EKG ACS practice Flashcards

(15 cards)

1
Q

When do T waves invert after the onset of an MI?
a) At onset
b) A few minutes to hours
c) A few hours to days
d) A few days to weeks

A

b) A few minutes to hours

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2
Q

T wave inversion from ischemia is typically ____________.
a) Symmetric
b) Asymmetric

A

a) Symmetric

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3
Q

T/F: J-point elevation has pathologic significance

A

False

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4
Q

STE bowed upward and merge imperceptible with the T wave is indicative of what?
a) J-point elevation
b) MI
c) Neither of the above

A

b) MI

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5
Q

T/F: J-point elevation will not change on serial ECGs

A

True

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6
Q

Brugada syndrome is a genetic condition caused by dysfunctional cardiac ____ channels
a) K+
b) Cl-
c) Na+
d) H2O

A

c) Na+

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7
Q

With acute MI, which of the following usually persists for life?
a) STE elevation
b) Reciprocal changes
c) T wave inversion
d) New Q waves

A

d) New Q waves

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8
Q

What type of MI is most often misdiagnosed?
a) Anterior
b) Lateral
c) Posterior
d) Inferior

A

c) Posterior

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9
Q

What type of MI involves the RCA or descending branch and is seen in leads II, III, & aVF?
a) Anterior
b) Lateral
c) Posterior
d) Inferior

A

d) Inferior

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10
Q

de Winter’s T waves and Wellens’ waves may indicate the occlusion of the _________ branch of the LCA
a) Anterior septal
b) Posterior septal
c) Lateral
d) Inferior

A

a) Anterior septal

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11
Q

With which of the following types of MI may you see RAD?
a) Anterior
b) Lateral
c) Posterior
d) Inferior

A

c) Posterior

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12
Q

Which has a higher risk of for further infarction and mortality? (don’t confuse with initial risk)
a) STEMIs
b) NSTEMIs

A

b) NSTEMIs

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13
Q

Takotsubo cardiomyopathy occurs most often in _______________, under extreme psychological or emotional stress?
a) Men 18-35
b) Women 18-25
c) Men >55 y/o
d) Postmenopausal women

A

d) Postmenopausal women

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14
Q

“Apical ballooning syndrome” was mentioned to potentially occur with what?

A

Takotsubo cardiomyopathy

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15
Q

Takotsubo cardiomyopathy and angina may both involve T wave inversion, but Takotsubo cardiomyopathy involves ST __________ and angina involves ST __________ (excluding Prinzmetal angina)

A

elevation; depression

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