MI and Angina Management Quiz
16 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is NOT one of the six independent predictors of complications in the Cardiac Risk Index discussed in the text?

  • History of atrial fibrillation (correct)
  • High-risk type of surgery
  • Preoperative treatment with insulin
  • History of cerebrovascular disease
  • What is the most common form of end organ damage associated with hypertension as mentioned in the text?

  • Ischemic heart disease (correct)
  • Chronic kidney disease
  • Peripheral artery disease
  • Stroke
  • In patients undergoing major surgery, what percentage experience serious myocardial injury according to the text?

  • 5%
  • 10%
  • 8% (correct)
  • 2%
  • What is the defined threshold for hypertension as per the text?

    <p>&gt;140/90 mmHg</p> Signup and view all the answers

    Which cardiac medication is NOT mentioned in the text as a preoperative treatment that could impact cardiac risk?

    <p>Diuretics</p> Signup and view all the answers

    Which is a preoperative predictor of myocardial infarction?

    <p>Elective surgery in the presence of acute heart failure</p> Signup and view all the answers

    Which is NOT recommended as a preoperative strategy for patients with stents awaiting elective surgery?

    <p>Starting heparin bridging</p> Signup and view all the answers

    What is a powerful marker of cardiovascular disease in nonsurgical patients?

    <p>Brain natriuretic peptide (BNP)</p> Signup and view all the answers

    In heart failure, what helps predict risk in non-cardiac surgery when activity level cannot be assessed?

    <p>BNP</p> Signup and view all the answers

    Which medication discontinuation is the most significant independent predictor of stent thrombosis?

    <p>Clopidogrel</p> Signup and view all the answers

    What lifestyle modification is important in reducing risk factors for coronary artery disease?

    <p>Smoking cessation</p> Signup and view all the answers

    How is the Duke Activity Status Index (DASI) used in patient assessment?

    <p>Act as a surrogate for echocardiograms to assess LV function.</p> Signup and view all the answers

    In cardiac testing, what does a 'positive' result for an exercise EKG indicate?

    <p>More than 1 mm of horizontal or down-sloping ST-segment depression.</p> Signup and view all the answers

    What is the primary purpose of nuclear stress testing in patients who cannot exercise?

    <p>To evaluate coronary perfusion with greater sensitivity than exercise stress testing.</p> Signup and view all the answers

    What is a key limitation mentioned regarding diagnostic tests and coronary plaque stability?

    <p>No test can predict the stability of coronary plaque.</p> Signup and view all the answers

    What proportion of patients experience new-onset angina pectoris or a change in angina pattern before an acute MI?

    <p>Almost two thirds</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Browser