Other

Question 1

EKG Changes suggesting CAD

Answer 1

1) Horizontal ST segment depression OR Downsloping ST segment = Myocardial Ischemia
2) Convex ST elevation = MI
3) Pathologic Q wave = Previous MI injury

Question 2

What are U waves?

What conditions are associated with U waves?

Answer 2

U wave = >1.5mm in any lead
Associations = Bradycardia, Electrolyte imbalances (Low K, Low Mg, High Ca)
Drug effects (Digitalis, quinidine, procainamide)
CNS Disease
Hyperthyroidism
LVH, MVP

Question 3

What are general lab screening tests you should order in a 55yo male with high risk for CAD? (USPTF guidelines)

Answer 3

Screen DM - Glc
Screen HL - Lipid Panel
Screen CKD - Electrolytes
NO EVIDENCE for benefit of LFT/Thyroid

Question 4

What medication(s) do you start a pt with a high risk ASCVD risk >=7.5%?

Answer 4

ASA 81mg

Mod-high intensity statin

Question 5

What is Tx for FE DEFICIENCY ANEMIA? (2)

Answer 5

1) FERROUS SULFATE 325mg TID

2) DOCUSATE SODIUM 100mg BID PRN for constipation (with Fe tablets)