FNP2 Quiz 5 - Cardiac

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  1. RF for PAD.
    • DM
    • obesity
    • HTN
    • hyperlipidemia
    • smoking
    • age 40 yrs or older
  2. 40% of people with ASCVD will have ________.
    PAD
  3. The location of pain doesn't necessarily help determine the cause of chest pain - what DOES?
    duration
  4. Can NTG relieve non-cardiac pain?
    YEP
  5. You will not see anything on an ECG until _____% has changed.
    70
  6. Conditions that increase myocardial O2 demand.
    • hypERthyroid
    • HTN
    • anxiety
    • tachycardia
  7. Conditions that decrease O2 supply to heart.
    • anemia
    • COPD
    • pneumonia
  8. What patients will have an atypical AMI presentation?
    • women
    • elderly
    • DM
  9. What other things should you rule out when suspecting an AMI?
    • Acute pericarditis
    • aortic dissection
    • spontaneous pneumothorax
    • pulmonary embolism (OCs!)
  10. How do you tx prevention of second MI?
    • antiplatelet (if stent, ASA & Plavix)
    • BB - carvedilol, metoprolol, or bisoprolol ONLY)
    • ACEI (esp DM, HTN, decreased LV function)
    • statin therapy
    • cardiac rehab
  11. What is the follow up time for post-MI?
    • q 2-6 mos
    • ECG q year
    • cardiology testing q 1-2 yrs
  12. If you hear a carotid bruit, you should make sure it is not actually a ________.
    murmur
  13. 30% of ischemic strokes are due to what?
    atherosclerosis at the bifurcation
  14. The internal carotid artery supplies blood to?
    BRAIN
  15. The external carotid artery supplies blood to?
    • face
    • scalp
    • neck
  16. Management of carotid stenosis.
    • No routine screening
    • statins for hyperlipidemia
    • HTN control
    • doppler ultrasound: refer if >60% or symptomatic
  17. An objective dx can be made for PAD with ankle brachial index of what?
    <0.90
  18. RF for PAD.
    • DM
    • obesity
    • HTN, hyperlipidemia
    • smoking
    • males, 40+ yoa
    • ASCVD
  19. PE findings for PAD.
    • dependent rubor
    • dry, scaly skin
    • poor nail growth
    • hair loss
    • five Ps
  20. Tx for PAD.
    • claudication rehab
    • RF reduction
    • Simvistatin
    • ASA 81 mg
    • Ginkgo?
  21. When evaluating for PAD, what else should you screen for if not already dx?
    DM
  22. RF for varicose veins (--> PVD).
    • obesity
    • hormones (female, pregnancy)
    • aging
    • prolonged standing
  23. Valve dysfunction, local tissue edema and unilateral LE swelling can be?
    chronic venous insufficiency
  24. Tx for chronic venous insufficiency.
    • compression stockings
    • if ulcers, need to control edema first!
    • Unna boot
    • refer, poss vascular surgery
  25. ________ therapy does NOT work for edema due to chronic venous insufficiency
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321143
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FNP2 Quiz 5 - Cardiac
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FNP2 Exam 2 Quiz 5
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