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swers (Latest Update 2023) Verified Answers
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what exactly causes the occlusive vascular disease of thromboangiitis oblite
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rans? - correct answers
M M M M aka Buerger's disease
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inflammatory thrombi affecting the medium and small vessels (nonatherosc
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lerosis)
polymorphonuclear leukocytes, microabscesses, and multinucleated giant c
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ells may be presen
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Treatment options for thromboangiitis obliterans? -
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M correct answers M M smoking cessation most important!
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cilostazol (PDE 3 inhibitor) has vasodilator properties (alleviated symptoms)
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if raynauds also present, CCB (nifedipine)
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what heart failure treatment provides a benefit of reduction in morbidity a
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nd mortality? - correct answers
M M M M M ACE inhibitors M
beta blockers can also reduce M&M
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diuretics have no reduction in mortality
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,PAEA EOC & Summative Practice Exam Questions and An
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swers (Latest Update 2023) Verified Answers
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how would you manage a patient with a MI in the setting of cocaine use? -
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M correct answers M M benzodiazepine early M
no beta blockers
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If PCI cannot be done for a STEMI patient within 120 minutes, what should
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M be done? - correct answers
M M M M M fibrolytic therapy M
then do PCI & coronary angiography when it can be done
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ideally PCI is done within 90 minutes
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fibrolytic therapy can be used up to 12 hours of symptoms
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If you suspect an acute limb ischemia due to arterial embolism, what imagi
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ng should you get? - correct answers
M M M M M M M catheter-
based arteriography (digital subtraction arteriography) provides the most u
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seful information. can also help with treatment
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,PAEA EOC & Summative Practice Exam Questions and An
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swers (Latest Update 2023) Verified Answers
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can help distinguish between thrombosis and embolus
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where are arterial emboli often found? -
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M correct answers M M lower extremities more common than upper extremiti
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es
The common femoral, common iliac, and popliteal artery bifurcations are fr
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equent locations M
majority originate in the heart
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fun fact: Compared with thromboemboli, atheroemboli are less likely to pr
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oduce symptoms of acute limb ischemia
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how would you work up a patient with treatment resistant hypertension th
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at you suspect a secondary cause? - correct answers
M M M M M M M M M 24-
hour ambulatory monitoring (to ensure not white coat)
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medical hx (assess adherence to meds, other meds)
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physical exam (look for abominal/renal bruits)
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, PAEA EOC & Summative Practice Exam Questions and An
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swers (Latest Update 2023) Verified Answers
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labs (electrolytes, glucose, creatinine, UA)
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If pheo suspected: measure fractionated metanephrines and catecholamine
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s in a 24-hour urine collection
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other than atherosclerosis leading to renal artery stenosis and secondary H
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TN, what is another causes of a renal-associated secondary HTN? -
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M correct answers M M fibromuscular dysplasia (usually in a young pt) M M M M M M
most important modifable risk factor for AAA? -
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M correct answers M M smoking cessation! M
when is it okay to do screening survelliance for AAA rather than repair and
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how often should you screen? -
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M correct answers M M if AAA is <5.5 cm then annual screening with US is rec
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ommended. may need every 6 months if rapidly expanding or other concer
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ns
how should you educate a patient with AAA on exercise? -
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M correct answers M M Patients should be counseled that moderate physical a
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