Deck 27: Angina Pectoris

Question 1

What is the effect of nitroglycerin administration on the pain of crescendo angina?

A)pain is alleviated within 5 minutes but might return
B)pain is alleviated within 2 minutes and does not return
C)nitroglycerin does not alleviate the pain of crescendo angina
D)response of crescendo angina to nitroglycerin is variable-any of the above choices may be correct

Answer 1

response of crescendo angina to nitroglycerin is variable-any of the above choices may be correct

Question 2

A patient with Prinzmetal's angina is classified as ASA _____.

A)I
B)II
C)III
D)IV
E)V

Answer 2

III

Question 3

Nitroglycerin and rest characteristically relieve the discomfort of angina in approximately ___________.

A)10 seconds
B)2 to 4 minutes
C)10 minutes
D)1 hour

Answer 3

2 to 4 minutes

Question 4

Chest "pain" that is relieved by nitroglycerin and does not return is most likely:

A)cardiac arrest
B)hyperventilation
C)noncardiac in origin
D)stable angina pectoris
E)myocardial infarction

Question 5

When administering Nitrolingual spray it is recommended that no more than three metered doses be given in a _______ period.

A)15-second
B)3-minute
C)15-minute
D)30-minute

Question 6

Myocardial infarction should be suspected in all of the following situations except:

A)first-ever onset of chest pain occurring during treatment
B)chest pain relieved by nitroglycerin that does not return
C)chest pain that is not relieved by three doses of SL nitroglycerin
D)chest pain relieved by nitroglycerin that does return

Question 7

Amyl nitrate:

A)is administered by injection
B)causes profound peripheral arterial vasodilation
C)causes profound peripheral dilation of veins
D)increases cardiac output

Question 8

A feeling of a "pressing sensation" or of a "weight" on the chest is frequently mentioned by the patient who is experiencing:

A)hypoglycemia
B)postural hypotension
C)acute pulmonary edema
D)hyperventilation
E)none of the above

Question 9

Which of the following are classified as ASA IV risks?

A)unstable angina
B)exertional angina
C)vasospastic angina
D)all of the above
E)B and C only

Question 10

On average,the patient with stable angina experiences _______ of angina per week.

A)less than one episode
B)one or two episodes
C)between two and four episodes
D)fewer than six episodes

Question 11

The maximal dose of epinephrine recommended for administration in the cardiac risk patient (ASA III)at one appointment is ___ mg.

A)0.01
B)0.04
C)0.08
D)1.0