Question

13. Which of the following medication can you give to a patient that you think is having a Myocardial Infarction? A) Digoxin B) Aspirin C) Dopamine D) Epinephrine 14. Which of the following is a sign of right sided heart failure? A) Peripheral Edema B) Hypercoagulability C) Cyanosis D) Pulmonary Congestion 15. Which of the following signs would be present in a patient with Peripheral Artery disease? A) Angina B) Chest Pain c) Yellow skin D) Intermittent Claudication 16. A patient shows up to the emergency with Left sided chest pain that radiates to his neck and arm. The patient reveals that he feels intense pain when he tries to have a deep breath and by leaning forward. When you take the patient's blood pressure it is: 140/100 mmHg, and it changes to 120/90mmHg with the patient's inspiration. How is this effect called? A) Paroxysmal Nocturnal Dyspnea B) Pericardial Rub C) Pulsus Paradoxus D) Bradycardia 17. A patient shows up to the emergency with left sided chest pain that radiates to his neck and arm. The patient reveals that he feels intense pain when he tries to have a deep breath and by leaning forward. When you take the patient's blood pressure it is: 140/100 mmHg, and it changes to 120/90mmHg with the patient's inspiration. Which is the diagnosis? A) Pericarditis B) Myocardial infarction C) Printzmetal or Variant Angina D) Pulmonary Embolism 18. A patient shows up to the emergency with left sided chest pain that radiates to his neck and arm that started 5 minutes ago. The patient reveals that he has constant pain that started after working out He says that lately he has been having pain lately when he works out. After the administration of nitroprusside, the patient says he feels better. Which is the diagnosis? A) Unstable Angina B) Myocardial infarction C) Printzmetal or Variant Angina D) Stable Angina

Answer 1

13.Myocardial infarction refers to damage to cardiac tissues due to lack of blood supply.This is usually treated with anti platelets(Aspirin), thrombolytic (Heparin), Glycoprotein I B,IIIA inhibitor (Tirofiban) , vasodialtor (NTG)

Ans:B)Aspirin

14.The typical sign if right sided heart failure are distended jugular vein, edema which are dependant part like legs, fatigue, increase in weight,ascities, dyspnea while lying down ,anorexia, coughing

Ans:A)Peripheral edema

15.The sign of peripheral artery disease are pain in the leg which are intermittent due to claudication,loss of hair in the leg,thinning of skin, cool skin

Ans:D)intermittent claudication

16.In Pulsus paradoxus when a patient lies down there is a drop of blood pressure less than 10mmHg.

Bradycardia is a decreased heart rate,Pericardial rub occurs due to systolic alteration in pericarditis Paroxysmal nocturnal dyspnea leads to difficulty breathing in the night time

Ans:C)Pulsus paradoxus