SIHD Study Exam Questions & Answers 2024/2025
Clinical Presentation of SIHD - ANSWERS- Exertional chest pain is the classic presenting symptom of patients with SIHD.
ACS vs SIHD - ANSWERSPain that occurs at rest (without provocation) or that is prolonged and unrelieved by sublingual nitrogl...
Clinical Presentation of SIHD - ANSWERS- Exertional chest pain is the classic presenting symptom of
patients with SIHD.
ACS vs SIHD - ANSWERSPain that occurs at rest (without provocation) or that is prolonged and unrelieved
by sublingual nitroglycerin is indicative of an ACS.
Pxn w SIHD and had MI - ANSWERSβ-blocker therapy should be started and continued for 3 years in
patients with normal LV function.
Only the β-blockers carvedilol, metoprolol succinate, and bisoprolol should be used in patients with LV
systolic dysfunction (ejection fraction 40% or less) and heart failure or MI;
pxn w SIHD and sexual dysfunction what do u use - ANSWERSBB= metoprolol
pxn w SIHD and COPD - ANSWERSBB= metoprolol
Pxn w SIHD, PAD and dyslipidemia - ANSWERSmild --> metoprolol
carvedilol
initial therapy for relief of symptoms in patients with SIHD ?
alternatives? - ANSWERSβ-blockers should be prescribed as initial therapy for relief of symptoms in
patients with SIHD (LOE B).
CCB or LA nitrates should be prescribed for relief of sx when BB are contraindicated or cause
unacceptable side effects in patients with SIHD (LOE B).
, immediate relief of angina in patients with SIHD (LOE B). - ANSWERSSublingual nitroglycerin or
nitroglycerin spray
a substitute for β-blockers for the relief of symptoms in patients with SIHD if initial treatment with β-
blockers leads to unacceptable side effects or is ineffective or if initial treatment with β-blockers is
contraindicated - ANSWERSAfter LA NDHPCCB --- Ranolazine
β-Blockers are contraindicated in patients with existing - ANSWERSbradycardia,
hypotension,
2nd- or 3rd-degree atrioventricular (AV) block,
asthma,
severe PAD,
LV dysfunction with unstable fluid status, and
diabetes associated with frequent episodes of hypoglycemi
Pxn w SIHD he had angina each time he climb the stairs - ANSWERSSL nitrates can also be used to
prevent acute episodes if given 2-5 mins prior to activities known to produce angina; protection can last
for up to 30 mins w SL NTG and up to 1h w ISDN.
most commonly prescribed for long-term prevention of angina episodes. - ANSWERSTransdermal
patches and isosorbide mononitrate (ISMN)
time of the day your pxn should take:
- extended-release ISMN: once daily / twice daly
- Transdermal NTG patches - ANSWERS- ISDN: three times daily regimen requires dosing every 4 to 5
hours during the day to provide a nitrate-free interval. [7/12/5]
- The extended-release ISMN products that are dosed twice daily should be given 7 hours apart (eg, 7:00
am and 2:00 pm).
-extended-release, once-daily ISMN product is available that provides 12 hours of nitrate exposure
followed by a 12-hour nitrate-free interval.
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