Management Of Acute Coronary Syndrome

Question 1

Risk factors for coronary artery disease

Answer 1

Nonmodifiable:
Male sex
Older age
Family history

Modifiable:
Hypertension 
Diabetes mellitus
Dyslipidemia
Tobacco use

Question 2

Ways ACS or angina can be present

Answer 2

Substernal chest pain
Exacerbated by stress
Alleviated by rest

Question 3

Atypical angina has how many components

While noncardiac chest pain has

Answer 3

2 component

1 component

Question 4

Which set of people has both atypical and noncardiac symptoms

Answer 4

Old woman with diabetes

Question 5

Causes of chest pain ( life threatening)

Answer 5

Pneumothorax
Aortic dissection
Pulmonary emboli

Question 6

Causes of edema

Answer 6

Increased vascular hydrostatic pressure 
Decreased oncotic pressure 
Increased vascular permeability 
Compensatory retention of sodium ans water by the kidney 
Regulation of capillary flow

Question 7

Localized edema is associated with

Answer 7

Lymphatic obstruction
Insect bite
Chronic lymphangitis
Resection of lymphnodes

Question 8

Generalized or peripheral is associated with

Answer 8

Congestive heart failure

Question 9

Generalized edema or bilateral lower extremity has to do with

Answer 9

Diet
Toxic exposures
Smoking drinking history 
Chronic liver disease
Renal failure 
Endocrinopathies

Question 10

Which physical examination is used to check btw acute and chronic

Answer 10

Blood pressure measurement

Question 11

Relative hypotension is related with

Answer 11

Cirrhotic liver disease

Cardiogenic shock

Question 12

Hypertension

Answer 12

Chronic hypertensive state and primary renal disease

Question 13

Test for a sign of chronicity is

Answer 13

Skin

Question 14

Skin for signs of chronicity

Answer 14

Hemosiderosis
Lymphostatic verrucosis
Venous stasis ulcers

Question 15

Pitting edema

Answer 15

A finger is pressed to select area

Question 16

Nonpitting edema consist of

Answer 16

Lipedema- a chronic disorder od adipose tissue and lymphatic dysfunction
Myxedema- deposition on protein and much polysaccharides that cause boddy edema

Question 17

What should we document in suspected heart failure

Answer 17

Jugulovenous distention
Hepatojugular reflux
S3/s4
Cardiac murmurs

Question 18

Chronic liver disease consist of

Answer 18

Caput medusae sign- portal hypertension
Palmar erythema
Parotid enlargement

Question 19

What is Delirium?

Answer 19

Sudden change is a persons mental function

Question 20

What can cause inferior vena cava obstruction

Answer 20

Pregnancy

Question 21

Symptoms of late pregnancy inferior vena cava

Answer 21

Intense pain in right hand side, muscle twitching, hypotension and fluid retention

Question 22

Causes of generalized edema

Answer 22

Chronic kidney disease 
Heart failure 
 Chronic hepatic insufficiency 
Low protein state 
Pregnancy and premenstural period

Question 23

How rapidly should edema fluid be removed

Answer 23

In patients with decompensated heart failure

Question 24

Acute pulmonary edema consist of

Answer 24

Enlarged heart size
Apical vascular redistribution
Small bilateral pleural effusion

Question 25

When giving intravenous diuretic therapy ,,, monitor

Answer 25

Hypotension in naive patients

Electrolyte depletion and secondary cardiac arrhythmias