AND ANSWERS 100% CORRECT
(FULLY SOLVED)
3 steps to Prevention Dx and Plan - correct answer-
Risk profile
Prevention Needs and Deficits
Prevention plan
5 A's of tobacco cessation - correct answer- 1.
Ask
2. Advise
3. Assess
4. Assist
5. Arrange
5 R's to increase motivation to quit smoking: - correct
answer- Relevance
Risks
,Rewards
Roadblocks
Repitition
75% of MIs occur with plaque rupture in vessels that are
__ occluded? - correct answer- <50% occluded!
Unstable plaques
a-lipoprotein levels - correct answer- Levels >
30 = independent risk factor for CHD
More atherogenic than LDL
Increased in renal disease, post-menopausal women &
Family Hx of CVD
May interfere with fibrinolysis (structurally similar to
plasminogen)
Lowering LDL may decrease associated risk
Levels reduced with Niacin / estrogen
,Acanthosis nigricans - correct answer-
thickening and darkening of skin near axillary/ back of the
neck region, A/w Diabetes Type II and gastric carcinoma
ACE Inhibitors - correct answer- Blocks
conversion of angiotensin I to II
Lower peripheral vascular resistance and BP
No reflex stimulation of heart rate and contractility
Has been preferred in diabetes, MI, HF
Reduce morbidity and mortality in HF and MI
Retard progression of diabetic renal disease and
hypertensive nephrosclerosis
Not in renovascular dz or pregnancy
Pick a "pril"
Action - correct answer- Action- Modify
behavior, experiences, or environment to overcome
problem.
Praise any behavioral change.
, Action of Biguanides (Metformin) - correct answer-
decreases gluconeogenesis & reduces insulin resistance,
Increase glucose uptake in muscle
Action of GLP-1 agonists - correct answer-
*promotes insulin secretion
*decreases glucagon
*decreases gastric emptying
"Glutide"
Action of SGLT2 inhibitors - correct answer-
Increase urinary excretion of glucose
"glifozin"
Action of Sulfonylureas - correct answer-
stimulates release of insulin from pancreatic islets
"Three G's" - Glimepiride, Glipizide, Glyburide