FREE AND STUDY GAMES ABOUT ACUTE CORONARY

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FREE AND STUDY GAMES ABOUT ACUTE CORONARY

SYNDR EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -84 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: moa aspirin?

Answer:

irreversibly inhibits COX1 and COX2 which decreases the production of thromboaxane A2 (TXA2) Question 2: 2nd phx AFTER acs: ntg

Answer:

-indefinitely (SL tablets or spray PRN)

Question 3: clopidogrel should avoid combination with what meds?

Answer:

-cyp2c19 inhibitors -esomeprazole -omeprazole

Question 4: moa of alteplase? CI? ADR? what do you monitor?

Answer:

-recombinant tissue plasminogen activator -active internal bleeding, hx of recent stroke, sever uncontrolled htn -bleeding ( including ich) -hgb, hct, s/sx bleeding

Question 5: CI clopidogrel inhibitors:

Answer:

serious bleeding

Question 6: dosing for clopidogrel? when?

Answer:

higher one time loading dose -prior to pci or at the time of diagnosis if pci is not being performed followed by maintenance dose.Question 7: after oci; if long term anticoagulation is needed what should you do>

Answer:

d/c aspirin and continue p2y12 monotherapy (preferable clopidogrel) w/ oral anticoag after 1-4 weeks of triple antithrombotic therapy Question 8: ECG changes in STEMI:

Answer:

ST segment elevation (meeting defined criteria in >2 contigous leads (e.g. leads looking at the same area of the heart)

Question 9: clopidogrel maintenance dose?

Answer:

75 mg po daily

Question 10: pt prescribed BTG should take it how and when with acs?

Answer:

one dose every 5 min for up to 3 doses to relieve chest pain, If chest pain is NOT improved or worse 5 min after 1st dose, they should call 911 Question 11: if using a gp2b/3a drug and a pt is given a PCI; what other drug should be used with it?

Answer:

heparin

Question 12: how to diagnose acs? what markers to look out for?

Answer:

-12 ecg should be ran at the site of first medical contact

Question 13: how does fibrinolytics work?

Answer:

-causes clot breakdown by binding to fibrin and converting plasminogen to plasmin

Question 14: drugs for secondary prevention AFTER ACS?

Answer:

• aspirin

• p2y12 inhibitor

• ntg

• bb

• ACEi
• aldosterone antagonist
• statin

Question 15: is acs a medical emergency?

Answer:

yes Question 16: 2nd phx AFTER acs: statin

Answer:

indefinitely; high intensity statin for most pt Question 17: warnings for p2y12 inhibitors: when to stop before surgery? what medications should you NOT use with clopidogrel? causes an increase risk of what?

Answer:

-bleeding risk -5 days prior to surgery -omeprazole or esomeprazole -increase risk of TTP (thrombotic thrombocytopenic purpura)

Question 18: morphine does what in acs?

Answer:

pain relief

Question 19: BB benefits after ACS?

Answer:

increased long term survival Question 20: blockage in STEMI:

Answer:

complete blocakge

Question 21: Nitrates does what in acs?

Answer:

antianginal: dilate coronary arteries ans improve collateral blood flow; decrease preload and afterload (modestly) reduces chest pain Question 22: if PCI is not possible within 120 min of first medical contact, what can be done?

Answer:

fibrinolytic therapy, and it should be given within 30 min of hospital arrival (door to needle time) Question 23: 2nd phx AFTER acs: acei

Answer:

indefinitely if ef <40, htn, ckd, or dm; consider for all mi pt without ci Question 24: list the gp2b/3a drugs:

Answer:

eptifibatide Question 25: signs and sx:

Answer:

-chest pain -pressure or squeezing lasting > 10 min -severe dyspnea -diaphoresis