These are the answers for the PA review questions covering covering MI and valve disorders. You can find the questions here and the links above will take you back to those articles.
1. The answer is A. All of the other choices are correct medications for this situation, but the very first thing the patient should get is aspirin.
2. The answer is D
- See explanation for D
- It is true the HTN is not relevant, but tPA is not a good choice for this patient for other reasons
- tPA following aspirin is ok
- tPA is most effective at three hours after the event and is 10% less effective each hour thereafter. At over 12 hours it will do more harm than good.
3. The answer is C
4.The answer is A
- This describes the murmur for mitral regurgitation
- This describes the murmur for mitral stenosis
- This describes the murmur for aortic stenosis
- This describes the murmur for tricuspid regurgitation
5. The answer is B. Major surgery within the past 3 weeks is a relative contraindication all of the others are absolute contraindications.
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