Question 1

What is the recommended prevention strategy for a 60 year old type 2 diabetic with a 12.5% cardiovascular risk in 10 years?

Accepted Answer

High HMG CoA Reductase Inhibitor

Question 2

A patient presents with chest pain, AMS, and dyspnea. Her EKG shows sawtooth waves, a regular rhythm and a consistent R-R interval. What should you do first?

Accepted Answer

Cardioversion

Question 3

A 48 y/o woman presents with chest pain. Her labs show abnormal levels of troponin with an EKG finding of ST-elevation. What method will determine if an obstruction is present?

Accepted Answer

Coronary Angiography

Question 4

This heart rhythm abnormality is caused by a loss of atrial kick that decreases cardiac output. Blood stasis from this rhythm can lead to embolic stroke

Accepted Answer

Atrial Fibrillation

Question 5

Which of the following scenarios would not qualify the patient for a prescription of aspirin as chemoprevention of MI or stroke?

Accepted Answer

Male, age 67, CVD risk of 7.5%

Question 6

A 39 y/o female with a c/o chest pain after moving some furniture. Her EKG findings were normal. While waiting in triage, her symptoms decrease in severity. What treatment likely helped her recover?

Accepted Answer

Nitroglycerin

Question 7

A 12 y/o female is brought to primary care complaining of a skipping heartbeat occuring at random with each incident lasting 3-5 seconds.  What would help make a definitive diagnosis for this patient?

Accepted Answer

Holter Monitor

Question 8

You are conducting an annual PE for a 67 y/o male patient with a PMH of COPD, and a 24pk per year cigarette smoking hx (quit 15 years ago) What screening should be considered for this patient?

Accepted Answer

Abdominal Aortic Aneurysm Screening

Question 9

What is reccomended heart rate for a patient with chest pain, fatigue and palpitations and an EKG showing an irregularly irregular rhythm, no p-waves, and a variable R-R interval?

Accepted Answer

<110bpm

Question 10

An 85 y/o patient with a c/o of fatigue and palpitations more than likely has what heart disease or disorder?

Accepted Answer

Atrial Flutter

Primary Care Cardiology

2) A patient presents with chest pain, AMS, and dyspnea. Her EKG shows sawtooth waves, a regular rhythm and a consistent R-R interval. What should you do first?

3) A 48 y/o woman presents with chest pain. Her labs show abnormal levels of troponin with an EKG finding of ST-elevation. What method will determine if an obstruction is present?

4) This heart rhythm abnormality is caused by a loss of atrial kick that decreases cardiac output. Blood stasis from this rhythm can lead to embolic stroke

5) Which of the following scenarios would not qualify the patient for a prescription of aspirin as chemoprevention of MI or stroke?

6) A 39 y/o female with a c/o chest pain after moving some furniture. Her EKG findings were normal. While waiting in triage, her symptoms decrease in severity. What treatment likely helped her recover?

7) A 12 y/o female is brought to primary care complaining of a skipping heartbeat occuring at random with each incident lasting 3-5 seconds. What would help make a definitive diagnosis for this patient?

8) You are conducting an annual PE for a 67 y/o male patient with a PMH of COPD, and a 24pk per year cigarette smoking hx (quit 15 years ago) What screening should be considered for this patient?

9) What is reccomended heart rate for a patient with chest pain, fatigue and palpitations and an EKG showing an irregularly irregular rhythm, no p-waves, and a variable R-R interval?

10) An 85 y/o patient with a c/o of fatigue and palpitations more than likely has what heart disease or disorder?