NURP 533 Exam 2 Ques ons and answers | Updated
RATED A+ | 2026
CAD risk factors
lipid disorders
hypertension
smoking
prior cardiac events
older age
metabolic syndrome
obesity
high CRP
type 2 diabetes
family history of premature cardiac disease
premature cardiac disease
male before age 55
female before age 65
stable angina
chest pain that occurs when a person is ac ve or under severe stress
stable angina resolu on
resolves with rest and/or NTG, usually within a minute
stable angina dura on
less than 5 minutes
Bruce protocol
Treadmill running at 1.7 mph with 10% incline then every 3 minutes the speed is increased by
0.8 mph and 2% incline increase un l exhaus on
bruce protocol score
me spent on the treadmill
duke treadmill score > 5
low risk
,duke treadmill score -10 to 4
intermediate risk
duke treadmill score < -11
high risk
CAD labs
lipids
Hgb A1C
CBC
Crea nine
BNP
sta ns for CAD below age 75
high dose
sta ns for CAD above age 75
moderate or high dose
CAD pharm management
glycemic control for A1C less than 7% or 8%
sta ns
CAD lifestyle management
BP less than 130/80
exercise 30 mins 5-7 days a week
smoking cessa on
an platelets in pa ents with CAD
everyone should be on one if not contraindicated
In CAD, if aspirin is contraindicated, give ____
clopidogrel (Plavix) 75 mg daily
angina meds
sublingual NTG and beta blocker
if first line drugs not working for angina, add
,CCB
long ac ng nitrate
ranolazine
treatment for persistent angina
CABG or sten ng
pharm for HF with reduced ejec on frac on and CAD
diure cs
beta blockers
ACE
ARB
lifestyle changes
stable CAD and HF with preserved ejec on frac on
lifestyle mods
follow up for CAD
every 4-6 months in the first year
then every 4-12 mos depending on clinical scenario
acute coronary syndrome
set of symptoms that complicate plaque rupture in coronary artery
signs/symptoms of acute coronary syndrome
chest pain
nausea, lightheadedness, fa gue
pain in neck, back, or jaw
pain or discomfort in the arm or shoulder
SOB
ACS immediate treatment
aspirin 162 to 325 mg
NTG if BP will tolerate
ACS evalua on
ekg within 10 minutes
troponin
, CXR
echo
Inferior EKG leads
II, III, aVF
Lateral EKG leads
I, aVL, V5, V6
anterior EKG leads
V3, V4
septal EKG leads
V1, V2
If ST changes are seen in leads II, III and aVF, where is the infarct?
inferior wall
if ST changes seen in leads I, aVL, V5, V6, where is the infarct?
lateral
if there are ST changes in V3 and V4, where is the infarct?
anterior
if there are ST changes in V1 and V2, where is the infarct?
septal
significance of new leE bundle branch block
considered a STEMI
what makes an NSTEMI different from unstable angina
ssue damage occurs with NSTEMI
when is a U wave benign?
less than 5 mm
STEMI management
RATED A+ | 2026
CAD risk factors
lipid disorders
hypertension
smoking
prior cardiac events
older age
metabolic syndrome
obesity
high CRP
type 2 diabetes
family history of premature cardiac disease
premature cardiac disease
male before age 55
female before age 65
stable angina
chest pain that occurs when a person is ac ve or under severe stress
stable angina resolu on
resolves with rest and/or NTG, usually within a minute
stable angina dura on
less than 5 minutes
Bruce protocol
Treadmill running at 1.7 mph with 10% incline then every 3 minutes the speed is increased by
0.8 mph and 2% incline increase un l exhaus on
bruce protocol score
me spent on the treadmill
duke treadmill score > 5
low risk
,duke treadmill score -10 to 4
intermediate risk
duke treadmill score < -11
high risk
CAD labs
lipids
Hgb A1C
CBC
Crea nine
BNP
sta ns for CAD below age 75
high dose
sta ns for CAD above age 75
moderate or high dose
CAD pharm management
glycemic control for A1C less than 7% or 8%
sta ns
CAD lifestyle management
BP less than 130/80
exercise 30 mins 5-7 days a week
smoking cessa on
an platelets in pa ents with CAD
everyone should be on one if not contraindicated
In CAD, if aspirin is contraindicated, give ____
clopidogrel (Plavix) 75 mg daily
angina meds
sublingual NTG and beta blocker
if first line drugs not working for angina, add
,CCB
long ac ng nitrate
ranolazine
treatment for persistent angina
CABG or sten ng
pharm for HF with reduced ejec on frac on and CAD
diure cs
beta blockers
ACE
ARB
lifestyle changes
stable CAD and HF with preserved ejec on frac on
lifestyle mods
follow up for CAD
every 4-6 months in the first year
then every 4-12 mos depending on clinical scenario
acute coronary syndrome
set of symptoms that complicate plaque rupture in coronary artery
signs/symptoms of acute coronary syndrome
chest pain
nausea, lightheadedness, fa gue
pain in neck, back, or jaw
pain or discomfort in the arm or shoulder
SOB
ACS immediate treatment
aspirin 162 to 325 mg
NTG if BP will tolerate
ACS evalua on
ekg within 10 minutes
troponin
, CXR
echo
Inferior EKG leads
II, III, aVF
Lateral EKG leads
I, aVL, V5, V6
anterior EKG leads
V3, V4
septal EKG leads
V1, V2
If ST changes are seen in leads II, III and aVF, where is the infarct?
inferior wall
if ST changes seen in leads I, aVL, V5, V6, where is the infarct?
lateral
if there are ST changes in V3 and V4, where is the infarct?
anterior
if there are ST changes in V1 and V2, where is the infarct?
septal
significance of new leE bundle branch block
considered a STEMI
what makes an NSTEMI different from unstable angina
ssue damage occurs with NSTEMI
when is a U wave benign?
less than 5 mm
STEMI management
