MEDICAL SURGERY EXAM 2 UPDATED QUESTIONS AND
ANSWERS
What is unstable angina - CORRECT ANSWER✅✅Angina that is not relieved by taking away the stressor
How do we treat angina - CORRECT ANSWER✅✅- have them lie or sit down on a stretcher to decrease
demand for oxygen.
- Take oxygen first then nitro
- Take nitro every 5 mins 2 times and then call doctor.
- Take the third one way to the hospital
What order do we perform MONA - CORRECT ANSWER✅✅- Oxygen
- Aspirin
- Nitro
- Morphine
What is the after load vs pre load - CORRECT ANSWER✅✅
Define Afterload - CORRECT ANSWER✅✅- amount of pressure needed to pump out of the heart into
the body
What is preload - CORRECT ANSWER✅✅- Amount of blood left in the heart after contraction - Gas in
the tank
What is stroke volume - CORRECT ANSWER✅✅the amount of blood pumped out of the heart after 1
min
What is going on with the heart when the ejection fraction/stroke volume decreased - CORRECT
ANSWER✅✅your bp and perfusion are lower because less blood is perfused through the tissue
, what does a patient look like with a low ejection fraction - CORRECT ANSWER✅✅they are pale to blue,
cool, tissues are taking as much oxygen as possible becase they dont know when they will see it again
What are the labs drawn for heart failure or MI - CORRECT ANSWER✅✅Troponin
CK MB
C
How long does troponin and CK MB stay in your system - CORRECT ANSWER✅✅- Troponin - 14 days
- CK MB - 24-48 hours
What is our cholesterol made out of 3 things - CORRECT ANSWER✅✅HDL, LDL, Triglycerides
What is the treatment for bradycardia - CORRECT ANSWER✅✅- Pacemaker
- Atropine
What are the signs and symptoms - CORRECT ANSWER✅✅grey and pasty
What are the rates of the conduction systems in the heart - CORRECT ANSWER✅✅SA - 60-100
AV - 40-60
Purkinje - 20-40
How do electrical signals travel in heart - CORRECT ANSWER✅✅internodal pathways
What is the difference between n stemi and stemi - CORRECT ANSWER✅✅N stemi has no ST elevation
what is vasospastic angina? - CORRECT ANSWER✅✅Rare form of angina that occurs from vasospasm
from cold temps or smoking, or medications that cause vasoconstriction
Why is NSTEMI worse - CORRECT ANSWER✅✅-- There are almost no signs of a heart attack
ANSWERS
What is unstable angina - CORRECT ANSWER✅✅Angina that is not relieved by taking away the stressor
How do we treat angina - CORRECT ANSWER✅✅- have them lie or sit down on a stretcher to decrease
demand for oxygen.
- Take oxygen first then nitro
- Take nitro every 5 mins 2 times and then call doctor.
- Take the third one way to the hospital
What order do we perform MONA - CORRECT ANSWER✅✅- Oxygen
- Aspirin
- Nitro
- Morphine
What is the after load vs pre load - CORRECT ANSWER✅✅
Define Afterload - CORRECT ANSWER✅✅- amount of pressure needed to pump out of the heart into
the body
What is preload - CORRECT ANSWER✅✅- Amount of blood left in the heart after contraction - Gas in
the tank
What is stroke volume - CORRECT ANSWER✅✅the amount of blood pumped out of the heart after 1
min
What is going on with the heart when the ejection fraction/stroke volume decreased - CORRECT
ANSWER✅✅your bp and perfusion are lower because less blood is perfused through the tissue
, what does a patient look like with a low ejection fraction - CORRECT ANSWER✅✅they are pale to blue,
cool, tissues are taking as much oxygen as possible becase they dont know when they will see it again
What are the labs drawn for heart failure or MI - CORRECT ANSWER✅✅Troponin
CK MB
C
How long does troponin and CK MB stay in your system - CORRECT ANSWER✅✅- Troponin - 14 days
- CK MB - 24-48 hours
What is our cholesterol made out of 3 things - CORRECT ANSWER✅✅HDL, LDL, Triglycerides
What is the treatment for bradycardia - CORRECT ANSWER✅✅- Pacemaker
- Atropine
What are the signs and symptoms - CORRECT ANSWER✅✅grey and pasty
What are the rates of the conduction systems in the heart - CORRECT ANSWER✅✅SA - 60-100
AV - 40-60
Purkinje - 20-40
How do electrical signals travel in heart - CORRECT ANSWER✅✅internodal pathways
What is the difference between n stemi and stemi - CORRECT ANSWER✅✅N stemi has no ST elevation
what is vasospastic angina? - CORRECT ANSWER✅✅Rare form of angina that occurs from vasospasm
from cold temps or smoking, or medications that cause vasoconstriction
Why is NSTEMI worse - CORRECT ANSWER✅✅-- There are almost no signs of a heart attack
