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--6o yr old male on aspirin ace beta bloker with a hx of chronic stable angina and 3 or more severe long lasting anginal pain each day over past 3 days /ecg and enzymes are normal youe next step

1. admit and start digoxin

2. admit and start heparin

3. admit and observe with serial enzymes

4, admit and start thrombolytics

5. increase the dose of nitrates



2. 61 yo m with epigastric pain and nausea and heart rate is 50 and pt has first degree av block . he is on cardiac monitor in er

bp 130/60

which coronory artery is involved

--r coronary artery

-l main descending artery

--l anterior descending artery

--circumflex artery



a 31 yo f refered from gynae obgy with extrema fatigue dyspnea in exertion one month after her second vaginal delivery echo systolic dysfunction

what is the true statement


--post partum cardiomyopathy may occur unexpectedly yrs after

--2, half of the patient recover completely

3. is idiosyncratic and risk of recurrence is not greater than average

4. post partum cardiomyopathy will require a differant therapeutic approach


32 presents in the morning with relatively sudden onset of shortnes of breath and weakness but no chest pain/ ecg showed non specific st t changes--you suspect PAINLESS myocardial infarction in which of the following pt more


--unstable angina pt

--elderly pt

--diabetic pt

-- inferior wall myocardial patient

--mi pt with pvc

1)3
2)3
3)?
4)3

1)3
2)3
3)?
4)3

--6o yr old male on aspirin ace beta bloker with a hx of chronic stable angina and 3 or more severe long lasting anginal pain each day over past 3 days /ecg and enzymes are normal youe next step


5. increase the dose of nitrates?



2. 61 yo m with epigastric pain and nausea and heart rate is 50 and pt has first degree av block . he is on cardiac monitor in er

bp 130/60

which coronory artery is involved

--r coronary artery

Dr often missed R C.Artery bc symptoms present=epigastric pain


a 31 yo f refered from gynae obgy with extrema fatigue dyspnea in exertion one month after her second vaginal delivery echo systolic dysfunction

what is the true statement


--post partum cardiomyopathy may occur unexpectedly yrs after??



32 presents in the morning with relatively sudden onset of shortnes of breath and weakness but no chest pain/ ecg showed non specific st t changes--you suspect PAINLESS myocardial infarction in which of the following pt more


--diabetic pt

3
1
4
3

2.
1.
4,
3.

--6o yr old male on aspirin ace beta bloker with a hx of chronic stable angina and 3 or more severe long lasting anginal pain each day over past 3 days /ecg and enzymes are normal youe next step

1. admit and start digoxin

@@@@2. admit and start heparin@@@

3. admit and observe with serial enzymes

4, admit and start thrombolytics

5. increase the dose of nitrates



2. 61 yo m with epigastric pain and nausea and heart rate is 50 and pt has first degree av block . he is on cardiac monitor in er

bp 130/60

which coronory artery is involved

--r coronary artery

-l main descending artery

-@@@-l anterior descending artery@@@

--circumflex artery



a 31 yo f refered from gynae obgy with extrema fatigue dyspnea in exertion one month after her second vaginal delivery echo systolic dysfunction

what is the true statement


--post partum cardiomyopathy may occur unexpectedly yrs after

--2, half of the patient recover completely

@@@3. is idiosyncratic and risk of recurrence is not greater than average@@@

4. post partum cardiomyopathy will require a differant therapeutic approach


32 presents in the morning with relatively sudden onset of shortnes of breath and weakness but no chest pain/ ecg showed non specific st t changes--you suspect PAINLESS myocardial infarction in which of the following pt more


--unstable angina pt

--elderly pt

@@@--diabetic pt@@@

-- inferior wall myocardial patient

--mi pt with pvc

1.2
2.3
3.3
4.3

I THINK ENOUGH PEOPLE HAVE ALREADY ANSWERED /


IST PT IS AN UNSTABLE ANGINA AND NEEDS HEPARIN


2 ND PT HAS RIGHT CORONARY ARTERY INFARCTION WHICH SUPPLY AV NODE VIA POSTERIOR DESCENDING ARTERY IN 80 PERCENT OF PT IN RIGHT DOMONANT CIRCULATION


THIRD PT HAS POSTPARTUM CARDIOMYOPATHY AND IT IS ONLY COMMON IN EARLY POST PARTUM AND RISK OF RECURRENCE IS ALWAYS HIGHER SO THAT IT IS RISKY TO BE PREGNANT AGAIN/ POSTPARTUM CARDIOMYOPATHY REQUIRE SAME KIND OF TREATMENT/

ONLY ABOUT 50 PERCENT PT RECOVER COMPLETELY--IT IS TOO MUCH OF A BAD NEWS


4 TH PT --THOUGH ELDERLY AND DIABETIC CAN PRESENT AS SILENT MI--INFERIOR WALL MI IS NOTORIOUSLY SILENT--WE MUST SUSPECT IT IN UNEXPLAINED DYSPNEA

THANKS--THESE Q ARE FROM GOOD SOURCE--TAKE A MESSAGE FROM EACH QUESTIONS -

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