Coronary Artery Disease

Question 1

stress test

Answer 1

• troponin negative

- chest pain with exertion

Question 2

troponoin

Answer 2

repeat every 8 hours for 24 hours

Question 3

CP and CPK

Answer 3

same thing

Question 4

pathophysiology of CAD

Answer 4

• accumulation of plaque
• inflammatory response within the intimal layer of the vessel
• rupture of plaque
• platelet aggregation
• thrombus formation

Question 5

ST evaluation treatment

Answer 5

oxygen and aspirin always first

Question 6

Silent MI

Answer 6

• elderly
• diabetics
• women
• post surgical

Question 7

prinzmental (variant) angina

Answer 7

• unpredictable
• cold
• caffeine
• meth
• cocaine
• occurs at night and wakes people up

Question 8

unstable angina

Answer 8

• patients with chronic angina with increasing frequency, duration, or intensity of chest discomfort
• patients with new-onset angina that is severe and worsening
• patients with angina at rest

Question 9

stable angina

Answer 9

• oxygen supply < oxygen demand = ischemia
• chest pain or substernal pressure
• last less 10 to 15 minutes (usually only about 1 to 5 minutes)
• frightening chest discomfort
• rest or nitroglycerin helps