Chapter 13 MC

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Questions and Answers

What type of angina is typically not precipitated by physical exertion or emotional stress?

  • Unstable Angina
  • Silent Ischemia
  • Stable Angina
  • Variant Angina Pectoris (correct)

Which type of angina is associated with sudden death?

  • Silent Ischemia
  • Unstable Angina
  • Stable Angina
  • Variant Angina Pectoris (correct)

What condition can usually reverse the reduction in coronary artery diameter seen in Variant Angina Pectoris?

  • Aspirin
  • Beta-blockers
  • Statins
  • Nitroglycerin (correct)

In individuals with known coronary artery disease, which type of ischemia occurs without any symptoms?

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

What type of angina can progress to crescendo angina and pain at rest in individuals with known stable angina?

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

Which condition is mentioned as one of the causes of silent ischemia?

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

What is a recent trend in AICD implantation?

<p>Earlier implantation without EPS testing (A)</p> Signup and view all the answers

What has not been proven to have a role in PTCA therapy?

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

What has shown marked improvement in early restenosis rates in coronary disease treatment?

<p>Newer coronary artery stents (B)</p> Signup and view all the answers

What has not been found to 'cure' CAD despite promising outcomes?

<p>Therapy with anticoagulants (C)</p> Signup and view all the answers

What is an additional risk factor for CAD in the elderly apart from cardiac medication use?

<p>Abdominal aortic aneurysm (B)</p> Signup and view all the answers

In contrast to earlier reports, what have recent studies shown regarding CAD?

<p>Similar restenosis rates and survival rates in males and females (A)</p> Signup and view all the answers

What is a characteristic of individuals with unstable angina?

<p>They show lesions similar in severity to those with ulceration or ruptured plaques. (C)</p> Signup and view all the answers

What usually marks the end of the unstable phase in individuals with angina?

<p>Development of predictable symptoms (D)</p> Signup and view all the answers

In very early presentations of MI, what can precede coronary artery dissection and vasospasm?

<p>Serum troponin elevation (A)</p> Signup and view all the answers

What is a reason why coronary angiography can be relatively less complex in younger patients?

<p>Ability to perform manipulations with less difficulty (B)</p> Signup and view all the answers

What is a common cause of most sudden cardiac deaths?

<p>Arrhythmias triggered by acute events (C)</p> Signup and view all the answers

Which reversible triggers are mentioned for arrhythmias necessitating electrophysiologic testing?

<p>Acute ischemia and electrolyte abnormalities (C)</p> Signup and view all the answers

What type of test is considered equal in value to standard exercise testing in individuals who cannot undergo exercise?

<p>Pharmacologic stress tests (B)</p> Signup and view all the answers

Which type of scan is widely used in cardiac diagnosis and provides cardiac image 'slices' per second?

<p>Computed tomography (CT) scan (C)</p> Signup and view all the answers

What does CT Angiogram (CTA) reveal non-invasively?

<p>Coronary artery anatomy (D)</p> Signup and view all the answers

Which procedure involves a catheter being passed into the coronary artery with radiographic contrast material injected into it?

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

What has caused the rapid expansion in cardiac diagnosis with improved resolution and anatomic clarity?

<p>Computed tomography (CT) scan (D)</p> Signup and view all the answers

What type of test involves magnet circles around the body to align hydrogen nuclei, leading to improved cardiac diagnosis?

<p>Positron Emission Tomography (PET) (B)</p> Signup and view all the answers

What is the measure of pulse pressure?

<p>Systolic minus diastolic blood pressure (C)</p> Signup and view all the answers

Which condition is associated with elevated pulse pressure?

<p>Heart disease events (C)</p> Signup and view all the answers

What is the primary success rate of PTCA and coronary stenting in the elderly comparable to?

<p>Known CAD results (B)</p> Signup and view all the answers

Which test involves the individual starting at low workloads and progressing to higher, reaching a maximal heart rate determined by age and sex?

<p>Exercise Stress Tests (C)</p> Signup and view all the answers

'Supplementary radionuclide and echocardiographic/Doppler imaging during testing' replaced which imaging agent in tests?

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

'Echocardiography/Doppler studies can be done during exercise and compared' to what for better results?

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

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