Cardiac Subspecialty Certification (CSC) Exam - Question List

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1. A patient was planning to undergo Mitral valve replacement surgery. He was on warfarin therapy for Atrial Fibrillation. What modification should the nurse do with the anticoagulant medication?
  1. Stop warfarin on the day of surgery
  2. Stop warfarin 4-5 days before surgery
  3. Stop warfarin 4-5 days prior to surgery; admit and start on IV heparin; stop IV heparin 2-3 hours pre-op
  4. Continue warfarin therapy
2. A patient presents with acute Arterial Occlusion of one of his upper limbs. Which of the following drugs should the nurse prepare to administer to the patient?
  1. Streptokinase
  2. Heparin
  3. Warfarin
  4. Urokinase
3. What are the contraindications of percutaneous transluminal angioplasty of the lower extremity?
  1. Hypertensive patients of poor ventricular function
  2. Patients having dyslipidemia
  3. Medically unstable, diabetic patient, long arterial occlusion, poor distal run off
  4. Patient who has undergone coronary angioplasty
4. Which of the following signs and symptoms would the attending nurse expect to see in a patient of aneurysmal rupture?
  1. Pain abdomen, hypertension, bradycardia
  2. Hypotension, tachycardia, nausea, vomiting, shortness of breath, chest pain/lower back/abdominal pain
  3. Headache, nausea, vomiting, vertigo
  4. Hypertension, chest pain, syncope
5. The nurse receives the blood test reports for a patient who was admitted to hospital with complaints of chest pain. The report shows an elevated level of CKMB. What does this report signify in this patient?
  1. Damage to myocardium
  2. Damage to intercostals muscles
  3. Liver damage
  4. None

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