, PMI, and JVD eval

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12
Q

What are 7 risk factors for heart disease and what is the one protective factor?

A

Age, obesity, diabetes, high cholesterol, HTN, inactive, smoking and family history
HDL

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13
Q

What’s going on with stable angina?

A

Upon exertion. Pop a nitro

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14
Q

What’s going on with unstable angina?

A

Even at rest. Nitro or rest doesn’t work.

Risk for adverse event. Cardiac enzymes are Normal.

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15
Q

What is the obstruction like in NSTEMI, what are the 2 EKG findings, and whats going on with cardiac enzymes?

A

Occlusion of minor coronary artery.
St depression and t wave inversion
Elevated

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16
Q

What is the occlusion like in stemi, EKG finding, and whats going on with cardiac enzymes?

A

Occlusion of major coronary vessel.
ST elevation
Elevated

17
Q

What are the 5 things to give immediately for ACS?

A

Morphine, O2, Nitro, Aspirin, and beta blocker

18
Q

What cardiac markers do I want to check and when?

A

Troponin I or T right away and then every 6 hours time 3

19
Q

How often do I want an EKG?

A

Every 8 hrs times 3

20
Q

What 4 others labs could I consider and why?

A

CBC (anemia) and CMP (electrolyte disturbances)
CXR
Lipid Panel
Urine drug Panel. Maybe patient took drugs

21
Q

What are 3 conditions we get patient to cath lab asap?

A

Uncontrollable chest pain
New left bundle branch block
Stemi

22
Q

What is an absolute contraindicated drug interaction for nitro?

A

Phosphodiesterase inhibitor