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ACS ISCHEMIC HEART DISEASE EXAM QUESTIONS AND VERIFIED ANSWERS
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ACS ISCHEMIC HEART DISEASE EXAM QUESTIONSAND VERIFIED ANSWERS
A patient at the hospital is receiving a beta-blocker for chest pain. Which of the
following is true regarding the use of beta-blockers in this setting?
Beta-1 selective beta-blockers without intrinsic sympathomimetic activity are
preferred
If indicated, an ACE inhibitor should be started within how many days of a
patient having UA/NSTEMI?
1
Which of the following laboratory tests is the most sensitive marker for
detecting myocardial damage in a patient with acute coronary syndrome?
Troponins
Paramedics respond to a call for a patient experiencing chest pain that was not
relieved by sublingual nitroglycerin. The patient has symptoms consistent with
acute coronary syndrome, so they perform a 12-lead ECG on the way to the
hospital. Which of the following is correct regarding the administration of
aspirin to this patient, assuming there are no contraindications?
Administer chewable aspirin 324 mg immediately
HG presents to the cardiology clinic one year after her STEMI for medication
therapy management. Her past medical history...which of the following
medications should be added to her regimen?
Metoprolol
The provider orders Integrellin. What is the appropriate generic substitution?
Eptifibatide
RS is a 57-year-old man, presenting for his annual cardiology appointment. He
is currently...Which of the following medications must RS continue indefinitely
following the myocardial infarction?
, Aspirin
Atorvastatin
Benazepril
Nitroglycerin
A patient at the hospital is receiving morphine for chest pain. What are the
advantages of using morphine in a patient with chest pain?
Provides analgesia
Reduces preload
Reduces myocardial oxygen demand
A woman calls the pharmacy in a panic. She thinks her husband may be having
a heart attack. The pharmacist determines that the husband has a prescription for
Nitrostat (sublingual nitroglycerin) at home. What instructions should the
pharmacist provide?
Call 911 if the pain persists after the first dose of nitroglycerin
Use one Nitrostat tablet every 5 minutes for up to three doses
Place one Nitrostat tablet under the tongue and let it dissolve
SR is a 61 year old female (5'3", 115 pounds) who presents to the emergency
department with a NSTEMI. Her past medical history is significant for diabetes,
hypertension, multiple TIAs and a hip fracture. She was given aspirin 325 mg in
the field and was started on a nitroglycerin drip at 50 mcg/min. Her oxygen
saturation is 93% and she has received morphine sulfate 1 mg IV x 1 in the past
30 minutes. She is transferred to the cardiac catheterization laboratory and
angioplasty confirmed an 85% blockage of her left marginal artery. The cardiac
interventionalist wants to start P2Y12 inhibitor therapy prior to starting the PCI.
Which of the following regimens would be most appropriate for this patient?
Brilinta
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