Angina + Atheroscerlotic Disease

Question 1

Classic angina presentation?

Answer 1

Chest pain on exertion radiating to arm and jaw

Question 2

Difference between stable and unstable angina?

Answer 2

Stable is relieved by GTN and is brought on by exercise

Question 3

Gold standard test for angina?

Answer 3

CTPA

Question 4

Treatment for symptom relief and prevention + anti anginal options (+ 1st line)?

Answer 4

GTN and antiplatelet + beta blocker (1st line), CCB, isosorbide mononitrate, nicroandil, ivabradine

Question 5

Invasive procedures for more severe angina?

Answer 5

CABG or PCI

Question 6

Key lifestyle modification for angina?

Answer 6

Stop smoking

Question 7

What are the 3 stages of atherosclerotic plaque growth?

Answer 7

Fatty streak, fibrofatty plaque and complicated plaque with overlying thrombus

Question 8

Normal total cholesterol for a healthy + at risk patient?

Answer 8

5 + 4

Question 9

Normal LDL for a healthy + at risk patients?

Answer 9

3 + 2

Question 10

HDL < 1 is a risk factor. True or false?

Answer 10

True

Question 11

High or low triglycerides are associated with CHD risk?

Answer 11

High

Question 12

Normal triglyceride levels?

Answer 12

1.7 mmol/L