CLIPP Case 2

Question 1

unilateral chest pain

Answer 1

pleurisy

Question 2

3 criteria for typical angina

Answer 2

substernal
exertional
relieved w/ NTG

Question 3

who usually presents w/ atypical features

Answer 3

females
elderly
diabetics

Question 4

how does thyroid affect the heart

Answer 4

hypothyroidism –> adversely affects lipid levels

hyperthyroidism –> increases O2 demand on heart

Question 5

check what lab before starting statin

Answer 5

ALT

Question 6

what does eating unsaturated fat do to cholesterol

Answer 6

decr TG

incr HDL

Question 7

5 criteria for metabolic syndrome

Answer 7

waist circ > 40 in men or > 35 in women
TG > 150
HDL 130/85
fasting glucose > 110

Question 8

things to look at to stop stress test

Answer 8

ST depression at least 3 mm
ST elevation at least 1 mm
fall systolic at least 20

Question 9

meds to tx angina

Answer 9

nitrates (decr preload and O2 demand)
BB (decr O2 consumption)
CCB (dilate coronary aa)

Question 10

side effects of HCTZ

Answer 10

hyponatremia
hypokalemia
dehydration
incr serum uric acid –> gout

Question 11

side effects of ACEi

Answer 11

hyperkalemia
cough
angioedema