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3P Remediation Questions and Answers Fully Solved
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Exam of 13 pages for the course 3p at 3p (3P Remediation)
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3P RemediationWhite coat HTN is - answer elevated BP during a visit but normal at home
Masked Hypertension is defined as.. - answer normal at clinic, but high at home
Patients with white coat HTN or masked HTN should be advised to... - answer record
BP in a journal several times a day for a couple of weeks
Treatment of HTN - answer Calcium channel blocker (amlodipine)
ACE/ARB (pregnant home NO, black people NO)
Thiazide diuretic
NYHA heart failure classification - answer Class I - No symptoms and no limitation in
ordinary physical activity (e.g. SOB when walking, climbing stairs)
Class II - Mild symptoms (mild SOB and/or angina) and slight limitation during ordinary
activity.
Class III - Marked limitation in activity due to symptoms, even during less-than-ordinary
activity (e.g. walking short distances (20—100 m). Comfortable only at rest.)
Class IV - Severe limitations. Experiences symptoms even while at rest. Mostly
bedbound patients.
Treatment of HF with reduced EF and HF with normal EF - answer- Most pts will need a
diuretic
- Use BB because they most of the time have AFib
Which medications will reduce labs by 50% in Dyslipidemia? - answer Atorvastatin &
Rosuvastatin
Heart Murmurs (Systolic vs. Diastolic) - answer-systolic you feel the pulse at the same
time
-diastolic murmur, no pulse
Systolic – answer Mr Peyton Manning as MVP
-MR - Mitral regurgitation - shortness of breath, fatigue, HF
-Peyton, Manning - asymptomatic, normal - kids and pregnant women
-AS - aortic stenosis- angina
-MVP - mitral valve prolapse - click
Diastolic – answer ARMS
-AR - aortic stenosis
, -MS - mitral stenosis
Aortic Regurgitation Symptoms - answer dyspnea & angina
ENDOCARDITIS - answer Most common pathogen - staph aureus, poor dentition
Most common valve infected in Endocarditis is... - answer mitral valve (will have CP &
SOB improved by leaning forward)
Janeway Lesion - answer associated with endocarditis - non tender, small,
erythematous (red) lesion on the palms of the hands, can also be on the soles of the
feet.
Congenital Heart Disease is the - answer biggest genetic defect; puts pts at risk for
congenital heart disease Down Syndrome
What is the mechanism of action of PROSTAGLANDIN in a patient with transposition of
the great vessels? - answer to produce vasodilation and produce adequate oxygenation
PAD – answer ABI - ankle-brachial index <0.90 to be diagnostic for PAD
Sx: Get really weak, no walking, no pain, cool, hairless, shiny, big toenails, muscle are
atrophied,
Test: Gold standard - angiography
AFIB - answer Electrical issue; A lot of times is caused of HF - heart remodels and
messes up that pathway
Treatment:
-To reduce risk of stroke: L atrium appendage - Watchman + anticoagulants.
-To control ventricular rate - BB, nonhydroperidine calcium channel blocker
INR/Coumadin Question - answer If you miss a dose - if <12 hours take it, NEVER
double it, if > 12 hrs take the next dose at the next time, and let the dr know
INR takes ____-_____ days to check - answer2-3 days to check
Coumadin is ________% protein bound - answer99%
REVERSAL AGENTS - answer Rivaroxaban/Apixaban - Andexanet Alfa (Andexxa)
Pradaxa (dabigatran) - Praxbind (idarucizumab)
Patho of Varicose Veins - answer-something about pooling - NOT THE CORRECT
ANSWER
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