Cvs.coronary-Artery-Disease.mksap

Front 1

An otherwise low risk patient with family history of CAD requires screening. Which test?

Back 1

E: Some experts recommend measurement of serum lipoprotein(a). For intermediate risk group patients, high sensitivity C-reactive protein is meausred.
A: lipo.*a

Front 2

Exercise stress testing is recommended as a routine in certain healthy patients. Who?

Back 2

E: Patients who are in high risk jobs such as police, firefighters or pilots.
A: (pilot)|(fire)|(polic)

Front 3

When will you start an aldosterone antagonist in patients which heart failure?

Back 3

E: Those who are in NYHA class 3/4 and who are already on a aggressive baseline protocol.
A:3

Front 4

What are the two indications for GPIIb/IIIa inhibitors?

Back 4

E: (1) High risk ACS syndrome patients with ST depression or troponin leaks and (2) PCI candidates.
A: ST.*trop, PCI

Front 5

What should be the TIMI score of patients who will benefit from early coronary angiography in ACS?

Back 5

E: Intermediate and high risk group patients -- TIMI risk scores greater than 3.
A:3

Front 6

Elevated plasma triglyceride levels are now an independent coronary artery disease risk factor. True/False?

Back 6

E: True; recent data indicates this. The normal triglyceride level is now down to 150.
A: T

Front 7

What is the first line therapy for hypertension for black patients at risk for coronary artery disease?

Back 7

E: Diuretics remain the first line therapy for black patients; for others, ACEIs.
A: (diur)|HCTZ

Front 8

What are the criteria for metabolic syndrome?

Back 8

E: Abdominal obesity (40 inches in men, 35 inchest in women), fasting triglycerides above 200, fasting glucose greater than 110, HDL less than 40 in men, less than 50 in women.
A: abdo, trig, fast

Front 9

When should cholesterol lowering drugs be considered?

Back 9

E: Coronary artery disease OR (2 or more risk factors AND LDL is above 130)
A:CAD, 2.*and.* 130

Front 10

What is the LDL goal for patients with known coronary artery disease?

Back 10

E: 100
A: 100

Front 11

What is the LDL goal for patients with 2 or more risk factors?

Back 11

E: 130
A: 130

Front 12

Which is safer: niacin + statin or fibrate + statin?

Back 12

E: Niacin + statin is safer than fibrate + statin.
E: niacin

Front 13

What is the LDL goal for a diabetic patient?

Back 13

E: 100 : DM is a CAD equivalent.
A: 100

Front 14

What are the four indications for image stress testing rather than electrocardiographic stress testing in CAD?

Back 14

E: Abnormal resting EKG, known CAD, prior revascularization, inability to exercise
A: rest, CAD, exerc, revasc

Front 15

What is the primary indication for EB CT for CAD screening?

Back 15

E: Elderly, asymptomatic patients in the intermediate risk group.
A: eld.*asymp

Front 16

ARBs reduce the incidence of cardiac events in patients who have had myocardial infarction. True/False?

Back 16

E: False
A:F
6, 14, 25, 37, 48, 71

Front 17

Should you routinely stress test an asymptomatic patient after revascularization? Y/N

Back 17

E: Not needed for 5 years, if patient is asymptomatic.
A:N

Front 18

Which category of drugs used in the treatment of ACS/MI are contraindicated in patients with creatinine of greater than 4.0?

Back 18

E: GP IIb/IIIa
A: gp

Front 19

What are the reasons for discontinuing ACEI?

Back 19

E: Angioneuropathic edema, symptomatic orthostatic hypotension, hyperkalemia, worsening renal function
A: hypot, hyperk, renal f, edem

Front 20

A patient with myocardial infarction develops bradycardia and hypotension in the immediate aftermath. What is the treatment?

Back 20

E: Atropine: vagally mediated bradycardia.
A:Atropine