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(3) PT in Special Conditions > S2L1: Medical Chart Review > Flashcards

S2L1: Medical Chart Review Flashcards

1
Q

Assess biomarkers of heart failure, including natriuretic peptides that include BNP & N-Terminal pro-BNP (NT-proBNP)

A. B-type natriuretic peptide (BNP)
B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output
C. Hemoglobin & hematocrit levels
D. Creatine kinase-myocardial band CK-MB index
E. Troponin 1
F. C-reactive protein (CRP)
G. Electrolyte assessment

A

A. B-type natriuretic peptide (BNP)

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2
Q

Assess renal
function, which may
be reduced in
patients with HE

A. B-type natriuretic peptide (BNP)
B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output
C. Hemoglobin & hematocrit levels
D. Creatine kinase-myocardial band CK-MB index
E. Troponin 1
F. C-reactive protein (CRP)
G. Electrolyte assessment

A

B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output

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3
Q

Assess the oxygen
carrying capacity
within the system

A. B-type natriuretic peptide (BNP)
B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output
C. Hemoglobin & hematocrit levels
D. Creatine kinase-myocardial band CK-MB index
E. Troponin 1
F. C-reactive protein (CRP)
G. Electrolyte assessment

A

C. Hemoglobin & hematocrit levels

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4
Q

an isoenzyme is
released into blood
& elevates with an
acute MI

A. B-type natriuretic peptide (BNP)
B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output
C. Hemoglobin & hematocrit levels
D. Creatine kinase-myocardial band CK-MB index
E. Troponin 1
F. C-reactive protein (CRP)
G. Electrolyte assessment

A

D. Creatine kinase-myocardial band CK-MB index

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5
Q

The most frequently
used marker to
assess presence of
an acute MI.

A. B-type natriuretic peptide (BNP)
B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output
C. Hemoglobin & hematocrit levels
D. Creatine kinase-myocardial band CK-MB index
E. Troponin 1
F. C-reactive protein (CRP)
G. Electrolyte assessment

A

E. Troponin 1

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5
Q

Appropriate level of
potassium, calcium
& magnesium allow
for normal-electrical
conduction through
the heart

A. B-type natriuretic peptide (BNP)
B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output
C. Hemoglobin & hematocrit levels
D. Creatine kinase-myocardial band CK-MB index
E. Troponin 1
F. C-reactive protein (CRP)
G. Electrolyte assessment

A

G. Electrolyte assessment

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5
Q

An isotope found
exclusively in the
myocardium and is
therefore 100%
cardiac specific

A. B-type natriuretic peptide (BNP)
B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output
C. Hemoglobin & hematocrit levels
D. Creatine kinase-myocardial band CK-MB index
E. Troponin 1
F. C-reactive protein (CRP)
G. Electrolyte assessment

A

E. Troponin 1

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6
Q

a test that measures the amount of protein in the blood that signals acute inflammation

A. B-type natriuretic peptide (BNP)
B. Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output
C. Hemoglobin & hematocrit levels
D. Creatine kinase-myocardial band CK-MB index
E. Troponin 1
F. C-reactive protein (CRP)
G. Electrolyte assessment

A

F. C-reactive protein (CRP)

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7
Q

To determine a persons risk for heart disease, a more sensitive CRP test called a <> is available

A

High sensitivity C-reactive protein
(hs-CRP) is
available

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8
Q

B-type natriuretic peptide (BNP)

Normal values: less than <> pg/ml
(+) Heart failure value: above <> pg/ml

A

less than 100 pg/ml
above 500 pg/ml

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9
Q

Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output

Modified T/F:
A. Normal BUN is 0.5-2.0 mg/dL
B. Normal creatinine is 6-30 mg/dL

A

FF

Normal BUN: 6-30 mg/dL
Normal creatinine: 0.5-2.0 mg/dL

Note: Values above normal range indicate renal failure

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10
Q

Blood urea nitrogen (BUN), Plasma creatinine levels, & Urine output

Modified T/F:
A. Oliguria: >400 mL of urine in 24 hours
B. Anuria: <100 mL of urine in 24 hours

A

FT

Oliguria: <400 mL

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11
Q

Hemoglobin & hematocrit levels

Modified T/F:
A. Normal hemoglobin for adult males: 12-14 gm/100 mL of blood
B. Normal hemoglobin for adult females: 14-16 gm/100mL of blood

A

TT

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12
Q

Hemoglobin & hematocrit levels

Normal hematocrit for men is <> %
<>% for women

A

45% for men
40% for women

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13
Q

Creatinekinase-myocardial band CK-MB index

Modified T/F:
A. Normal values is 5%
B. Minor cardiac dysfunction is 0-3%
C. Major cardiac dysfunction is 10%

A

FFT

Normal levels 0-3%
Minor cardiac dysfunction 5%

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14
Q

Creatinekinase-myocardial band CK-MB index

T/F: Peak level = 24-36 hrs

A

False

Correct answer: 14-36 hrs.

24-36 hrs is the peak level for Troponin 1

15
Q

Troponin 1

A. Normal values: 0-3 mcg/mL
B. Minor cardiac dysfunction: 5 mcg/mL.
C. Major cardiac dysfunction: 10 mcg/mL

A

FTT

Normal level: 0-0.2 mcg/mL.

16
Q

Troponin 1

T/F: Peak levels = 14-36 hrs

A

False

Correct answer: 24-36 hours. This is the peak level for CK-MB index.

17
Q

C-reactive protein (CRP)

Give the hs-CRP values
1. low risk of developing Cardiovascular disease =
2. average risk of developing cardiovascular disease =
3. high risk of developing cardiovascular disease =

A
  1. Lower than 1.0 mg/L
  2. between 1.0-3.0 mg/L
  3. higher than 3.0 mg/L
18
Q

Electrolyte assessment

Modified T/F:
A. Hypokalemia, low potassium (usually <4.5 mEq/L), produces arrhythmias with flattened T waves and increased ST segments
B. As well as unilateral lower extremity muscle cramping

A

FF

A. Hypokalsemia, low potassium (usually <3.5 mEq/L), produces arrhythmias with FLATTENED T WAVES and DEPRESSED ST SEGMENTS
B. As well as BILATERAL lower extremity muscle cramping.

19
Q

Electrolyte assessment

In Hypocalcaemia, An inverted U-wave may also be noticed on the electrocardiogram.

A

False

it is seen in hypokalemia (LOW POTASSIUM)

20
Q

Electrolyte Assessment

T/F: Hypocalcaemia (low blood serum calcium levels) and hypomagnesaemia (low magnesium in blood) have the potential of increasing arterial ectopy within the heart

A

FALSE

T/F: Hypocalcaemia (low blood serum calcium levels) and hypomagnesaemia (low magnesium in blood) have the potential of increasing ventricular ectopy within the heart

(3) PT in Special Conditions (40 decks)

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