CMC certification questions with correct answers

HIT (heparin induced thrombocytopenia) CORRECT ANSWER Bivalirudin and Argatroban are direct thrombin inhibitors and alternatives for anticoagulation for patients with HIT. - HIT is an immune mediated adverse drug reaction caused by antibodies that develop after exposure to heparin, platelets become activated placing patients at risk for development of thrombosis pericarditis CORRECT ANSWER inflammation of pericardial sac, chest pain-sharp,stabbing, dull, achy pain improved with sitting &leaning foward, pain worse with cough, positional changes and inspiration, pericardial friction rub, fever, Diffuse ST changes (depression of PR interval, concave ST segment in limb leads,st elevation in leads I and II Papillary muscle rupture CORRECT ANSWER -associated with anterior or inferior wall MI - hemodynamic instability, new loud systolic murmur, acute mitral regurgitation, large V waves on PAOP waveform - treatment - hemodynamic support, Emergent surgical repair/valve replacement Ventricular septal rupture CORRECT ANSWER -associated with septal wall MI -oxygen rich blood shunts to right side of heart from the left Symptoms of ventricular septal rupture CORRECT ANSWER -acute SOB -S3 heart sound -crackles -holosystolic murmur