[27] Myocardial Infarction Flashcards Preview

[OS 213] CVS Module > [27] Myocardial Infarction > Flashcards

Flashcards in [27] Myocardial Infarction Deck (40):
1

Wall Tension is Determined By?

Systolic BP
Volume

2

Single Most Important Basic Test to Diagnose Coronary Artery Disease

Electrocardiogram

3

Cardinal Classic Symptom of Coronary Artery Disease

Angina Pectoris

4

Angina Pectoris is usually located?

Retrosternal

Underneath your breastbone

5

[T/F] Resting ECG is usually normal in patients with Chronic Stable Angina Pectoris

T, it could be in up to 50% of the cases

6

Most Widely Used Test to Diagnose CAD

Exercise ECG
Treadmill Stress Test

7

What can you do if the patient is unable to exercise adequately?

Administer Dipyridamole, Adenosine, or Dobutamine to stress the heart

8

Gold Standard for CAD

Coronary Angiography

9

[T/F] Patient with Acute MI can have a normal ECG

T

10

Chest pain a week ago and checked ECG for MI, which marker should you look for?

Troponin

11

Single most important coronary artery

Left Anterior Descending Artery

12

This is a rough estimate of Afterload

Systolic BP

13

This is a rough estimate of Preload

Volume

14

Biochemical Marker for Ischemia

Lactic Acidosis

15

Most common non-cardiac cause of chest pain

GERD

16

Exercise ECG signs indicative of Ischemia

Downsloping and Horizontal Lines

17

Is Exercise ECG Upsloping indicative of Ischemia?

No

18

Drugs used for Pharmacologic Stress Testing

Dipyridamol
Adenosine
Dobutamine

19

Most commonly used marker for Cardiac Injury

CK-MB

20

How long before CTnI is detectable?

2-4 Hours

21

How long before CTnT is detectable?

2-4 Hours

22

How long before CKMB is detectable?

3-4 Hours

23

How long does CKMB last in the system?

2-4 Days

24

How long does CTnT last in the system?

14 Days

25

How long does CTnI last in the system?

5-10 Days

26

[Sample Case]

6 days ago, Brad Pitt had severe chest pain that led to a heart attack. Which cardiac marker will you use?

CTnI

27

Mechanism of Action: Fondaparinux

Factor Xa Inhibitor

28

Mechanism of Action: Bivalirudin

Direct Thrombin Inhibitor

29

Gold Standard "door to needle time" for Acute STEMI

< 30 minutes

30

Which of the following is a characteristic of NSTEMI?

A.) Dark spots in inner half of myocardium
B.) Intraplaque hematoma
C.) Extensive necrosis from epicardium to endocardium
D.) For treatment, physician needs to open artery ASAP

(c/o Tinnie, Joycie, and Charmie)

A

31

Which of the following options in Lytic Therapy may have allergic reaction as an adverse result?

A.) PTCA
B.) t-PA
C.) STK

(c/o Tinnie, Joycie, and Charmie)

C

32

Which of the following should not be given for CAD patients?

A.) Metoprolol
B.) Verapamil
C.) Nifedipine
D.) Dilitiazem

(c/o Tinnie, Joycie, and Charmie)

C

33

Your patient had a heart attack 12 days ago, which cardiac marker should you use?
A.) cTnT
B.) cTnI
C.) CKMB

(c/o Tinnie, Joycie, and Charmie)

A

34

Which of the following characteristics of the ST segment depression in an ECG finding is NOT suggestive of ischemia?
A.) Downsloping ST depression B.) Upsloping ST depression
C.) Horizontal ST depression

(c/o Tinnie, Joycie, and Charmie)

B

35

ECG finding pathognomonic of an acute coronary event

A.) ST elevation
B.) T wave changes
C.) Q wave changes
D.) AOTA
E.) NOTA

(c/o Tinnie, Joycie, and Charmie)

E

36

Analgesic drug of choice for acute MI

(c/o Tinnie, Joycie, and Charmie)

Morphine Sulfate

37

[T/F] Angina Pectoris is usually retrosternal

(c/o Tinnie, Joycie, and Charmie)

T

38

Type of invasive stress testing
b. Suspected aortic dissection
A.) Nuclear cardio
B.) Stress echo
C.) Nuclear gamma
D.) IVUS

(c/o Tinnie, Joycie, and Charmie)

D

39

Produced by inflammatory cells in Atherosclerosis

A.) TNF-A
B.) Matrix metalloproteinase
C.) IL-4
D.) T-cells

(c/o Tinnie, Joycie, and Charmie)

B

40

Dosage (mg) of ASA for ischemic patient upon arrival at ER:

A.) 160
B.) 100
C.) 150
D.) 80

(c/o Tinnie, Joycie, and Charmie)

A