Deck 102: Chest Pain and Coronary Artery Disease

Question 1

Which patient meets the criteria for statin therapy to help prevent atherosclerotic cardiovascular disease? (Select all that apply.)

A) A 55-year old with a history of congestive health failure (CHF)
B) A 70-year old nondiabetic with a 10-year risk score of 7.5% with an LDL-C of 80 mg/dL
C) An otherwise healthy 25-year old with a low-density lipoprotein (LDL-C) level of 196 mg/dL
D) A 45-year old diabetic with an LDL-C of 150 mg/dL
E) A 60-year old with a history of myocardial infarction

Answer 1

B, C, D, E

Question 2

A patient is brought to an emergency department with symptoms of acute ST-segment elevation MI (STEMI). The nearest hospital that can perform percutaneous coronary intervention (PCI) is 3 hours away. What is the initial treatment for this patient?

A) Administer heparin.
B) Give the patient an oral beta blocker.
C) Initiate fibrinolytic treatment.
D) Transfer to the PCI-capable institution.

Answer 2

C

Question 3

A patient reports recurrent chest pain that occurs regardless of activity and is not relieved by rest. The provider administers a nitroglycerin tablet which does not relieve the discomfort. What is the next action?

A) Administer a second nitroglycerin tablet.
B) Give the patient a beta blocker medication.
C) Prescribe a calcium channel blocker mediation.
D) Start aspirin therapy and refer the patient to a cardiologist.

Answer 3

B