Kahoot Questions

Question 1

Answer 1

EKG

Question 2

What is the next step in the management of this patient?

Answer 2

Coronary Angiogram

EKG shows a STEMI

Question 3

What area of myocardium is affected?

Answer 3

• Predominat ST elevation is in II/III AVM 7 AVF– inferior
• For anterior, would need to see V2/3/4

Question 4

Answer 4

Non-contrast CT Chest

b/c the abdominlal & bilateral femoral bruits - pointing toward AAA & can’t see on TTE

Question 5

What is the current working diagnosis with the information given?

What risk stratification score should you calculate?

Answer 5

Acute Coronary Syndrome

(includes STEMI, NSTEMI, Unstable Angina)

Risk: HEART

Question 6

Answer 6

Admit to rule out myocardial infarction

Question 7

Here are some Key points!

Question 8

Occlusion of the following arteries leads to what type of MI?

LAD

RCA

LCx

Answer 8

• LAD: anterior
• RCA: inferior
• LCx: posterior/lateral

Question 9

Where is the thrombosis?

Answer 9

LAD- anterior

Most notably: V2,3,4

V3: “tombstoning”

Question 10

Most likely diagnosis?

Answer 10

Pericarditis – you have pan ST elevations (diffuse ST elevations)

Question 11

What is the rhythm?

Answer 11

second degree atriventricular block type 1 (or unknown)

can tell that it is bradycardic

is it a regular rhythm (R-R)? - kind of, but then have one beat that comes a little earlier & then it returns to regular- slightly irregular

is there a P before every QRS? - yes, then long PR, then really prolonged & returned to regular and then started dropping again. A lot of Ps are beign dropped

untypeable b/c if it is 2:1 conduction, you can’t tell if the P-R is elongating

Question 12

Irregularity in the rhythm of an EKG rules out what type of block?

Answer 12

third degree - always regular

Question 13

Adenosine (rapid IVP) is considered an atrioventricular blocking agent, which rhythm woudl you give it for?

Answer 13

A regular tachycardic rhythm with a QRS less than 120

means it supraventriculat, which is why you can give them AV-nodal blocking agent

Question 14

Blood pressure 85/40, chest pain onset 1 hour ago, next best step?

Answer 14

synchronized cardioversion