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

[27] Myocardial Infarction Flashcards

1
Q

Wall Tension is Determined By?

A

Systolic BP

Volume

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2
Q

Single Most Important Basic Test to Diagnose Coronary Artery Disease

A

Electrocardiogram

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3
Q

Cardinal Classic Symptom of Coronary Artery Disease

A

Angina Pectoris

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4
Q

Angina Pectoris is usually located?

A

Retrosternal

Underneath your breastbone

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5
Q

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

A

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

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6
Q

Most Widely Used Test to Diagnose CAD

A

Exercise ECG

Treadmill Stress Test

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7
Q

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

A

Administer Dipyridamole, Adenosine, or Dobutamine to stress the heart

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8
Q

Gold Standard for CAD

A

Coronary Angiography

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9
Q

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

A

T

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10
Q

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

A

Troponin

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11
Q

Single most important coronary artery

A

Left Anterior Descending Artery

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12
Q

This is a rough estimate of Afterload

A

Systolic BP

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13
Q

This is a rough estimate of Preload

A

Volume

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14
Q

Biochemical Marker for Ischemia

A

Lactic Acidosis

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15
Q

Most common non-cardiac cause of chest pain

A

GERD

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16
Q

Exercise ECG signs indicative of Ischemia

A

Downsloping and Horizontal Lines

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17
Q

Is Exercise ECG Upsloping indicative of Ischemia?

A

No

18
Q

Drugs used for Pharmacologic Stress Testing

A

Dipyridamol
Adenosine
Dobutamine

19
Q

Most commonly used marker for Cardiac Injury

A

CK-MB

20
Q

How long before CTnI is detectable?

A

2-4 Hours

21
Q

How long before CTnT is detectable?

A

2-4 Hours

22
Q

How long before CKMB is detectable?

A

3-4 Hours

23
Q

How long does CKMB last in the system?

A

2-4 Days

24
Q

How long does CTnT last in the system?

A

14 Days

25
Q

How long does CTnI last in the system?

A

5-10 Days

26
Q

[Sample Case]

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

A

CTnI

27
Q

Mechanism of Action: Fondaparinux

A

Factor Xa Inhibitor

28
Q

Mechanism of Action: Bivalirudin

A

Direct Thrombin Inhibitor

29
Q

Gold Standard “door to needle time” for Acute STEMI

A

< 30 minutes

30
Q

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

A

31
Q

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)

A

C

32
Q

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)

A

C

33
Q

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

A

34
Q

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)

A

B

35
Q

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)

A

E

36
Q

Analgesic drug of choice for acute MI

c/o Tinnie, Joycie, and Charmie

A

Morphine Sulfate

37
Q

[T/F] Angina Pectoris is usually retrosternal

c/o Tinnie, Joycie, and Charmie

A

T

38
Q 
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)

A

D

39
Q

Produced by inflammatory cells in Atherosclerosis

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

(c/o Tinnie, Joycie, and Charmie)

A

B

40
Q

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

A

[OS 213] CVS Module (33 decks)

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