Cardiac 01: Assessment

Question 1

PQRST Assessment of Chest Pain

Answer 1

P: Pain, placement, provcation
Q: Quality, quantity
R: Radiation, Relief
S: Severity, Systems (nausea, sweaty, dizziness)
T: Timing (how long it last, when it started)

Question 2

Blood work done for ACS (2)

Answer 2

1. CK-MB - Cardiac Enzyme
2. Amino Acids: Troponins

Question 3

Blood work done for Lipid Profile (4)

Answer 3

1. Triglycerides
2. Cholesterol
3. LDL
4. HDL

Question 4

Blood work for coagulation profile (3)

Answer 4

1. PT/INR
2. aPTT
3. ACT

Question 5

C Reactive Protein measures

Answer 5

Level of inflammation in the body, unit protein

Question 6

Delete

B Type Naturetic Peptide is used for:

Answer 6

Measures for Heart Failure

Question 7

Match area of MI to EKG. Think SAL, SALLI and INF.

Answer 7

V1 Septal
V2 Septal
V3 Anterior
V4 Anterior
V5 Lateral
V6 Lateral
To be more complete about the lateral wall involvement, I use the “SALLI” mnemonic.
L for aVL and I for lead I.
So for lateral wall MI: V5 , V6, aVL and lead I.

For inferior MI, I remember the word “INF” and the vertical lines in them:

II vertical lines in the letter “N”
III vertical lines in the word “IN”
The F in “inF” is for avF

So for inferior wall MI: II , III and aVF.

Question 8

S3 sound is associated with what?

Answer 8

Increased L ventricle pressure and HF
Considered ventricular gallop

Question 9

During what period of the heart beat may a ventricular septa defects be heard and where?

Answer 9

Occurs during systolic murmur and can be heard at the left sternal border

Question 10

How may R ventricle infarct may be diagnosed by EKG?

Answer 10

By R sided EKG. V3-V6

Question 11

What does it mean when a V wave appears on a PAOP reading?

Answer 11

MItral regurg.
V is associated with increased L artrial pressure. Think MIMIMI at a PAOPing part

Question 12

What is Wolff Parkinson Whitee sndrome?

Answer 12

Genetic conduction abnormality.
Conduction bypasses AV node -> SVT. or pre excited a fib.

If a fib, do NOT give DAC, digoxin, adenosine or CC blockers because it may cause v fib.

Question 13

What electrolyte problems may cause prolonged QTC?

Answer 13

HYPO- kalemia, calcemia, magnesemia