GMCH Chandigarh - 2022
Medical & Surgical Nursing
Easy
Medical treatment of coronary artery disease includes which of the following procedure?
Appeared in: GMCH Chandigarh - 2022
Explanation
- In the context of coronary artery disease, 'medical treatment' specifically refers to non-invasive management strategies.
- This primarily involves pharmacotherapy (the use of medications) and comprehensive lifestyle changes.
- Oral medications, such as antiplatelets (aspirin), statins (to lower cholesterol), beta-blockers (to reduce heart rate and blood pressure), and nitrates (for chest pain), are the cornerstone of medical treatment for stable CAD.
- The goal of medical therapy is to reduce the heart's oxygen demand, improve blood flow, prevent blood clots, and slow the progression of atherosclerosis.
Why Other Options Were Wrong
- Option A: Cardiac catheterization is an invasive diagnostic procedure, not a treatment. It is used to visualize the coronary arteries to determine the location and severity of blockages.
- Option C: Coronary Artery Bypass Grafting (CABG) is a major surgical treatment. It is not considered 'medical treatment' because it involves open-heart surgery.
- Option D: Percutaneous Transluminal Coronary Angioplasty (PTCA), also known as PCI, is an invasive interventional treatment, not a medical one. It involves mechanically opening a blocked artery.
Related Visual
- Visual 1: Flowchart: Illustrating the treatment algorithm for stable CAD, starting with optimal medical therapy and showing the pathways to revascularization (PCI or CABG) based on risk stratification and symptom severity.
- Visual 2: Table: Comparing the characteristics, indications, and risks of medical therapy, PCI, and CABG for CAD.
Clinical Relevance
- Nursing practice connection: Knowing Classification of Management Strategies for Coronary Artery Disease (CAD) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses are central to the medical management of CAD, responsible for administering medications, monitoring for therapeutic effects and adverse reactions, and providing extensive patient education.
- Patient education on adherence to medication regimens and lifestyle modifications (diet, exercise, smoking cessation) is a critical nursing intervention to improve long-term outcomes.
- Nurses play a key role in preparing patients for invasive procedures like cardiac catheterization, PTCA, and CABG, and providing specialized post-procedure care.
How to Approach the Question
- First, identify the key phrase in the question stem: 'Medical treatment'.
- Understand that in the context of cardiology, 'medical treatment' has a specific meaning, referring to non-invasive management, primarily with medications (pharmacotherapy).
- Evaluate each option and classify it into a category: Is it a medication, a diagnostic test, an interventional procedure, or a surgical procedure?
- Recognize that 'Cardiac catheterization' is diagnostic, 'CABG' is surgical, and 'PTCA' is interventional.
- Conclude that 'Oral medication administration' is the only option that fits the precise definition of 'medical treatment'.
- Select the option that aligns with the definition of pharmacotherapy for chronic disease management.
Concept Tested & Keywords
- Concept Tested: Classification of Management Strategies for Coronary Artery Disease (CAD)
- Stem keywords: Medical treatment, coronary artery disease, procedure
- Lead-in keywords: which of the following
- Negative lead-in flag: false
Question ID
Q7lMvx_I2U1rQkKHapG3L_
Practise the full GMCH Chandigarh - 2022
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Cardiovascular, Circulatory, and Hematologic Function Questions
- A patient was brought to ED with complaint of chest pain from last 1 hour. Which test is done to detect myocardial infarction?
- A patient is undergoing blood transfusion and suddenly shows complaints of transfusion reaction. What will be the priority nursing intervention?
- Normal hemoglobin level in adult is:
- The following all are blood transfusion complications from; EXCEPT:
- Symptoms of acute blood loss are:
- An obstruction of blood flowing from the left atrium into the left ventricle is known as:
- 'Sequestration crisis' is related to:
- Which is the most common HIV related malignancy?
- Calculate the pulse pressure from the below image of cardiac monitor:
- Identify the use of following machine used in pneumatic compression device:
More GMCH Chandigarh - 2022 Questions
- Which of the following anti-tubercular drug causes red-orange discoloration of urine?
- Absence of bowel sounds and abdominal distention after abdominal surgery indicates?
- Unwanted but unavoidable pharmacodynamics effects of a drug at the therapeutic dose are known as?
- Which of the following is the organism that causes peptic ulcer disease?
- When the amount of amniotic fluid exceeds two liters the condition is called:
- Limit for registration of birth in India is?
- In Identical twin, where the fetuses share common chorion, the number of placenta is?
- Sports person enhance mental and physical capabilities by taking?
- The salient feature of nurses records include all the following except?
- The ability of the human body to defend itself against a pathogenic agent?