Abfm Exam 2022 Questions And Answers (Graded A+)

ABFM EXAM 2022 Questions and Answers (GRADED A+) Indications for preop CXR - COPD, age > 60, functional dep, hypoalbuminemia, CHF, emergency/prolonged procedure, surg sites (thorax, upper abd, AAA) What study is needed for uncontrolled RA prior to surgery? - Cervical spine film (to eval for Atlanta-axial instability) ChADs2 -VASc criteria & scoring - For A fib stroke risk: CHF (HFrEF) HTN Age: 65-74(1), 75 & up (2) DM Stroke/TIA/VTE hx (2) Vasco dx hx (prior MI, PAD, aortic plaque) Sex (F - 1) 0(M) or 1(F) - no anticough 1(M) or 2(F) - shared decision-making 2(M) or 3(F) - anticough ACC/AHA 2019 How soon is troponin detected after ACS? How long is it elevated for? - Detected 3-6 hrs after ACS Elevated for 7-14d post-MI *Renal dx can show elevated troopsTx cocaine-induced angina? What do we NOT give? - Nitroglycerin, benzos Do NOT give beta blockers to avoid unopposed alpha stimulation Management of NSTEMI (NSTE-ACS), low and high-risk strategies? - Lower Risk Patients (Ischemia guided strategy): 1. ASA 325mg 2. P2Y12i (Clopidogrel) 3. Anticough (SQH) Higher Risk Patients (Early Invasive strategy): On the way to the CATH lab... 1. ASA 325 2. P2Y12i (Clopidogrel) 3. Anticough (SQH) 4. Consider