Angina

Question 1

Aspirin chemo -prophylaxis should be considered in patients at risk for what?

Answer 1

Coronary heart disease

Question 2

All patients with chest discomfort consistent with acute coronary syndrome should have the following promptly initiated.

Answer 2

12 lead ekg

Cardiac Bio markers

Question 3

Aspirin dose for a patient with unstable angina

Answer 3

165 to 325 mg of non the enteric coated aspirin to all patients with unstable angina

Question 4

Patients with symptoms of possible a ACS should be transported where?

Answer 4

To the hospital via EMS for evaluation

Question 5

And early treatment of suspected unstable angina

Answer 5

Oxygen and sublingual nitroglycerin

Morphine may be a useful adjunct

Question 6

When should invasive strategy be considered?

Answer 6

In unstable angina/non -st -elevation myocardial infarction patients who have refractory angina hemodynamic or electrical instability.

Question 7

But how many patients have a primary diagnosis of unstable angina each year?

Answer 7

One million

Question 8

Among adults age 20 and older the prevalence of coronary heart disease in 2004 was

Answer 8

15,800,000
8,500,000 Males
7,300,000 females

Question 9

The direct medical cost of ACS for the United States is estimated at

Answer 9

75 billion per year

Question 10

Coronary heart disease is the single largest killer of American

Answer 10

Men and women

Question 11

How many people die of coronary heart disease

Answer 11

One in five

Question 12

The cause of coronary heart disease is

Answer 12

atherosclerosis of the coronary arteries

Question 13

75% of cases of thrombosis is thought to be from

Answer 13

Plaque disruption

Question 14

25% of cases of thrombosis is thought to be from

Answer 14

Plaque erosion

Question 15

These cells cause plaque disruption, neovascularization, smooth muscle apoptosis, thrombogenicity and local inflammation

Answer 15

macrophages

Question 16

Name the risk factors for angina

Answer 16

Tobacco abuse
Hyper cholesterolEMIA
Diabetes
Hypertension
Family history of premature coronary artery disease
Low level of high density lipoprotein HDL
Advanced age

Question 17

Adults over 18 years of age should be screened for

Answer 17

Hypertension

Question 18

Man over 35 years of age should be screened for

Answer 18

hypercholesterolemia

Question 19

Women over 45 years of age should be screened for

Answer 19

hypercholesterolemia

Question 20

Patients at increased risk for CHD consider giving

Answer 20

Aspirin therapy

Question 21

But the U.S. protective services task force recommends against routine screening for coronary artery stenosis with arresting ECG, exercise treadmill, electron beams CT in what population?

Answer 21

Low - risk adults

Question 22

There is insufficient evidence to recommend for routine screening for coronary artery stenosis in what population? But

Answer 22

Higher risk adults

Question 23

The U.S. protective services task force recommends a clinician screen all adults for what?

Answer 23

Tobacco use and provide tobacco cessation interventions for those who use tobacco products.

Question 24

sECONDARYprevention for unstable angina is as follows:

Answer 24

Aspirin for patients with preexisting CHD
Blood pressure goal for a patient with preexisting CHD should be less than 130/80
LBL goal for a patient with preexisting CHD are diabetes should be less than 100 mg per DL
Starting Staten therapy within 14 days of an episode of acute coronary spasm is associated with a reduction in recurrent unstable angina at four months (this is not been shown to reduce deaths myocardial infarction are stroke during this time.)
Provide smoking cessation aid to all patients whose

Question 25

Primary prevention

Answer 25

Aspirin for adults who are at increased risk for CHD Control blood pressure to less than 140/92 lower risk of CHD complications Treat hyperlipidemia tO goals specified by national treatment guidelines Provide smoking cessation aid for all patients