Human Diseases L4: CVD 4 - PVD, IHD, and Acute Coronary Syndrome

Question 1

medical management of stable angina.

what type of drug would be administered for symptom relief (vasodilators)

Answer 1

Nitrates - GTN spray

others - Nicorandil

Question 2

how does critical limb ischaemia occur

Answer 2

critical limb ischaemia, is a result of an embolus or atherosclerotic plaque rupture, which occludes the arterial supply to the limbs

Question 3

how is the severity of claudication measured

Answer 3

the severity of claudication is measured by how for the distance travelled till the onset of claudication

Question 4

claudication symptoms are relieved how?

Answer 4

resting

Question 5

would stable angina present as chronic ischameia or acute coronary syndrome

Answer 5

chronic ischaemia

Question 6

medical management of stable angina.

what type of drug would be administered for anti-platelets

Answer 6

aspirin or clopidogrel

Question 7

what are the 5 P’s of critical limb ischaemia

Answer 7

Pale

Pulseless

Perishing cold

paralysis

Paraesthesia of limbs (pins and needle)

Question 8

management of acute coronoary syndrome in dental surgery BNF

phone 999 —-> sit patient up —-> …………….. —->……………….. —–>give aspirin 300mg

fill in the missing procedure

Answer 8

give high flow oxygen

give 2 puffs GTN spray sublingually 3 times 5 minutes apart

Question 9

medical management of stable angina.

what type of drug would be administered for cholesterol

Answer 9

statins

Question 10

the increase in dilation of the aortic aorta increases the risk of what?

Answer 10

catastrophic rupture or tear

Question 12

which particular area is most affected by peripheral vascular disease

Answer 12

legs and feet

Question 13

development of atherosckerosis has damaged the vessel wall of the abdominal aorta. how may this affects the aortas size.

Answer 13

the abdominal aorta will dilate increasing in size

Question 14

what is the number 1 cause of martality in the western world

Answer 14

ischaemic heart disease

Question 15

the affects of atherosclerosis outside the heart and brain is referred to as what disease?

Answer 15

peripheral vascular disease

Question 16

there are two manifestations of ischaemic heart disease, what are they?

Answer 16

chronic ischemia

acute coronary syndrome

Question 17

a rupture in the abdominal aorta is known as a

Answer 17

abdominal aortic aneurysm

Question 18

what is intermittent claudication

Answer 18

intermittent claudication is the presenting symptom shown, when suffering from peripheral vascular disease.

typically occuring in the calf when walking a distance or hills.

Question 19

how is stenosis shown in a coronary angiography

Answer 19

a catheter is placed inside the desired artery and dye is enjected. an X-ray is later taken which outlines the stenosis present.

Question 20

uk screening for peripheral vascular disease is offered to men who fit the requirements. what are the requirements?

Answer 20

>65

risk factors present