These PA review questions are designed to be a brief active review of the previous article and podcast covering MI and valve disorders. If something doesn’t make sense or you want to go back and check something click on the links above to go back to those articles.
1. A 65 year old mildly overweight male presents to the ED with crushing chest pain which radiates to his left jaw. He is extremely nervous and is trying to get out of his bed. The pain began around 7:30 am while he was sitting on the couch. It is now 9 pm. All day his wife asked him to get it looked at, but he refused. The pain has continued to worsen throughout the day so he finally decided to come to the ED. He takes several medications for his blood pressure, but he can not remember any of their names. What is the first line of treatment for this patient?
- Aspirin
- Beta Blockers
- Morphine
- Nitroglycerin
2. Would tPA be a good option for the patient in the previous question?
- Yes, outcomes for patients receiving a thrombolytic agent post MI are very good.
- Yes, his history of hypertension is not an issue.
- No, we just gave him aspirin and you can’t give a blood thinner before tPA
- No, tPA is effective only within 12 hours of the ischemic event.
3. Upon chest auscultation you here an opening snap following S2. Being a great PA you immediately think of?
- Aortic Stenosis
- Aortic regurgitation
- Mitral valve stenosis
- Mitral valve regurgitation
4. How would you describe the murmur associated with mitral valve regurgitation
- Pansystolic blowing murmur at the apex and radiating to the axilla
- Low pitched murmur at the apex
- Harsh systolic murmur along left sternal border and it may radiate to the neck
- Murmur is along the lower left sternal border. It is holosystolic blowing and radiates to the right sternum and xiphoid.
5. Which of the following is only a relative contraindication to using thrombolytic agents?
- Stroke within one year
- Major surgery within the past three weeks
- Recent head trauma
- Intracranial Neoplasm
