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Questions and Answers
Which of the following can cause cardiac troponin elevation without being directly related to myocardial ischemia?
Which of the following can cause cardiac troponin elevation without being directly related to myocardial ischemia?
What type of heart condition can trigger troponin elevation due to secondary myocardial ischemia (MI type 2)?
What type of heart condition can trigger troponin elevation due to secondary myocardial ischemia (MI type 2)?
Which of the following conditions is associated with troponin elevations due to damage not related to myocardial ischemia?
Which of the following conditions is associated with troponin elevations due to damage not related to myocardial ischemia?
Which of these is NOT a cause of troponin elevation in the absence of overt ischemic heart disease?
Which of these is NOT a cause of troponin elevation in the absence of overt ischemic heart disease?
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Which of these is NOT a condition associated with elevated cardiac troponin levels due to damage related to secondary myocardial ischemia?
Which of these is NOT a condition associated with elevated cardiac troponin levels due to damage related to secondary myocardial ischemia?
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What is the recommended dosage of Varenicline on days 1-3?
What is the recommended dosage of Varenicline on days 1-3?
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When should Varenicline be taken in relation to food?
When should Varenicline be taken in relation to food?
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What is the recommended starting date for Varenicline?
What is the recommended starting date for Varenicline?
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Which of the following is a precaution for Varenicline?
Which of the following is a precaution for Varenicline?
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What is a common side effect of Varenicline?
What is a common side effect of Varenicline?
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What is the recommended dosage of Varenicline for the remainder of the treatment?
What is the recommended dosage of Varenicline for the remainder of the treatment?
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According to the PRECISE-DAPT score, what is the recommended dosage of prasugrel for patients undergoing stent implantation?
According to the PRECISE-DAPT score, what is the recommended dosage of prasugrel for patients undergoing stent implantation?
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What is the recommended dosage adjustment for Varenicline in patients with renal impairment?
What is the recommended dosage adjustment for Varenicline in patients with renal impairment?
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What is a potential side effect of Varenicline related to sleep?
What is a potential side effect of Varenicline related to sleep?
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Which of the following antiplatelet agents is a cyclopentyl-triazolopyrimidine?
Which of the following antiplatelet agents is a cyclopentyl-triazolopyrimidine?
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Which of the following is NOT a recommended dosage adjustment for clopidogrel in patients with chronic kidney disease (CKD)?
Which of the following is NOT a recommended dosage adjustment for clopidogrel in patients with chronic kidney disease (CKD)?
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What is the recommended starting dose of clopidogrel for smokers with a time-to-first cigarette (TTFC) of 30 minutes or less?
What is the recommended starting dose of clopidogrel for smokers with a time-to-first cigarette (TTFC) of 30 minutes or less?
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Which of the following is a relevant resource for calculating the PRECISE-DAPT score?
Which of the following is a relevant resource for calculating the PRECISE-DAPT score?
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What is the purpose of the PRECISE-DAPT score?
What is the purpose of the PRECISE-DAPT score?
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According to the table, which antiplatelet agent is NOT recommended for patients with stage 5 CKD (eGFR <15 mL/min/1.73m2)?
According to the table, which antiplatelet agent is NOT recommended for patients with stage 5 CKD (eGFR <15 mL/min/1.73m2)?
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The article cited in the content is published in which reputable medical journal?
The article cited in the content is published in which reputable medical journal?
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According to the PRECISE-DAPT score, what is the bleeding score threshold for a 1-year bleeding risk of >4.15%?
According to the PRECISE-DAPT score, what is the bleeding score threshold for a 1-year bleeding risk of >4.15%?
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Based on the PRECISE-DAPT score table, what is the approximate 1-year bleeding risk for a patient with a bleeding score of 15?
Based on the PRECISE-DAPT score table, what is the approximate 1-year bleeding risk for a patient with a bleeding score of 15?
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What is the approximate 1-year bleeding risk associated with a bleeding score of 5?
What is the approximate 1-year bleeding risk associated with a bleeding score of 5?
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Based on the table, which of the following factors does NOT contribute to the bleeding score?
Based on the table, which of the following factors does NOT contribute to the bleeding score?
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A patient with a creatinine clearance of 50 mL/min has a bleeding score of 15. Based on these data, what is the approximated 1-year bleeding risk?
A patient with a creatinine clearance of 50 mL/min has a bleeding score of 15. Based on these data, what is the approximated 1-year bleeding risk?
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What is the highest bleeding score that corresponds to a 1-year bleeding risk of less than 1%?
What is the highest bleeding score that corresponds to a 1-year bleeding risk of less than 1%?
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According to the table, what is the approximate 1-year bleeding risk for a patient with a bleeding score of 25?
According to the table, what is the approximate 1-year bleeding risk for a patient with a bleeding score of 25?
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A patient has a bleeding score of 30. What is the approximate 1-year bleeding risk?
A patient has a bleeding score of 30. What is the approximate 1-year bleeding risk?
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Patients with a creatinine clearance of 60 mL/min and a haemoglobin level of 11.5 g/dL fall within which bleeding score range?
Patients with a creatinine clearance of 60 mL/min and a haemoglobin level of 11.5 g/dL fall within which bleeding score range?
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A patient has a bleeding score of 10 and a haemoglobin level of 12 g/dL. What is the approximate 1-year bleeding risk?
A patient has a bleeding score of 10 and a haemoglobin level of 12 g/dL. What is the approximate 1-year bleeding risk?
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What is the threshold for a major or minor TIMI bleeding score in the PRECISE-DAPT model?
What is the threshold for a major or minor TIMI bleeding score in the PRECISE-DAPT model?
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What is the approximate 1-year bleeding risk for a patient with a haemoglobin level of 10 g/dL and white blood cell count of 16 x10^3 cells per µL, given the bleeding score is 15?
What is the approximate 1-year bleeding risk for a patient with a haemoglobin level of 10 g/dL and white blood cell count of 16 x10^3 cells per µL, given the bleeding score is 15?
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If a patient has a creatinine clearance of 80 ml/min, what is the approximated age range associated with a bleeding score of 22?
If a patient has a creatinine clearance of 80 ml/min, what is the approximated age range associated with a bleeding score of 22?
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What is the approximate 1-year bleeding risk for a patient with a bleeding score of 25 if they have a history of previous bleed?
What is the approximate 1-year bleeding risk for a patient with a bleeding score of 25 if they have a history of previous bleed?
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According to the PRECISE-DAPT score, what is the approximate 1-year bleeding risk for a patient with a bleeding score of 10?
According to the PRECISE-DAPT score, what is the approximate 1-year bleeding risk for a patient with a bleeding score of 10?
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According to the HEART SCORE, a patient with a history of significant ST segment depression on ECG, age > 45 - < 65 years, and 1 or 2 risk factors would have a score of:
According to the HEART SCORE, a patient with a history of significant ST segment depression on ECG, age > 45 - < 65 years, and 1 or 2 risk factors would have a score of:
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Which of the following conditions is not considered a risk factor for coronary artery disease in the HEART SCORE?
Which of the following conditions is not considered a risk factor for coronary artery disease in the HEART SCORE?
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A patient with a history of slightly suspicious symptoms, a normal ECG, is ≤ 45 years old, and has no known risk factors would have a HEART SCORE of:
A patient with a history of slightly suspicious symptoms, a normal ECG, is ≤ 45 years old, and has no known risk factors would have a HEART SCORE of:
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A patient with moderately suspicious symptoms, non-specific repolarization disturbances on ECG, age ≥ 65 years, and > 3 risk factors would have a HEART SCORE of:
A patient with moderately suspicious symptoms, non-specific repolarization disturbances on ECG, age ≥ 65 years, and > 3 risk factors would have a HEART SCORE of:
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A patient whose troponin levels are > 1 - < 3 x normal, but has a normal ECG, is ≤ 45 years old, and has no known risk factors would have a HEART SCORE of:
A patient whose troponin levels are > 1 - < 3 x normal, but has a normal ECG, is ≤ 45 years old, and has no known risk factors would have a HEART SCORE of:
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What is the highest possible HEART SCORE based on the information provided in the Appendix?
What is the highest possible HEART SCORE based on the information provided in the Appendix?
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Which of these factors carries the most weight in determining a patient's HEART SCORE?
Which of these factors carries the most weight in determining a patient's HEART SCORE?
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The HEART SCORE is a tool used for:
The HEART SCORE is a tool used for:
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What is the maximum number of risk factors for Coronary Artery Disease (CAD) that can contribute to a TIMI Risk Score of 1?
What is the maximum number of risk factors for Coronary Artery Disease (CAD) that can contribute to a TIMI Risk Score of 1?
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Which of the following is NOT a variable used in calculating the TIMI Risk Score?
Which of the following is NOT a variable used in calculating the TIMI Risk Score?
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A patient presents with chest pain and has a TIMI risk score of 4. What category does this patient fall into?
A patient presents with chest pain and has a TIMI risk score of 4. What category does this patient fall into?
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What is the percentage of patients with a TIMI Risk Score of 2 who experience all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization within 14 days?
What is the percentage of patients with a TIMI Risk Score of 2 who experience all-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization within 14 days?
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Which of the following would NOT contribute to a higher TIMI Risk Score?
Which of the following would NOT contribute to a higher TIMI Risk Score?
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What is the primary difference between the original HEART score and the Modified HEART score mentioned in the text?
What is the primary difference between the original HEART score and the Modified HEART score mentioned in the text?
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What category is a patient with a TIMI score of 7 placed in?
What category is a patient with a TIMI score of 7 placed in?
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What condition would lead to a TIMI score of 1 if it were the only factor present in the patient?
What condition would lead to a TIMI score of 1 if it were the only factor present in the patient?
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Flashcards
Myocardial Ischemia Type 2
Myocardial Ischemia Type 2
Damage to the heart muscle due to factors other than coronary artery blockage.
Cardiac Contusion
Cardiac Contusion
Bruising of the heart muscle, often occurring after trauma.
Cardiotoxic Agents
Cardiotoxic Agents
Substances that can damage the heart, such as certain chemotherapy drugs and carbon monoxide.
Rhabdomyolysis with Cardiac Involvement
Rhabdomyolysis with Cardiac Involvement
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Apical Ballooning Syndrome
Apical Ballooning Syndrome
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HEART Score
HEART Score
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Highly suspicious history
Highly suspicious history
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Moderately suspicious history
Moderately suspicious history
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ECG significance
ECG significance
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Age risk factor
Age risk factor
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Risk factors
Risk factors
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Troponins
Troponins
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No known risk factors
No known risk factors
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Varenicline
Varenicline
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Dosage for Varenicline
Dosage for Varenicline
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Start date for Varenicline
Start date for Varenicline
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Renal insufficiency
Renal insufficiency
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Precautions for Varenicline
Precautions for Varenicline
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Common side effects of Varenicline
Common side effects of Varenicline
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Nicotine replacement therapy
Nicotine replacement therapy
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Nicotine gum usage
Nicotine gum usage
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PRECISE-DAPT Score
PRECISE-DAPT Score
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Clopidogrel
Clopidogrel
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Prasugrel
Prasugrel
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Ticagrelor
Ticagrelor
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Dosing in CKD
Dosing in CKD
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Dual Antiplatelet Therapy
Dual Antiplatelet Therapy
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Cyclopentyl-triazolopyrimidine
Cyclopentyl-triazolopyrimidine
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Time-to-first cigarette (TTFC)
Time-to-first cigarette (TTFC)
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Atherosclerotic disease
Atherosclerotic disease
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Coronary revascularization
Coronary revascularization
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TIMI Risk Score
TIMI Risk Score
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Low Risk category in TIMI
Low Risk category in TIMI
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High Risk category in TIMI
High Risk category in TIMI
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Anginal episodes
Anginal episodes
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Elevated serum cardiac biomarkers
Elevated serum cardiac biomarkers
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hs-cTn usage in heart score
hs-cTn usage in heart score
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NSTE-ACS
NSTE-ACS
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GRACE Score
GRACE Score
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Major Bleeding
Major Bleeding
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Minor Bleeding
Minor Bleeding
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CREATIVE Score
CREATIVE Score
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Hemoglobin Levels
Hemoglobin Levels
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White Blood Cell Count
White Blood Cell Count
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Creatinine Clearance
Creatinine Clearance
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Previous Bleed
Previous Bleed
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Bleeding Score
Bleeding Score
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Age Factor
Age Factor
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ST Elevation
ST Elevation
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Acute Coronary Syndrome
Acute Coronary Syndrome
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Observation Study
Observation Study
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Study Notes
Damage Related to Secondary Myocardial Ischemia (MI Type 2)
- Tachy- or bradyarrhythmias
- Aortic dissection and severe aortic valve disease
- Hypo- or hypertension, such as hemorrhagic shock, or hypertensive emergencies
- Acute and chronic heart failure without significant CAD
- Hypertrophic cardiomyopathy
- Coronary vasculitis, such as systemic lupus erythematosus or Kawasaki syndrome
- Coronary endothelial dysfunction without significant CAD, such as cocaine abuse
Damage Not Related to Myocardial Ischemia
- Cardiac contusion
- Cardiac incisions with surgery
- Radiofrequency or cryoablation therapy
- Rhabdomyolysis with cardiac involvement
- Myocarditis
- Cardiotoxic agents, such as anthracyclines, Herceptin, and carbon monoxide poisoning
- Severe burns affecting more than 30% of body surface
- Indeterminate or multifactorial group
- Apical ballooning syndrome
- Severe pulmonary embolism or pulmonary hypertension
- Peripartum cardiomyopathy
- Renal failure
- Severe neurological disease, such as stroke or trauma
- Infiltrative disease, such as amyloidosis or sarcoidosis
- Extreme exertion
- Sepsis
- Acute respiratory failure
- Frequent defibrillator shocks
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Description
Test your knowledge on secondary myocardial ischemia and various cardiac conditions. This quiz covers topics such as arrhythmias, heart failure, and cardiotoxic agents. Understand the differences between damage related and not related to myocardial ischemia.