BLOCK 5 - EXAM 2 - POST QUIZ CONTENT , BLOCK 5 -
QUIZ 5 CONTENT , BLOCK 5 - QUIZ 6 CONTENT| TOP
SCORES MADE SIMPLE | TRUSTED TEST SOLUTIONS!
41yo male with hx of smoking presents with chest pain
- Chest pain for on and off - 2 weeks
- Pressure like, mid chest, radiates to the left arm
- Intense 9-10/10
- SOB
Diagnosis and treatment? Answer: •Acute STEMI
•Cardiogenic Shock
•Severe LV dysfunction
•Respiratory Failure
- Treatment: Mechanical ventilation; Cardiac Catheterization with stent; IABP
Atherosclerosis Answer: Accumulation of fatty material in arterial wall
- Thickening/Proliferation
- Inflammation
Accumulation of fatty material in arterial wall
- Thickening/Proliferation
- Inflammation Answer: Atherosclerosis
Vascular bed susceptible to atherosclerosis: Answer: - Abdominal aorta
- Coronary
- Internal carotid
- Iliac
- Popliteal
- Circle of Willis
1
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,Atherosclerosis pathogenesis Answer: Endothelial Damage -> Formation of Plaque
with Cholesterol Deposition -> Inflammation/Smooth muscle proliferation -> Plaque
Rupture -> Thrombosis -> Symptoms
Endothelial Damage -> Formation of Plaque with Cholesterol Deposition ->
Inflammation/Smooth muscle proliferation -> Plaque Rupture -> Thrombosis ->
Symptoms Answer: Atherosclerosis pathogenesis
Coronary artery Answer: blood vessel that delivers blood to the heart
blood vessel that delivers blood to the heart Answer: Coronary artery
Ischemic Heart Disease Answer: Reduction in blood supply
- Supply = demand mismatch
Reduction in blood supply to the heart
- Supply = demand mismatch Answer: Ischemic Heart Disease
Leading cause of death in adults Answer: Ischemic Heart Disease
Major Risk Factors for Ischemic Heart Disease Answer: - Elevated LDL
- Low HDL
- Diabetes
- Smoking
- Hypertension
Minor Risk Factors for Ischemic Heart Disease Answer: - Obesity
- Lack of regular exercise
- Psychological stress
Non-Modifiable Risk Factors for Ischemic Heart Disease Answer: - Age
- Male sex
- Family Hx. of premature CAD
Cardiac Symptoms of Ischemic Heart Disease Answer: - Chest pain
- Heartburn/epigastric pain
- Nausea/vomiting
- Shortness of breath/dyspnea on exertion
2
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,- Arm/jaw/shoulder/back pain
- Fatigue/weakness
- Diaphoresis/dizziness
- Feeling of doom
- Symptoms can be atypical
What is needed for the diagnosis of Acute Coronary Syndrome (ischemic heart disease)
Answer: - Chest pain
- Electrocardiogram
- Blood Work (Troponin)
Three major components to diagnosing acute coronary syndrome Answer: - History
(chest pain)
- EKG
- Elevated troponin
- History (chest pain)
- EKG
- Elevated troponin
Are the major components of diagnosing? Answer: Acute Coronary Syndrome
(ischemic heart disease)
ECG findings in Acute Coronary Syndrome (ischemic heart disease) Answer: - T wave
inversion
- ST depression
- ST elevation
- Q waves
- T wave inversion
- ST depression
- ST elevation
- Q waves
ECG findings of? Answer: Acute Coronary Syndrome (ischemic heart disease)
3
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, Cardiac Markers of Ischemic Heart Disease Answer: - Troponin: Both sensitive and
specific
- Creatine Kinase (CK): Nonspecific
- CK-MB: More cardio-specific
Troponin Answer: Sensitive and specific biomarker for ischemic heart disease
Sensitive and specific biomarker for ischemic heart disease Answer: Troponin
Nonspecific biomarker for ischemic heart disease Answer: Creatine Kinase (CK)
Creatine Kinase (CK) Answer: Nonspecific biomarker for ischemic heart disease
Cardio-specific biomarker for ischemic heart disease Answer: Creatine Kinase (CK)
Creatine Kinase (CK) Answer: Cardio-specific biomarker for ischemic heart disease
NSTEMI Answer: Non ST segment elevation MI
- a heart attack that is not diagnosed on the EKG but is diagnosed by an elevated
troponin on blood test
- ST depression or T inversion with raised troponin
A heart attack that is not diagnosed on the EKG but is diagnosed by an elevated
troponin on blood test
- ST depression or T inversion with raised troponin Answer: NSTEMI
STEMI Answer: ST-segment elevation myocardial infarction
- diagnosed on the EKG anf by an elevated troponin on blood test
- ST elevation or new LBBB or true posterior MI
A heart attack diagnosed on the EKG and by an elevated troponin on blood test
- ST elevation or new LBBB or true posterior MI Answer: STEMI
ECG shows ST elevation or new LBBB or true posterior MI. Diagnosis? Answer: STEMI
ECG shows ST depression or T inversion with raised troponin. Diagnosis? Answer:
NSTEMI
ECG shows ST depression or T inversion with normal troponin. Diagnosis? Answer:
Unstable Angina
Unstable Angina Answer: chest pain that occurs while a person is at rest and not
exerting themselves
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
QUIZ 5 CONTENT , BLOCK 5 - QUIZ 6 CONTENT| TOP
SCORES MADE SIMPLE | TRUSTED TEST SOLUTIONS!
41yo male with hx of smoking presents with chest pain
- Chest pain for on and off - 2 weeks
- Pressure like, mid chest, radiates to the left arm
- Intense 9-10/10
- SOB
Diagnosis and treatment? Answer: •Acute STEMI
•Cardiogenic Shock
•Severe LV dysfunction
•Respiratory Failure
- Treatment: Mechanical ventilation; Cardiac Catheterization with stent; IABP
Atherosclerosis Answer: Accumulation of fatty material in arterial wall
- Thickening/Proliferation
- Inflammation
Accumulation of fatty material in arterial wall
- Thickening/Proliferation
- Inflammation Answer: Atherosclerosis
Vascular bed susceptible to atherosclerosis: Answer: - Abdominal aorta
- Coronary
- Internal carotid
- Iliac
- Popliteal
- Circle of Willis
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,Atherosclerosis pathogenesis Answer: Endothelial Damage -> Formation of Plaque
with Cholesterol Deposition -> Inflammation/Smooth muscle proliferation -> Plaque
Rupture -> Thrombosis -> Symptoms
Endothelial Damage -> Formation of Plaque with Cholesterol Deposition ->
Inflammation/Smooth muscle proliferation -> Plaque Rupture -> Thrombosis ->
Symptoms Answer: Atherosclerosis pathogenesis
Coronary artery Answer: blood vessel that delivers blood to the heart
blood vessel that delivers blood to the heart Answer: Coronary artery
Ischemic Heart Disease Answer: Reduction in blood supply
- Supply = demand mismatch
Reduction in blood supply to the heart
- Supply = demand mismatch Answer: Ischemic Heart Disease
Leading cause of death in adults Answer: Ischemic Heart Disease
Major Risk Factors for Ischemic Heart Disease Answer: - Elevated LDL
- Low HDL
- Diabetes
- Smoking
- Hypertension
Minor Risk Factors for Ischemic Heart Disease Answer: - Obesity
- Lack of regular exercise
- Psychological stress
Non-Modifiable Risk Factors for Ischemic Heart Disease Answer: - Age
- Male sex
- Family Hx. of premature CAD
Cardiac Symptoms of Ischemic Heart Disease Answer: - Chest pain
- Heartburn/epigastric pain
- Nausea/vomiting
- Shortness of breath/dyspnea on exertion
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,- Arm/jaw/shoulder/back pain
- Fatigue/weakness
- Diaphoresis/dizziness
- Feeling of doom
- Symptoms can be atypical
What is needed for the diagnosis of Acute Coronary Syndrome (ischemic heart disease)
Answer: - Chest pain
- Electrocardiogram
- Blood Work (Troponin)
Three major components to diagnosing acute coronary syndrome Answer: - History
(chest pain)
- EKG
- Elevated troponin
- History (chest pain)
- EKG
- Elevated troponin
Are the major components of diagnosing? Answer: Acute Coronary Syndrome
(ischemic heart disease)
ECG findings in Acute Coronary Syndrome (ischemic heart disease) Answer: - T wave
inversion
- ST depression
- ST elevation
- Q waves
- T wave inversion
- ST depression
- ST elevation
- Q waves
ECG findings of? Answer: Acute Coronary Syndrome (ischemic heart disease)
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, Cardiac Markers of Ischemic Heart Disease Answer: - Troponin: Both sensitive and
specific
- Creatine Kinase (CK): Nonspecific
- CK-MB: More cardio-specific
Troponin Answer: Sensitive and specific biomarker for ischemic heart disease
Sensitive and specific biomarker for ischemic heart disease Answer: Troponin
Nonspecific biomarker for ischemic heart disease Answer: Creatine Kinase (CK)
Creatine Kinase (CK) Answer: Nonspecific biomarker for ischemic heart disease
Cardio-specific biomarker for ischemic heart disease Answer: Creatine Kinase (CK)
Creatine Kinase (CK) Answer: Cardio-specific biomarker for ischemic heart disease
NSTEMI Answer: Non ST segment elevation MI
- a heart attack that is not diagnosed on the EKG but is diagnosed by an elevated
troponin on blood test
- ST depression or T inversion with raised troponin
A heart attack that is not diagnosed on the EKG but is diagnosed by an elevated
troponin on blood test
- ST depression or T inversion with raised troponin Answer: NSTEMI
STEMI Answer: ST-segment elevation myocardial infarction
- diagnosed on the EKG anf by an elevated troponin on blood test
- ST elevation or new LBBB or true posterior MI
A heart attack diagnosed on the EKG and by an elevated troponin on blood test
- ST elevation or new LBBB or true posterior MI Answer: STEMI
ECG shows ST elevation or new LBBB or true posterior MI. Diagnosis? Answer: STEMI
ECG shows ST depression or T inversion with raised troponin. Diagnosis? Answer:
NSTEMI
ECG shows ST depression or T inversion with normal troponin. Diagnosis? Answer:
Unstable Angina
Unstable Angina Answer: chest pain that occurs while a person is at rest and not
exerting themselves
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
