The Heart of the Problem
The leading cause of heart failure is
What is hypertensive heart disease
All of the following should be prescribed as part of therapy in ACS except: aspirin, metoprolol, lisinopril, nisoldipine.
What is nisoldipine
An abnormality of which of the following is the most sensitive marker for myocardial damage: aspartate aminotransferase, creatine phosphokinase (CPK), troponin I (cTnI), lactate dehydrogenase
What is Troponin I
Enhancing which nutrient in the diet can help decrease blood pressure
What is Potassium
When a heart valve fails to open to its normal orifice size, it is said to be:
What is stenotic
The rationale for using beta blocker therapy in treating a patient with HF is to
What is increase myocardial contractility
Nitrates are used in ACS therapy because of their ability to:
The initial manifestation of Coronary Heart DZ (CHD) in men is most commonly:
What is MI
The evaluation of Target organ damage on a patient with poorly controlled HTN should be evaluated in clinic by assessing for?
What is left ventricular hypertrophy
Among individuals younger than 35 years, the most common cause of sudden cardiac death is
What is a congenital cardiac malformation
A potential adverse effect of ACEI when used with spironolactone therapy is:
Hyperkalemia
In performing a cardiac examination in a person with MVP, you expect to find what kind of murmur?
What is a mid to late systolic murmur
Which of the following changes on the 12-lead ECG would you expect to find in a patient with myocardial ischemia?
What is T wave inversion
Diagnostic testing for a patient newly diagnosed with HTN should include all of the following except: uric acid, potassium fasting BG, creatinine
What is Uric Acid
From the following list, the most helpful test in suspected bacterial endocarditis includes:urine culture, blood culture, chest x-ray, myocardial biopsy.
What is blood culture
The risk for digoxin toxicity increases with concomitant use of all of the following medications except: amiodarone, Clarithromycin, cyclosporin, levofloxacin
What is levofloxacin
Rank the following signs and symptoms in the order of most common to least common in a 60-year-old woman in the time preceding an ACS event:
dyspnea, indigestion, sleep disturbance, unusual fatigue
What is unusual fatigue, Sleep disturbance, dyspnea and indigestion
What symptom is most consistent with a person presenting with unstable angina?
What is chest pressure lasting at least 20minutes NOT relieved with rest
The most important long-term goal of treating HTN is to
What is avoid disease causing Target Organ Damage (TOD)
According to recommendations of the AHA, which of the following antibiotics should be used for endocarditis prophylaxis in patients who are allergic to penicillin: erythromycin, dicloxacillin, azithromycin, ofloxacin
What is azithromycin
ECG findings in a patient with digoxin toxicity would most likely include
Which of the following is least likely to be reported in ACS?
newly noted pulmonary crackles, transient mitral regurgitation murmur, hypotension, pain reproduced with palpation
What is pain reproduced with palpation
The cardiac finding most commonly associated with unstable angina is:
What is S4
Patients of African ancestry tend to have a reduced effect with monotherapy with all of the following BP medications except: ACE, ARB, CCB, Beta Blocker
What is Calcium Channel Blocker (CCB)
Symptoms of digoxin toxicity as reported by patients are most likely to include
What is anorexia