COMM 345 ACTUAL TEST PAPER 2026
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
▶ classic s/s of ACS. Answer: Classic s/s
Midsternal pressure
May radiate to the jaw or down the left arm
May be associated with related s/s, such as SOB or fatigue
▶ Unstable angina. Answer: May see ST elevation but it goes back to
normal
May occur at rest and require more frequent nitrate therapy
Tx: rest + nitroglycerin; drugs affecting platelets
▶ Variant = Prinzmetal's (vasospasms). Answer: Can happen at rest or
anytime
ST ↘ then ↗ during pain episodes
ST segment goes back to normal and Nitro won't help
Tx: CCB to relax muscles in the vessel
▶ treatment for angina. Answer: Maintain cardiac output
Bed rest
Keep pt calm
Want a HYPOmetabolic state
Pain relief = morphine + nitroglycerin
Both have vasodilatory properties
Cardiac Bundle, educate pt on:
Lipid lowering med - a -statin
Beta blockers - Metoprolol
Long-acting Nitrates - Isosorbide dinitrate, Isosorbide mononitrate
ACE inhibitors - Captopril, Lisinopril, Ramipril
▶ Beta1 BlockeRs (-olol). Answer: always check apical heart rate
▶ ACE Inhibitors → o p r i l. Answer: No NSAIDS
No salt substitute or K+ supplements
COMPLETE QUESTIONS AND CORRECT
ANSWERS GRADED A+
▶ classic s/s of ACS. Answer: Classic s/s
Midsternal pressure
May radiate to the jaw or down the left arm
May be associated with related s/s, such as SOB or fatigue
▶ Unstable angina. Answer: May see ST elevation but it goes back to
normal
May occur at rest and require more frequent nitrate therapy
Tx: rest + nitroglycerin; drugs affecting platelets
▶ Variant = Prinzmetal's (vasospasms). Answer: Can happen at rest or
anytime
ST ↘ then ↗ during pain episodes
ST segment goes back to normal and Nitro won't help
Tx: CCB to relax muscles in the vessel
▶ treatment for angina. Answer: Maintain cardiac output
Bed rest
Keep pt calm
Want a HYPOmetabolic state
Pain relief = morphine + nitroglycerin
Both have vasodilatory properties
Cardiac Bundle, educate pt on:
Lipid lowering med - a -statin
Beta blockers - Metoprolol
Long-acting Nitrates - Isosorbide dinitrate, Isosorbide mononitrate
ACE inhibitors - Captopril, Lisinopril, Ramipril
▶ Beta1 BlockeRs (-olol). Answer: always check apical heart rate
▶ ACE Inhibitors → o p r i l. Answer: No NSAIDS
No salt substitute or K+ supplements
