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Panre and Pance Review Cardiovascular II

Panre and Pance Review Cardiovascular II

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Certification and Recertification Exam Review Physician Assistant Cardiovascular II
Certification and Recertification Exam Review Physician Assistant Cardiovascular II

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Published by: The Physician Assistant Life on May 25, 2012
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Cardiovascular
II
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Dr.
Donald
Sefcik
Donald
J. Sefcikis
the
AssociateDean
at
the
chicago
college
of
osteopathicMedicine
(ccoM),
Midwestern
university
(MWU),
in
Downers
Grove,
IL.
Heis
a
tenured
professor
and
board
certifiedin both
Emergency
Medicine
and
Family
Medicine.
FromJune
L997
through
May
2000,
Dr.
Sefcik
served
as
Medical
Director
for
the
PhysicianAssistantProgram,College
of
Health
Sciences
(CHS),
at
MWIJ.
Dr.
Sefcik,s
lectures
arebased
upon
his
experiences
as
a
clinician
and
preceptor,tenure
as
a
medical
school
faculty
rnemberoand
his
student
assessmentresearch.
Dr.
Sefcik
has
practiced
with
physician
assistants
since
1988andbeen
involved
in
the
clinical
trainingofphysician
assistants
since
1990.Prior
to
joining
Midwestern
University's
faculty,
Dr.
Sefcik
was
a
faculty
member
in
the
PharmacologyDeparfinent
at
ButlerUniversity
and
inthe
NursingDepaitment
at
Marian
College,both
in
Indianapolis,
Indiana.Dr.
Sefcik
has
a
Bachelor
of
Science
inPharmacy
(1981),
a
Master
of
Science
in
Pharmacology
(1994),
both
from
Butleruniversity,
illd
an
MBA
(May
2004)
from
Purdue
University.
CME
Resources
Certification
&
Recertification
Exam
Review
www.thepalife.com
 
CertiJication
&
Recertifi.cation
Exam
Review
CME
Resources
2004
Cardiovascular
Medicine
-
II
Ischemic Heart Disease
and
Heart
FailureDonald
J.
Sefcik, D.O., FACOEP
Learning
Objectives
Uponcompletionof
this
portion
of the
review
course,
the
participant
should
beable
to:
1.
Differentiate
corrmon
causes
of
chest
pain.
2.
Present
an
overview of aortic
aneurysms
and
dissection.
3.
Define ischemic
heart
disease
(II{D)
and coronary artery
disease
(CAD).
4.
List
several
risk
factors
associated
withCAD
and
IHD.
5.
Compare and contrast
stabie
angina, unstable angina
and
Prinzmetal's
angina.
6.
Discuss
diagnostic modalities
utilized
in
the
evaluation of
IHD.
7.
Describe
the
events
culminating in
a
myocardial
infarction
(MI).
8.
Discuss
EKG
manifestations
ofmyocardial ischemia/infarction.
9.
IdentiSr
high-risk
patients
for
acute
MI.
10. Describe
how
a
myocardialinfarction
is
definitively
diagnosed.
1
1. Discuss
indications for
acute coronary
thrombolysis.
12. Describe
therapeutic
options
for
an acute
MI.
13.
Describe the
rationale for
IIID
drug therapy.
14.
Identify
potentialcomplications of myocardial infarction.15.
Describe
pericarditis:
etiologies, manifestations
&
management.
16.
Cornpare andcontrast
puhnonary
edema and
heart
failure.17.
Differentiate
left-sided
and
right-sided
heart
failure.18. Conpare
andcontrast
systolic
and
diastolic
heart
failure.19.
Prescribe appropriate heahnent
for
acute
pulmonary
edema.
20.
Prescribe appropriate therapy
for
left ventricular dysfunction.
www.thepalife.com
 
Certification
and
Recertification
Exam
Review
Cardiology
-
II
2004
Case
1
A
44
year-old
male
presents
for
a
"checkup".
He
denies
any
health
problems.
He
discloses to
you
that
he
drinks"regularly",
smokes
1.5packsof
cigarettes
aday and
doesn't
exercise
ever.
HisBMI
is
33,
His
bloodpressureis
168/102 mrn
Hg.
His
fundoscopic examination
is
unremarkable.Youdo
note
that
his PMI(pointof maximal
impulse)
is
located
inthe
fifth, left
intercostal
space,
near
themidclavicular
line.
Case
1.1
Which one
of
the
followingtherapeuticregimens
is
the
optimal choice
for this
patient?
A.
metoprolol
B,
hydrochlorothiazide
Sg
-
bO"fu
C,
enalapril&l
-
5-U,l:D.
diltiazem
E.
lifestylemodification
e
-\Z
t^
v'5
proteinuriabradycardiadepressioncephalgia
morbilliform
rash
Can
lr:c-
:-!cr.irA
e\
J,w$t
Case
1.2
Eventually,
you
add
propranolol
to
thispatient's
therapeutic
regimen.
Which
of
thefollowing
side
effects is
mostlikely?
A.
B.
c.
D.
E.
.-
V
€r
.l
\,g.,*
su\
,)Ae-
-
c6'*^
y=ll"t'{u
ovvs
www.thepalife.com

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