Stable Angina

Question 1

Angina is caused by

Answer 1

atherosclerosis of coronary arteries

Question 2

When is angina defined as stable

Answer 2

only occurs during exertion
always relieved by GTN

Question 3

All patients with angina should have blood test done to look for what co-morbidities

Answer 3

thyroid dysfunction, diabetes

Question 4

Two methods of cardiac stress testing

Answer 4

treadmill test, dobutamine

Question 5

Pneumonic for management of stable angina

Answer 5

RAMPS

Question 6

Five principles of stable angina management

Answer 6

Refer to cardiology
Advise patient of diagnosis
Medical treatment
Procedural or surgical interventions
Secondary prevention

Question 7

Three aims of medical management of angina

Answer 7

immediate symptomatic relief
long term symptomatic relief
secondary prevention

Question 8

drug used for the immediate symptomatic relief of angina pain

Answer 8

GTN

Question 9

What advise should you give to patients about the timings of taking GTN

Answer 9

take when symptoms start
take up to two more doses at 5 minute intervals
if after another 5 minutes symptoms don’t resolve phone an ambulance

Question 10

For long-term symptomatic relief of angina, first-line treatment is with either, or a combination, of

Answer 10

betablocker
calcium channel blocker (diltiazem or verapamil)

Question 11

calcium channel blockers such as diltiazem and verapamil should be avoided in

Answer 11

HFrEF

Question 12

specialist options for long-term symptomatic relief of angina

Answer 12

Isosorbide mononitrate
Ivabradine
Nicorandil
Ranolazine

Question 13

Benefits of PCI over CABG

Answer 13

Faster recovery
Lower rates of stroke

Question 14

Benefits of CABG over PCI

Answer 14

less likely to need further procedures