Cardiology

Question 1

What is the first line of treatment to reduce angina?

Answer 1

beta blocker and or CCB

Question 2

Character of pain in acute pericarditis

Answer 2

Knife-like pain radiating to the trapezius

Question 3

Character of pain in esophageal spasm

Answer 3

Squeezing pain
Relieved by nitroglycerin or DNP calcium blockers

Question 4

Refers to the clenching of fist held against the sternum seen in myocardial infarction

Answer 4

Levine’s Sign

Question 5

Risk factors of CAD

Answer 5

Age >55 in female, >45 in male
HTN
Diabetes
Dyslipidemia
Obesity
Physical inactivity
Family history of premature CAD
Cigarette smoking

Question 6

What cardiac stress test allows you to evaluate the myocardial viability of a patient?

Answer 6

Stress MPI

Question 7

Identify the CCS class:
1. Marked limitation of ordinary physical activity
2. Slight limitation of ordinary activity
3. Ordinary physical activity
4. Inability to carry on any physical activity
5. Emotional stress in acold or a few hours from after awakening

Answer 7

1. Class III
2. Class II
3. Class I
4. Class IV
5. Class II

Question 8

Goal level of LDL in patients with CAD. How about diabetic?

Answer 8

LDL<100mg/dL
If diabetic <70mg/dL

Question 9

Indications for CABG

Answer 9

1. L main coronary artery disease
2. 3 vessel disease + LVEF less than 50 or diabetes
3. 2 vessel disease that includes proximal left descending coronary artery