Coronary Artery Disease Quiz

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Questions and Answers

Which of the following is a symptom of stable angina pectoris?

  • Restlessness
  • Nausea
  • Dyspnea
  • Retrosternal pain (correct)

What is the etiology of symptoms in coronary artery disease?

  • Excessive alcohol consumption
  • Insufficient blood flow through atherosclerotically changed coronary vessels (correct)
  • Hyperlipidemia
  • Family history

Which investigation method shows how the heart works under stress?

  • Exercise ECG
  • Functional imaging tests (correct)
  • CT calcium scoring
  • Invasive coronary angiography

Which of the following is a contraindication for thrombolytic drugs in the management of acute myocardial infarction?

<p>Chronic warfarin therapy (C)</p> Signup and view all the answers

What is the recommended initial dose of aspirin in the treatment of acute myocardial infarction?

<p>325mg (C)</p> Signup and view all the answers

Which of the following is NOT a complication of acute myocardial infarction?

<p>Stroke (B)</p> Signup and view all the answers

What percentage of deaths from acute myocardial infarction occur within the first month?

<p>40% (C)</p> Signup and view all the answers

Which imaging technique is used to determine if the coronary arteries are narrowed or blocked?

<p>Computed tomography (CT) scanning (A)</p> Signup and view all the answers

Which of the following is NOT a symptom of acute coronary syndrome (ACS)?

<p>Headache (B)</p> Signup and view all the answers

What physical examination finding may indicate ventricular dysfunction due to ischemia?

<p>Pale and diaphoretic appearance (B)</p> Signup and view all the answers

Which cardiac biomarker lasts for 7-10 days and is used for diagnosing acute coronary syndrome?

<p>Cardiac troponin T (D)</p> Signup and view all the answers

Which of the following risk factors is NOT associated with coronary artery disease?

<p>Diabetes (D)</p> Signup and view all the answers

Which type of angina is characterized by pain that occurs predictably at a certain level of exertion?

<p>Stable angina pectoris (C)</p> Signup and view all the answers

Which investigation method is used to detect calcium in the coronary artery walls?

<p>CT calcium scoring (C)</p> Signup and view all the answers

Which of the following is NOT a symptom of acute coronary syndrome (ACS)?

<p>Headache (D)</p> Signup and view all the answers

What is the initial treatment for acute coronary syndrome (ACS)?

<p>Aspirin (B)</p> Signup and view all the answers

Which cardiac biomarker is commonly used for diagnosing acute coronary syndrome (ACS)?

<p>Cardiac troponin T (D)</p> Signup and view all the answers

What physical examination finding may indicate congestive heart failure (CHF) in a patient with acute coronary syndrome (ACS)?

<p>Third heart sound (S3) (B)</p> Signup and view all the answers

Which of the following is an absolute contraindication for thrombolytic drugs in the management of acute myocardial infarction?

<p>Chronic warfarin therapy (A)</p> Signup and view all the answers

Which of the following is NOT a treatment option for recurrent ischemia in acute myocardial infarction?

<p>Repeated reperfusion (C)</p> Signup and view all the answers

Which of the following is a relative contraindication for percutaneous coronary interventions (PCI) in the management of acute myocardial infarction?

<p>Recent major trauma (D)</p> Signup and view all the answers

Which of the following is a complication of acute myocardial infarction that may require mechanical revascularization?

<p>Papillary muscle rupture (D)</p> Signup and view all the answers

Which of the following is a symptom of stable angina pectoris?

<p>Retrosternal pain (D)</p> Signup and view all the answers

What is the etiology of symptoms in coronary artery disease?

<p>Insufficient blood flow through atherosclerotically changed coronary vessels (C)</p> Signup and view all the answers

Which investigation method is used to detect calcium in the coronary artery walls?

<p>CT calcium scoring (A)</p> Signup and view all the answers

Which of the following is an absolute contraindication for thrombolytic drugs in the management of acute myocardial infarction?

<p>Suspected aortic dissection (A)</p> Signup and view all the answers

Which of the following is NOT a complication of acute myocardial infarction?

<p>Hemorrhagic diabetic retinopathy (A)</p> Signup and view all the answers

Which of the following is a symptom of stable angina pectoris?

<p>Pain that occurs predictably at a certain level of exertion (C)</p> Signup and view all the answers

Which of the following is a relative contraindication for percutaneous coronary interventions (PCI) in the management of acute myocardial infarction?

<p>Severe menstrual bleeding (D)</p> Signup and view all the answers

Which of the following is a symptom of acute coronary syndrome (ACS)?

<p>Feeling weak and lightheaded (D)</p> Signup and view all the answers

Which of the following physical examination findings may indicate congestive heart failure (CHF) in a patient with acute coronary syndrome (ACS)?

<p>Neck vein distention (A)</p> Signup and view all the answers

Which of the following cardiac biomarkers is commonly used for diagnosing acute coronary syndrome (ACS)?

<p>Cardiac troponin T (A)</p> Signup and view all the answers

Which of the following investigation methods is used to detect calcium in the coronary artery walls?

<p>CT coronary angiography (A)</p> Signup and view all the answers

Which of the following is a symptom of stable angina pectoris?

<p>Retrosternal pain (A)</p> Signup and view all the answers

Which investigation method is used to detect calcium in the coronary artery walls?

<p>CT calcium scoring (B)</p> Signup and view all the answers

What is the etiology of symptoms in coronary artery disease?

<p>Insufficient blood flow through atherosclerotically changed coronary vessels (A)</p> Signup and view all the answers

Which of the following is an absolute contraindication for thrombolytic drugs in the management of acute myocardial infarction?

<p>Suspected Aortic dissection (D)</p> Signup and view all the answers

Which of the following is a relative contraindication for percutaneous coronary interventions (PCI) in the management of acute myocardial infarction?

<p>SBP &gt; 180 mm Hg (B)</p> Signup and view all the answers

Which of the following is NOT a treatment option for recurrent ischemia in acute myocardial infarction?

<p>Thrombolytic drugs (C)</p> Signup and view all the answers

What is the prognosis for patients who survive an acute myocardial infarction?

<p>50% live for 10 yrs (B)</p> Signup and view all the answers

Which of the following is NOT a symptom of acute coronary syndrome (ACS)?

<p>Chest pain or discomfort (A)</p> Signup and view all the answers

Which of the following physical examination findings may indicate congestive heart failure (CHF) in a patient with acute coronary syndrome (ACS)?

<p>Mitral regurgitant murmur (A)</p> Signup and view all the answers

Which of the following cardiac biomarkers is commonly used for diagnosing acute coronary syndrome (ACS)?

<p>Cardiac troponin T (B)</p> Signup and view all the answers

Which of the following is an absolute contraindication for thrombolytic drugs in the management of acute myocardial infarction?

<p>Active bleeding or bleeding diathesis (B)</p> Signup and view all the answers

Which of the following is a symptom of stable angina pectoris?

<p>Retrosternal pain (C)</p> Signup and view all the answers

Which of the following is NOT a risk factor for coronary artery disease?

<p>Excessive alcohol (A)</p> Signup and view all the answers

Which investigation method is used to detect calcium in the coronary artery walls?

<p>CT calcium scoring (C)</p> Signup and view all the answers

Which of the following is NOT a symptom of acute coronary syndrome (ACS)?

<p>Feeling weak, light-headed, or faint (A)</p> Signup and view all the answers

Which of the following physical examination findings may indicate ventricular dysfunction due to ischemia?

<p>Hypotension (D)</p> Signup and view all the answers

Which of the following cardiac biomarkers is used for diagnosing acute coronary syndrome (ACS) and lasts for 7-10 days?

<p>Cardiac troponin T (B)</p> Signup and view all the answers

Which of the following is a potential complication of acute myocardial infarction that may require mechanical revascularization?

<p>Congestive heart failure (CHF) (B)</p> Signup and view all the answers

Which of the following is an absolute contraindication for thrombolytic drugs in the management of acute myocardial infarction?

<p>Active bleeding (C)</p> Signup and view all the answers

Which of the following is a relative contraindication for percutaneous coronary interventions (PCI) in the management of acute myocardial infarction?

<p>Severe renal/liver disease (C)</p> Signup and view all the answers

Which of the following is NOT a symptom of acute coronary syndrome (ACS)?

<p>Fever (A)</p> Signup and view all the answers

What is the prognosis for patients who survive an acute myocardial infarction?

<blockquote> <p>80% live for 1 year (A)</p> </blockquote> Signup and view all the answers

Which of the following is NOT a symptom of stable angina pectoris?

<p>Nausea (C)</p> Signup and view all the answers

Which investigation method is used to detect calcium in the coronary artery walls?

<p>CT calcium scoring (A)</p> Signup and view all the answers

What is the recommended initial dose of aspirin in the treatment of acute myocardial infarction?

<p>81 mg (B)</p> Signup and view all the answers

Which of the following is NOT a symptom of acute coronary syndrome (ACS)?

<p>Radiating pain to the left arm and jaw/back (B)</p> Signup and view all the answers

Which of the following physical examination findings may indicate congestive heart failure (CHF) in a patient with acute coronary syndrome (ACS)?

<p>New or worsening mitral regurgitant murmur (A)</p> Signup and view all the answers

Which of the following cardiac biomarkers is used for diagnosing acute coronary syndrome (ACS) and lasts for 7-10 days?

<p>Cardiac troponin T (C)</p> Signup and view all the answers

Which investigation method is used to detect calcium in the coronary artery walls?

<p>CT coronary angiography (D)</p> Signup and view all the answers

Which of the following is an absolute contraindication for thrombolytic drugs in the management of acute myocardial infarction?

<p>Chronic warfarin therapy (A)</p> Signup and view all the answers

Which of the following is NOT a potential complication of acute myocardial infarction that may require mechanical revascularization?

<p>Pericarditis (C)</p> Signup and view all the answers

Which of the following is a relative contraindication for percutaneous coronary interventions (PCI) in the management of acute myocardial infarction?

<p>Active bleeding (D)</p> Signup and view all the answers

What is the prognosis for patients who survive an acute myocardial infarction?

<blockquote> <p>80% live for 1 yr, about 75%- 5 yrs, 50%- 10 yrs, 25%- 20 yrs (C)</p> </blockquote> Signup and view all the answers

Flashcards

Stable Angina Symptom

Discomfort behind the breastbone, often triggered by exertion or stress.

CAD Symptom Etiology

Reduced blood flow in coronary arteries due to plaque buildup.

Functional Imaging Tests

Tests that visualize heart function under stress, like exercise.

Thrombolytic Drugs

A class of drugs used to dissolve blood clots.

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Initial Aspirin Dose for AMI

The standard initial dose is 325mg.

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AMI Complications

Blockage in heart leads to heart failure, arrhythmia or cardiogenic shock.

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Mortality after AMI

About 40% of deaths occur within the first month after a heart attack.

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CT Scan for Coronary Arteries

Imaging to detect artery narrowing.

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Symptoms of ACS

Heart attack like symptoms include chest pain, shortness of breath, and sweating.

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Physical Exam Signs of Ischemia

Clammy, pale skin indicates ventricles not pumping strongly.

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Cardiac Biomarker for ACS

Cardiac troponin T lasts for 7-10 days.

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Risk factors for CAD

Diabetes is a major risk factor.

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Stable Angina Features

Pain is triggered by exertion.

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CT Calcium Scoring Use

Detects calcification in artery walls.

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ACS Initial Treatment

Aspirin reduces clot formation.

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Key ACS Biomarker

Cardiac troponin T.

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CHF Sign in ACS

S3 sound relates to CHF.

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Thrombolytic Contraindication

Drugs to dissolve blood clots.

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Reischemia Treatment

Repeated interventions.

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PCI Relative Contraindication

Recent trauma.

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AMI Complication Needing Revascularization

A condition that impairs heart function.

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Symptom of Stable Angina

Discomfort behind the breastbone happens at same level of exertion.

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CAD Explanation

Reduced blood supply due to atherosclerosis.

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Thrombolytic Absolute Contraindication

Suspected aortic dissection.

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Uses of CT Calcium Scoring

Calcification in artery walls.

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Symptoms of ACS.

Chest pain or discomfort.

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Lab tests to test ACS

Troponin indicates heart attack.

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Angina Symptom

Discomfort behind the sternum.

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Related Documents

9. angina.pptx

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