Cardiology Medstudy

Question 1

what are the 3 basics of the 2017 HTN guidelines

Answer 1

Question 2

when would you suspect secondary causes of HTN?

Answer 2

Question 3

what suggests:

1. Renovascular HTN?
2. Primary aldosteronism?
3. pheochromocytoma?

Answer 3

Question 4

Answer 4

Question 5

what’s the difference between stable or unstable angina?

Answer 5

Question 6

what is the MCC of ACS?

Answer 6

plaque rupture or erosion with superimposed thrombus is the MC trigger for ACS

Question 7

what ist he most important prognostic factors in patients with CAD?

Answer 7

Degree of LV dysfunction.

If severe, often reflects multivessel or left main/left main-equivalent disease

Question 8

what is the cause of prinzmental angina?

Answer 8

Question 9

Define the following:

1. microvascular angina
2. Hibernating myocardium
3. reperfusion injury
4. stunned myocardium
5. Treatment of all angina?

Answer 9

Question 10

what causes resting ST segment elevation?

Answer 10

Question 11

what are the main agents used to treat angina? MOA?

Answer 11

Question 12

which antianginal drugs decrease preload, afterload, and myocardial O2 demand?

Answer 12

Question 13

who needs an echo with chronic stable angina?

Answer 13

Question 14

what is the medical therapy for chronic stable angina?

Answer 14

Question 15

what recommendations for chronic stable angina?

Answer 15

Question 16

what should not be used for CVD prevention in women? (supplements)

Answer 16

Question 17

unique aspects of CVD in women?

Answer 17

Question 18

what’s the difference between angina and MI?

Answer 18

Question 19

describe coronary stenosis vs intracoronary thrombus as a cause of angina?

Answer 19

Question 20

what are the 4 diagnoses that should never be missed with chest pain?

Answer 20

Question 21

which groups of patients are most likely to present with MI w/o chest pain?

Answer 21

Question 22

what are common post-complicatoins of MIs? (generally)

Answer 22

Question 23

how are troponins I and T used? how long do they stay elevated after MIs? CKMBs?

Answer 23

Question 24

how often should you measure troponins after suspected ACS? what can chronically elevate troponins?

Answer 24

Question 25

what are the pre-hospital guidelines for chest pain?

Answer 25

Question 26

what do you do as part of early assessment for possible ACS?

Answer 26

Question 27

Once early assessment conducted, what are the 3 groups you should assign based on the ACC/AHA protocol?

Answer 27

Question 28

what is the acute ischemic pathway (UA/NSTEMI)?

Answer 28

Question 29

what are the management goals in ACS?

Answer 29

Question 30

what are teh general antiischemic measures for all patients with an ACS?

Answer 30

Question 31

what are the platelet options for ACS?

Answer 31

Question 32

what is the duration of the DAPT?

Answer 32

Question 33

what is the doses of the P2Y12 receptor inhibitors?

Answer 33

Question 34

when did you give fibrinolytic therapy in ACS?

Answer 34

Question 35

what are the indications for invasive therapy in NSTE-ACS?

Answer 35

Question 36

what is the duration of DAPT after NSTE-ACS?

Answer 36

Question 37

what is the ischemia guided therapy for NSTE-ACS patients ?

Answer 37

Question 38

what is the acute MI treatment pathway with STEMI?

Answer 38

Question 39

what are the absolute and relative contraindications to fibrinolytic therapy?

Answer 39

Question 40

how would you treat a cocaine and methamphetamine user with STEMI?

Answer 40

Question 41

how would you manage LV dysfunction after MI?

Answer 41

Question 42

what are signs of Right ventricular infarction?

Answer 42

Question 43

what is the management of Right ventricular infarction?

Answer 43

Question 44

what are the mechanial complications after MI?

Answer 44

Question 45

when do you need ICD therapy after STEMI?

Answer 45

Question 46

when is CABG or PCI recommended?

Answer 46

Question 47

in what conditions does CABG improve symptoms and survival?

Answer 47

Question 48

what are the main points for CABG vs PCI for stable CAD?

Answer 48

Question 49

what lab tests should a general cholesterol screening entail?

Answer 49

Question 50

describe the lipoprotein pathway

Answer 50

Question 51

describe chylomicrons?

Answer 51

Question 52

describe VLDL and IDLs?

Answer 52

Question 53

when are LDL down-regulated or upregulated?

Answer 53

Question 54

basics of LDL?

Answer 54

Question 55

what is LpA?

Answer 55

Question 56

what does HDL contain? what is the cause of the low HDL?

Answer 56