Acute coronary syndrome

Question 1

The process of building up fatty plaques within the inner linings of the arteries is called…
a. vasoconstriction
b. atherosclerosis
c. angioplasty
d. vasodilation

Answer 1

b. atherosclerosis

Question 2

Which of the following is good counselling advice for GTN spray for relief of chest pain/angina?
a. Sit down before using, can cause headache, spray 1-2 sprays under the tongue
b. Sit down before using, expiry date is not important, spray under the tongue
c. Can cause headaches, can cause increase in blood pressure
d. Use 2 sprays in the mouth, continue using until chest pain has gone

Answer 2

Sit down before using, can cause headache, spray 1-2 sprays under the tongue

Question 3

What medicines would be given as secondary prevention following a diagnosis of angina (cardiovascular disease)?
a. Aspirin 75mg OD, prasugrel 10mg OD, bisoprolol 5mg OD
b. Bisoprolol 5mg OD, ticagrelor 90mg BD, atorvastatin 80mg OD
c. Aspirin 75mg OD, simvastatin 40mg ON
d. Aspirin 75mg daily, atorvastatin 80mg OD

Answer 3

d. Aspirin 75mg daily, atorvastatin 80mg OD

Question 4

Which of these is not a risk factor for cardiovascular disease?
a. Diabetes
b. Hypertension
c. Smoking
d. Obesity
e. Regular exercise (5 times a week)

Answer 4

e. Regular exercise (5 times a week)

Question 5

Which of these are first line antianginals?
a. Ranolazine / amlodipine
b. Ivabradine / verapamil
c. Nicorandil / isosorbide mononitrate MR
d. Bisoprolol / diltiazem

Answer 5

d. Bisoprolol / diltiazem

Question 6

Which of these antiplatelets is licensed to be given without aspirin?
a. Clopidogrel
b. Prasugrel
c. Ticagrelor

Answer 6

a. Clopidogrel

Question 7

Which antianginal has a potential side effect of ulceration of the GI tract?
You Answered
a. Isosorbide mononitrate MR
b. Nicorandil
c. Ranolazine
d. Diltiazem

Answer 7

b. Nicorandil

Question 8

Which antianginal should theoretically not cause a hypotensive effect?
a. Nicorandil
b. Bisoprolol
c. Diltiazem
d. Ivabradine

Answer 8

d. Ivabradine

Question 9

After PPCI with stent insertion, how long is dual antiplatelet therapy usually recommended for?
a. 2 years
b. Long term
c. 3 months
d. 12 months

Answer 9

d. 12 months

Question 10

Why are ACE inhibitors prescribed after an Acute Coronary Syndrome?
a. To prevent diabetes
b. To reduce risk of heart failure
c. To reduce risk of developing angina symptoms
d. To prevent kidney disease

Answer 10

b. To reduce risk of heart failure

Question 11

What does the acronym CABG stand for?
a. Coronary Atherosclerosis Bypass Graft
b. Coronary Artery Bypass Graft
c. CardiovAscular Bypass Graft
d. Coronary Artery Better Graft

Answer 11

b. Coronary Artery Bypass Graft

Question 12

A patient presents to A&E with severe cardiac sounding chest pain. Their ECG shows T wave inversion only and their Troponin T is raised > 10 times the upper normal limit. Is their likely diagnosis STEMI or NSTEMI?
a. STEMI
b. NSTEMI

Answer 12

b. NSTEMI