snapp

Question 1

number 1 treatable RF for atherosclerosis?

Answer 1

hypotension

Question 2

what will decrease oxygen supply to heart to heart?

Answer 2

tachycardia

Question 3

What drug will increase oxygen supply and decrease oxygen demand in the heart?

Answer 3

beta blockers

Question 4

what imaging will tell you about the vessel wall?

Answer 4

intravascular ultrasound

Question 5

pt comes in with unstable angina, what is the FIRST thing you do?

Answer 5

IV nitroglycerin

Question 6

most common CABG grafts?

Answer 6

1. mammary artery

2. saphenous vein

Question 7

rate limiting step in the formation of cholesterol is

Answer 7

HMG coA reductse

Question 8

knowing the Apo Lipoportein B is important because it

Answer 8

measures the number of potentially atherosclerotic particles in the blood

Question 9

characteristic of stable plaque s

Answer 9

1. fibrous
2. calcified
3. lipid content
4. less inflammation
5. less apoptosis

Question 10

NO is secreted by the

Answer 10

endothelium

Question 11

arterial thrombi characteristics?

Answer 11

1. treated with antiplatelets–platelet rich
2. can complicate atherscletoric plaque rupture
3. can be cardioembolic or insitu

Question 12

which is best for non valvular atrial fibriallation

Answer 12

warfarin

Question 13

Which drug has a side effect of bradycardia

a. clopidogrel
b. dipyrimdamole
c. ticagrelor
d. abciximab

Answer 13

c. ticagrelor

Question 14

Which drug has a side effect of bradycardia

a. clopidogrel
b. dipyrimdamole
c. ticagrelor
d. abciximab

Answer 14

c. ticagrelor

Question 15

Which of the following anti-platelet dugs works by inhibiting phosphodiesterase?

Answer 15

dipyrimdamole

Question 16

For which groups of patients does taking a daily Aspirin have a proven net benefit in CV risk reduction (ie. risks outweigh the benefits)?

Answer 16

Any patient with CAD

Question 17

Your attending prescribes Isosorbide-5-minonitrate (ISMO) and Metroprolol for a patient with chronic stable angina. Which of the following could be a reason your attending chose Metroprolol instead of Nifedipine?

Answer 17

ISMO can cause reflex tachycardia, which will be controlled by Metroprolol and exacerbated by Nifedipine

Question 18

Variant angina treatment medication

Answer 18

calcium channel blocker acts as a smooth muscle relaxer and suppresses the vasomotor tone and spasms

Question 19

A patient presents with chronic stable angina with variable threshold (reduced myocardial blood supply is caused by alterations in coronary vasomotor tone). The patient also has mild CHF (for which the patient does NOT take digitalis). Which of the following drugs would be appropriate to prescribe this patient, and why?

Answer 19

Amlodipine, because it is a potent vasodilator and causes minimal reduction in inotropy.

Question 20

claudication is described as

Answer 20

caused by reversible calf muscle ischemia, during exercise

Question 21

A 51 year-old patient has CHF. His labs show significantly elevated B-type natriuretic peptide. What can you conclude based on this information?

Answer 21

He has an increased left ventricular end diastolic pressure (LVEDP)