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11 Cards in this Set
- Front
- Back
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25. Question magnesium sulfate be given its levels are low?
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a. Hypomagnesemia can ↑ the incidence of torsade de pointe-type ventricular tachycardia.
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26. Utility of calcium channel blockers with MI?
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a. Despite the widespread use both during and after myocardial ischaemia, no evidence exists supporting any benefit when taking medications.
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27. What medications are contraindicated during MI?
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a. Rapid release, short-acting dihydropyridines (eg. nifedipine) because the increased mortality in multiple trials.
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28. What should be done patients who have a markedly positive stress test?
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a. Should be referred for angiography.
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29. Risk factors for coronary artery disease (prevention must be encouraged for all patients)?
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1. Diabetes mellitus
2. Dyslipidemia 3. Age 4. Hypertension 5. Tobacco 6. Family history of premature CAD 7. Male gender 8. Postmenopausal status 9. Left ventricular hypertrophy 10. Homocysteinemia. b. Modification of these risk factors has a direct link to reduce morbidity and mortality. |
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30. Utility of HMG-Coa Reductase inhibitors (statins) for MI?
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a. Decrease the incidence of major adverse cardiovascular events when given within a few days after onset of ACS.
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31. LDL goal for anyone w/a hx of CAD?
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a. < 70.
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32. When is myocardial infarction is more likely pain diagnosis of angina?
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a. It angina persists for longer than 20 to 30 min. in the setting , hospitalization and further evaluation are warranted.
b. Indent typically results in less than 5 min. |
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33. We can unequal carotid pulses or upper extremity pulses indicate?!?
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a. Aortic dissection!!
b. The most patients with dissection will not have pulse deficit. |
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34. We most common etiology of chest pain in an outpatient setting?
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a. Musculoskeletal causes.
b. The patient's chest wall should be palpated. c. If examination reproduces the chest pain, costochondritis becomes more likely. d. The gastrointestinal examination is also important, as G.I. aetiology is the 2nd most common culprit for chest pain in an outpatient setting. e. Careful examination of both upper quadrants and epigastric area must be done. f. The abdominal aorta warrants careful examination |
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35. Complete
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35. Complete
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