ACS

Question 1

MONA BASH for treatment of ACS

Answer 1

Morphine, oxygen, nitroglycerin, anti-platelets
B blocker, ACE inhibitor, statins, heparin

Question 2

Treatment of unstable angina x5

Answer 2

B blocker atenolol
Antiplatelet clopidogrel
H- Low molecular weight heparin
Nitrates IV
Coronary angiography within 7hrs

Question 3

Components of GRACE scoring system x7

Answer 3

Age
HR and SBP
CCF, shock
Pulmonary edema
ST segment changes
Elevated cardio markers
Cardiac arrest on admission

Question 4

Purpose of GRACE scoring system

Answer 4

To predict 6/12 months mortality on NSTEMI patients

Question 5

Risks of cardiac event in the next 30 days x7

Answer 5

Age 65+
CAD risk
Known CAD
Aspirin in the past week
2+ severe anginas in the past 24hrs
Elevated troponins
ST segment deviation

Question 6

Contraindications of streptokinase x5

Answer 6

Major surgery
Active bleeding
Prolonged CPR
History of CVA
Known bleeding disorder

Question 7

Management of STEMI x4

Answer 7

B blocker atenolol
ACE inhibitor lisinopril
Thrombolysis with streptokinase
Percutaneous coronary intervention

Question 8

MOA of streptokinase

Answer 8

It forms a complex with plasminogen which converts inactive plasminogen molecules to plasmin which is responsible for degradation of fibrin clots

Question 9

Long term management of STEMI x5

Answer 9

Clopidogrel
Beta blocker
ACE inhibitor
Statin and aspirin
Lifestyle modification

Question 10

SPARED complications

Answer 10

Sudden death
Pericarditis
Aneurysms
Rupture of ventricular wall
Embolism
Dresslers syndrome