NSG 533 - Advanced Pharmacology
Exam 2
Question:
When are ACEIs or ARBs added in treatment of CS/carotid artery disease?
Answer:
When thiazide diuretics and CCBs fail to achieve treatment goals.
Question:
When do you start anti-platelet therapy in patients with CS/carotid artery disease?
Answer:
Symptomatic for 21 days or more
Question:
What medication and dose are preferred anti-platelets for CS/carotid artery disease?
Answer:
- aspirin 75-325mg
- clopidogrel 75mg 1 / 4
Question:
When is surgical endarectomy recommended for CS/carotid artery disease?
Answer:
within 6 months of symptoms if: 1. low surgical risk; 2. reduction in diameter
of lumen >70%; 3. anticipated perioperative stroke risk <6%
Question:
Coronary Heart Disease includes what?
Answer:
- acute MI
- angina pectoris
- ASCVD
- all forms of ischemic HD
Question:
Diabetes is a modifiable risk factor.
True or False?
Answer:
False.
- / 4
Question:
chronic stable angina
Answer:
chest pain precipitated by exertion and relieved with rest
Question:
What are the s/s of chronic stable angina?
Answer:
- sx with exertion and improve with rest OR no more than 1 NTG dose
- lasting only 1-3 mins
Question:
What is the first-line imaging for chronic stable angina?
Answer:
ECG
Question:
What ECG findings are likely with chronic stable angina?
Answer:
ST segment depressions with T-wave inversions
- / 4
Question:
What other imaging should be ordered for chronic stable angina?
Answer:
- Exercise Tolerance Test (Stress Test)
- CT
Question:
When is it best to administer a stress test for chronic stable angina?
Answer:
- within 72 hours of symptoms
Question:
If a patient had a history of chronic stable angina, would you use just an ECG on a stress test or imaging?
Answer:
Imaging
Question:
What constitutes a positive result on a Stress Test (chronic stable angina)?
Answer:
- ST depression (horizontal or down-sloping) of 1mm
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