Exam 2

Question 1

waist measurement (in) recommendation for pts with CAD/MI

Answer 1

M: <40”
F: <35”

Question 2

BMI goal for pts with CAD/MI and what’s considered obese

Answer 2

18.5-25%; >30% = obese

Question 3

cholesterol goal

Answer 3

<200

Question 4

HDL normal value

Answer 4

M: >45
F: >55

Question 5

LDL goal value for diabetic and non-diabetic

Answer 5

diabetic: <70
non: <100

Question 6

VLDL normal range

Answer 6

7-32

Question 7

triglycerides normal range (M+F)

Answer 7

M: 40-160
F: 35-135

Question 8

dietary recommendations for CAD patients

Answer 8

• plant based
• Omega-3 fatty acids
• Mediterranean diet

Question 9

meds for atherosclerosis

Answer 9

• statins (watch liver enzymes, assess muscle pain, no GF juice, give at night)
• bile acid sequestrants
• cholesterol absorption inhibitor
• fibric acids
• niacin
• PCSK Inhibitors (SQ, $$$)

Question 10

stable vs unstable angina

Answer 10

chronic: intermittent decreased blood flow to the myocardium; leads to ischemia
unstable: chest pain not relieved by rest or nitro; chest pain with minimal exertion; chest pain at rest

Question 11

STEMI vs NSTEMI

Answer 11

STEMI: full thickness muscle damage; 100% vessel occlusion, viewed in 2 leads, ST elevation
NSTEMI: partial occlusion of small vessel; ST depression, t-wave inversion