Acute Coronary Syndrome/Coronary Heart Disease

Question 1

Clopidogrel

Answer 1

P2Y12 inhibitor (Plavix: clopidogrel bisulfate)

Question 2

Prasugrel

Answer 2

P2Y12 inhibitor

Question 3

Ticlopidine

Answer 3

P2Y12 inhibitor

Question 4

Ticagrelor

Answer 4

P2Y12 inhibitor

Question 5

Baby aspirin mg dosage

Answer 5

81 mg

Question 6

MONA

Answer 6

morphine, oxygen, nitroglycerine, aspirin

Question 7

Abciximab

Answer 7

GPIIbIIIa inhibitor

Question 8

Eptifibatide

Answer 8

GPIIbIIIa inhibitor

Question 9

Tirofiban

Answer 9

GPIIbIIIa inhibitor

Question 10

Enoxaparin

Answer 10

anticoagulant. indirect thrombin inhibitor

Question 11

Fondaparinux

Answer 11

anticoagulant. indirect thrombin inhibitor

Question 12

Bivalirudin

Answer 12

anticoag. direct thrombin inhibitor

Question 13

argatroban

Answer 13

anticoag. direct thrombin inhibitor

Question 14

Put patient on this med within first 24 hours of symptoms of ACS

Answer 14

Beta blocker. unless contraindicated

Question 15

final risk stratification of NSTE-ACS

Answer 15

stress test! One of 3 kinds: treadmill EKG, echo (Dobutamine), myocardial perfusion imaging (Adenosine)

Question 16

time in which 12 lead ekg should be performed after arrival in ED for STEMI

Answer 16

10 mins

Question 17

Goal reperfusion time after onset of symptoms

Answer 17

12 hrs. fibrinolytic, PCI, CABG

Question 18

goal FMC to device time for PCI

Answer 18

90 mins

Question 19

when to administer fibrinolytic to STEMI

Answer 19

> 120 mins from FMC before access to PCI. administer within 30 mins

Question 20

Family Hx of CAD Risk Factors

Answer 20

Male <55, Female <65

Question 21

Should be measured at presentation and 3-6 hrs post symptom onset

Answer 21

TropI

Question 22

duration of P2Y12 inhibitors

Answer 22

1 year for all treatments performed. STEMI or NSTEMI

Question 23

EF < 40%?

Answer 23

ACE-I/ARB

Question 24

colchicine

Answer 24

anti-inflammatory for peri-infarction pericarditis