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21 Cards in this Set
- Front
- Back
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What drugs can be used to treat the ischemic effects of cocaine?
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ASA
NTG Heparin Anxiolytic |
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What drugs should be avoided in cocaine induced ischemia?
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Beta blockers, they increase CNS toxicity and coronary vasospasm.
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What are the characteristics of stable angina
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Episodic chest pain
Lasts <30 min provoked by exertion or stress relieved by rest or nitroglycerin |
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Unstable angina is defined as?
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1. exertional angina of recent onset
2. angina of worsening character, including an increased nitroglycerin requirement 3. angina at rest |
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What are the symptoms of Dressler’s syndrome
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chest pain
fever pleuropericarditis pleural effusion |
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What is the treatment for Dressler's Syndrome?
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Aspirin
Indomethacine |
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T/F CCB are beneficial in the postinfarct phase for patients without heart failure
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TRUE
DONT use in the peri-infarct phase |
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What are some causes of syncope
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bradycardia
tachycardia aortic stenosis ischemia |
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upper extremity exercise and syncope suggests?
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subclavian steal syndrome
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syncopal episode after head turning or shaving suggests?
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carotid sinus hypersensitivity
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Who are people at risk of aortic dissection?
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aortic stenosis
bicuspid aortic valve marfan’s syndrome coarctation of the aorta |
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What are signs and symptoms of pericarditis?
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A. pain relieved by sitting up and leaning forward
B. presence of a pericardial friction rub C. ECG with diffuse ST segment elevation D. ECG with PR segment depression E. pericardial effusion |
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How quickly and to what level should the BP be lowered in a patient with a HTN emergency
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To a level that is “normal” for that patient within 30-60 min
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What is the treatment for an anurysm larger than 5 cm
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Surgery; if <4 cm, treat conservatively
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What are the different ways to diagnose a DVT?
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Duplex ultrasonography
IPG (impedance plethysmography) contrast venography MRI |
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A loss of right heart border on X-ray suggests?
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RML pneumonia
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T/F 3rd trimester pregnancy increases the risk of hospitalization in a pt with asthma
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FALSE
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Test of choice for suspect pulmonary embolism
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spiral CT
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What are the symptoms of pneumococcal pneumonia
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A. acute onset, tachycardia, and tachypnea
B. single rigor C. pleuritic chest pain D. thick, rusty sputum E. malaise, flank or back pain, and vomiting |
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What are the characteristics of Klebsiella
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A. most frequently occurs in alcoholics and patients with DM and COPD
B. Empyema and abscess formation are common complications C. Pleuritic chest pain is a common symptom D. Sputum is often brown and proteinaceous E. Admit with IV aminoglycosides and cephalosporins |
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Who's at increased risk of developing a pneumothorax?
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A. smoking
B. Marfan’s syndrome C. Male sex D. sarcoidosis E. COPD |
