A 78-year-old man has been experiencing nocturnal chest pain over ...

[ereecah]

A 78-year-old man has been experiencing nocturnal chest pain over the last several months, and his family physician has diagnosed him with variant angina.
 
  Which of the following teaching points should the physician include in his explanation of the man's new diagnosis?
  A)
  I'll be able to help track the course of your angina through regular blood work that we will schedule at a lab in the community.
  B)
  With some simple lifestyle modifications and taking your heparin regularly, we can realistically cure you of this.
  C)
  I'm going to start you on low-dose aspirin, and it will help greatly if you can lose weight and keep exercising.
  D)
  There are things you can do to reduce the chance that you will need a heart bypass, including limiting physical activity as much as possible.

Question 2

A patient is experiencing impaired circulation secondary to increased systemic arterial pressure. Which of the following statements is the most relevant phenomenon?
 
  A)
  Increased preload due to vascular resistance
  B)
  High afterload because of backpressure against the left ventricle
  C)
  Impaired contractility due to aortic resistance
  D)
  Systolic impairment because of arterial stenosis

[xMRAZ]

Answer to Question 1

Ans:
C

Feedback:

Aspirin, exercise, and weight loss are all identified treatments for angina. Angina does not normally necessitate blood work, heparin administration, or avoidance of activity.

Answer to Question 2

Ans:
B

Feedback:

Increased pressure in the aorta and other arteries constitutes a greater amount of afterload work. This situation is not indicative of increased preload or impaired contractility. Systolic impairment is not a recognized characterization of inadequate cardiac performance.

[ereecah]

Excellent

[atrochim]

TYSM