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 . The correct option is B) Aspirin is given to reduce the pain of MI .

-Powerfully inhibits platelet aggregation by inhibiting thromboxane A2 production.

-Major actions appear to be associated primarily w/ inhibiting the formation of prostaglandins involved in the production of inflammation, pain, and fever.

-Lowers body temp. by indirectly causing centrally mediated peripheral vasodilation and sweating.

14. The correct option is A) peripheral edema . It is a sign of right side heart failure .

15. The correct option is D) Intermittent claudication . An aching, crampy, tired, and sometimes burning pain in the legs that comes and goes ,it typically occurs with walking and goes away with rest due to poor circulation of blood in the arteries of the legs.

16. The correct option is C) Pulsus paradoxus. It is defined as 10mmhg or more fall in systolic pressure that occurs with inspiration .