IHD

Question 1

Which of the following is more closely related to incidence of cardiovasuclar risk?

Answer 1

A) Systolic BP (Answer)
B) Diastolic BP

Question 2

Which of the following is the single most important modifiable rism factor for coronary heart disease?

Answer 2

A) Diet
B) Exercise
C) Alcohol
D) Cigarette smoking(Ans)

Question 3

PT complained about having pain in thoracic area , likely due to stress (emotion). The PT was advised to rest by the dentist and take their prescription medication. Which medication did they likley ingested?

Answer 3

A) Vasoconstrictors
B) Vasodilators

Question 4

Pain episodes may last for more than 30 minutes in:

Answer 4

A) Stable Angina
B) Unstable Angina (Answer)

Question 5

PT has thoracic pain which is radiating to the neck and jaw. You provided thePT with Nitroglycerin but no improvement. What condition could this likely be?

Answer 5

A) Unstable Angina
B) Stable Angina
C) Myocardial Infarction ( Ans)

Question 6

Which of these conditions may have a crescendo pattern (more severe/prolonged/frequent than previous)

Answer 6

A) Angina Pectoris (Ans: aka unstable angina)
B) Stable angina
C) Myocardial infarction

Question 7

In Unstable and Prinzmetal angina, pain occurs with

Answer 7

A) Rest (Ans)
B) Exercise
C) After meals
D) All of the above

Question 8

Which of these cardiac enzymes are released on Cell Death?

Answer 8

A) Troponin I ,T and CK-MB (Answer)
B) Troponin I ,T ,CK-MB and Myoglobin
C) Myoglobin
D) Creatine Kinase and Myoglobin

Question 9

Which of these will help to most accurately seperate cardiac damage from skeletal muscle damage?

Answer 9

A) Troponin I and T (Answer)
B) Myoglobin
C) CK-MB (also present in sekelatal muscle)
D)Creatine Kinase

Question 10

Which of these enzymes can be detected for at least 12 days after cardiac injury?

Answer 10

A) Troponin I and T (ANS)
B) CK-MB (upto 4 days)

Question 11

Which of these enzymes can be detected within 2 hours of cardiac injury

Answer 11

A) CKMB ( 3-4 hours)
B) Troponin ( Ans:2-4 hours)

Question 12

A PT comes in with stable angina, they mentioned that they took their prescription of Nitroglycerin. Would you perform any dental procedure on this patient?

Answer 12

A) Yes (True)
B) No

Question 13

In which of these conditions would you administer Prophylactic Nitroglycerin

Answer 13

A) PT with Unstable Angina
B) Pt with history of MI in last 30 days
C) PT with history of MI more than 30 days
D) PT with Stable Angina
E) Both A&B (Ans)
F) Both C&D

Question 14

45 years old PT has Ischaemic heart disease and it taking CCB. Which of these medications will be C.I in this PT?

Answer 14

A) Erythromycin (Ans : Avoid)
B) Gentamycin
C) NSAIDs

Question 15

PT has history of MI and is taking aspirin. Which of these drugs would you avoid?

Answer 15

A) Ibuprofen (Ans: Avoid Nsaids)
B) CCB

Question 16

PT has history of MI and is taking Anticoagulant which of these drugs would you avoid?

Answer 16

A) Acitominophen
B) Ibuprofen
C) Both A&B
D) CCB

Question 17

PT has unstable Angina. Upon experiencing symptoms you advised the PT to have Nitroglycerin but nothing improved and got worse. What could be a likely cause?

Answer 17

A) Systolic BP less than 90mmhg
B) Diastolic BP is less than 60mmhg
C) PT didnt had Unstable angina
D) Both A& B