test for CAD
Your patient underwent an exercise stress test for CAD. There is significant elevation of the ST-segment.What do you need to know about these changes to manage your patient’s care?
: This patient needs to see someone more experienced in treatment of CAD
These changes are predictive of myocardial infarction
These changes have minimal predictive value for CAD
These changes predict dire outcomes
When there is a consequential loss of structural integrity of the abdominal aorta, the resulting issue is what condition?
Abdominal aortic aneurysm
You see a 60-year old African American male in your clinic with a recent diagnosis of hypertension. He asks you what he should restrict in his diet, and is particularly interested in limiting his sodium intake. What amount of sodium intake would you recommend on a daily basis for this patient?
No added table salt
Why would inability to exercise reduce the specificity of the routine ETT?
Produces QRS changes that cannot be interpreted
Produces persistent ST-segmental changes and T-wave abnormalities
Causes ST-segment changes and P-wave abnormalities
Will not produce any changes in ECG
By standard criteria, how is a positive stress test defined?
Development of a horizontal or down sloping ST-segment depression of 1mm
Down sloping of the ST-segment at the J point of the QRS
Development of a horizontal or down sloping ST-segment depression of 10mm
Upward sloping ST-segment measured at the J point of the QRS
What are the two types of bradycardia recognized by the American Heart Association?
Relative and absolute
Absolute and pending
Refractory and non-refractory
Relative and dynamic
You see a 75-year old female in your clinic today complaining of urinary incontinence. She is otherwise healthy based upon her last visit. She states that her mother told her this would happen someday because it happens to every woman at some age. What would you tell this patient?
This happens to all women as they age
No need to worry. This is normal. Your mother was correct.
This is not an expected condition related to aging.
This happens to men as well and most women before your age.
What do you know regarding ischemia that is confined to only the posterior and or lateral segments of the left ventricle?
ETT cannot be used for detection
Difficult to detect by ETT
Requires both for detection of changes by ETT
Easier to detect by ETT
What three conditions definitely alter the results of echocardiography in determining CAD?
Obesity, rapid heart rate and lung disease
Diabetes, kidney disease and tooth decay
Obesity, slow heart rates and hypertension
Previous MI, hypotension and diabetes
Specifically, when is an ETT considered to be negative?
Patient has ST-segmental changes with down sloping of greater than 1 mm at 50% of age-predicted maximum heart rate
Patient exercises to 85% of age predicted maximum heart rate without evidence of induced ischemia
Patient exercises to 20% maximum age-predicted heart rate without induced ischemia
Patient exercises until tired without evidence of induced ischemia
All patients, even is asymptomatic, require risk stratification according to the Farmingham risk score. At present, ACC/AHA guidelines, however, do not normally support stress tests for asymptomatic patients without addiitonal justification. From the list below, what could be used to justify a ETT in an asymptomatic patient?
A smoker of 3 weeks
A member of congress
Sedentary and wishes to begin aggressive exercise
BPH is not a risk factor for Prostate cancer. Is this statement true or false?
Spread of genital herpes only occurs during the time period with active lesions. Is this statement true or false?
Abdominal aortic aneurysms are often asymptomatic. What percent of AAA’s are discovered in asymptomatic patients?
Improvements in the delivery and management of healthcare are necessary if we are to improve the overall health of this nation’s population. Which of the following are identified in your readings as strategic in the movement to improve the healthcare system?
President and Congress
Population management and healthcare practice
Socialized medicine and governmental controls
Monetary savings and limited disruption in healthcare delivery
What are the two main types of heart failure?
Systolic and diastolic
Hopeless and severe
Left sided and main
End diastolic and pressure related
The majority of all strokes are non-ischemic. Is this statement true or false?
When a murmur is first heard, it is important to determine if it is due to a pathological condition or benign. For an experienced practitioner, it is always easy to determine the cause of a murmur merely by listening to the sound. Is this statement true or false?
Maintenance of an Isometric ST-segment during exercise is the response of?
A normal heart
An abnormal heart
The goal of self-management is to specifically do what?
Engage patients in their own care
Engage insurance providers in patient care
Engage providers in patient care
Engage government in greater involvement in patient care