Soal Dewasa Seri 1 dari 5 Flashcards
Activation of the sympathetic nervous system and the renin-angiotensin system can result in myocyte loss
T
Activation of the sympathetic nervous system and the renin-angiotensin system can result in myocyte loss
All of the above
Digoxin therapy decreases mortality rates in patients with chronic heart failure
F
Among patients with class II angina and one- or two-vessel disease, PCI is indicated for which of the following?
To improve symptomps
Among patients with class II angina and one- or two-vessel disease, PCI is indicated for which of the following?
<100 mg/dL
A 65-year-old man presents with unstable angina and an elevated troponin level. Comorbidities include adult-onset DM treated with metformin and essential hypertension treated with metoprolol. Angiography shows three-vessel CAD with three discrete proximal flow limiting lesions and normal LV function. Treatment of choice is:
CABG including a LIMA graft
Measurement of LVEF in MI setting
Is a class I indication in patients treated with thrombolytic therapy
A 59-year-old male with long standing essential hypertension on drug treatment had two episodes of chest heaviness in the last 24 hours and was admitted to the ER. ECG shows new 2-mm ST depression with T wave inversions in V5-V6. His initial troponin is 0.1 ng/ml, LDL cholesterol was 148 mg/dl. The most appropriate initial treatment will be:
ASA, heparin, IIb/IIIa inhibitor, beta blocker
The patient described above stabilizes on medical therapy. Elective catheterization shows 70% stenosis of the second OM with TIMI III flow, 40% to 50% lesions in remaining vessels. The OM lesion is suitable for PCI with stent. EF 68%, no areas of ventricular hypokinesis
The next step will be:
Perform PCI with stent, IIb/IIIa inhibitor, dismiss on ASA, clopidogrel, beta blocker and statin
Which of the following scenarios illustrates the most appropriate first-line selection of antihypertensive agent in the hypertensive patient described?
A 32- year-old with chronic migraines is prescribed metoprolol
A 32- year-old with chronic migraines is prescribed metoprolol
F
A 62-year-old man with chronic congestive heart failure (CHF) due to coronary artery disease has been on a stable medical regimen of lisinopril, aspirin, and furosemide for years. He has been extremely compliant with medications and office visits. He closely monitors his weight daily. In addition to his CHF, he has hypertension, diabetes, and gout. Last month, he suffered a gout flare-up that is being treated with indomethacin. Over the last three weeks he has noticed a gradual decline in exercise tolerance, a weight gain of 5 pounds, and worsening pedal edema. What is the most appropriate course of action?
Discontinue the indomethacin
Hypouricemia
F
Ticlopidine and clopidogrel reversibly affect platelet aggregation
F
The administration of aspirin in AMI:
Is statistically as effective as streptokinase at reducing 30-day mortality but is added in benefit when used in conjunction with streptokinase or another thrombolytic agent.
A 38-year-old who had an anterior STEMI followed by prompt revascularization of a proximal LAD lesion with a sirolimus-coated DES is recovering uneventfully in the coronary care unit. On hospital day 4, the nurse alerts you to a new rash that he has developed. It is on his knees, elbows, and scalp and is well-demarcated with red-raised skin and silvery scale. Which of his new medications is likely the cause?
Metoprolol
Patients with isolated chronic mitral or aortic valve regurgitation often have normal filling pressures despite significant LV enlargement. The mechanism by which this may occur is known to include which one of the following?
A rightward shift in the LV pressure–volume relationship
The intensity of the diastolic murmur is closely related to the severity of mitral stenosis
F
Dilated cardiomyopathy
F
Which of the following statements is false with respect to STEMI versus NSTEMI?
The thrombus in a STEMI is more platelet rich than is the thrombus of a NSTEMI
Hypertension resolves in almost all patients after discontinuation of oral contraceptives
F
Diuretic therapy, particularly the use of loop diuretics, is mainstay therapy for symptomatic heart failure. Which of the following is incorrect regarding loop diuretics in heart failure?
Does not require higher dosing in renal insufficiency or heart failure
Which of the following would be most likely in a patient with chronic severe MR?
Third heart sound
NYHA functional class I, EF 70%, LV end systolic diameter 35mm
F
Which of the following is true about the treatment of IE?
When enterococci resistant to both penicillin G and vancomycin cause endocarditis, no medical therapy is reliably effective
b. Cefazolin may be used to treat enterococcal endocarditis
