Cardio - ISHD

Question 1

Chronic coronary $ =

Answer 1

stable angina : <15min , inc by effort , dec by SLN

Question 2

Acute coronary =

Answer 2

unstable angina , sub-endocardial infarction(non STEMI) , transmural infarction (STEMI)

Question 3

Unstable angina :

Answer 3

<1hr , at rest , poor response to SLN

Question 4

sub-endocardial infarction(non STEMI) , transmural infarction (STEMI) :

Answer 4

> 1hr , no response to SLN , sweating , pallor, Angor animi

Question 5

ECG :
stable&raquo_space; ……………. |unstable + Non STEMI&raquo_space; ………….. + …………| STEMI&raquo_space;………………………

Answer 5

stable&raquo_space; ST depression |unstable + Non STEMI&raquo_space; ST depression + inverted T | STEMI&raquo_space; ST elevation

Question 6

ECG IN STEMI : …………. , ………………. , ……………………

Answer 6

hyper acute T , elevated ST , inverted T wave

Question 7

Earliest sign in STEMI In ECG : …………………..

Answer 7

hyper acute T wave

Question 8

Cardiac markers in : stable + unstable&raquo_space; ……………….. | Non STEMI + STEMI&raquo_space; ……………..

Answer 8

stable + unstable&raquo_space; negative | Non STEMI + STEMI&raquo_space; positive

Question 9

TTT :
stable&raquo_space; ……………… | unstable&raquo_space; …………………… | Non STEMI + STEMI&raquo_space; ……………………….

Answer 9

stable&raquo_space; antiplatelets | unstable&raquo_space; Anticoagulants till revascularization | Non STEMI + STEMI&raquo_space; immediate reperfusion

Question 10

Most common early complication of MI&raquo_space; ………………………………………

Answer 10

arrhythmia ( extra-systole )

Question 11

Most fetal early complication of MI&raquo_space; ……………….

Answer 11

ventricle fibrillation

Question 12

early complication of MI (2-3days) : …………….. , …………………. , ……………….. , ……………………

Answer 12

arrhythmia , ventricle fibrillation , shock(neurogenic,cardiogenic), pericarditis

Question 13

later complications of MI (3-5days): …………….. , …………… , …………… , ………. , ……………….

Answer 13

re angina , re infarction , impaired contraction , stasis , tissue necrosis

Question 14

Late complications of MI (weeks ): ………… , ………….. ,, …………………..

Answer 14

Dressler $ , Frozen shoulder $ , ventricular aneurysm

Question 15

Acute coronary $ sign of old infarction :: ………………………….

Answer 15

pathological Q wave ( persist for years )

Question 16

Different between anginal pain and MI : MI&raquo_space; …………………………………..

Answer 16

more sever prolonged, not response to SLN

Question 17

Saliant MI in : …………… , ………………. ,…………… , …………………….. ., …………….. , …………..

Answer 17

diabetic neuropathy , old age , post transplantation, coma, under general anesthesia

Question 18

Persistent elevation of ST segment > 6 weeks = ………………………….

Answer 18

myocardial aneurysm

Question 19

First cardiac biomarker elevated in MI : …………………………….

Answer 19

Alpha- myoglobin (2hrs)

Question 20

Most specific cardiac biomarker for recent MI : ………………………

Answer 20

Treponine

Question 21

First Enzyme elevated in recent MI & most specific enzyme : ……………….

Answer 21

CPK-MB

Question 22

Most common occluded artery is&raquo_space; ………………..

Answer 22

left anterior descending artery

Question 23

Maximum doses of SLN&raquo_space; …..

Answer 23

3

Question 24

Prevention of anginal attacks : …………….. , ……………….. , …………….

Answer 24

Anti-anginal agents , anti-platelets, anticoagulant for unstable angina

Question 25

Anti-anginal agents : .......... , .......... ,....................

Answer 25

Nitrates , B-blockers ,CCB

Question 26

Nitrates : .....................

Answer 26

iso-sorbide dinitrate 10mg(long acting) 3\day

Question 27

MOA of Nitrates :

Answer 27

veno-dilator>> dec preload = dec O2 demand

Question 28

Side effects of Nitrates : ............... , ...................... , ................ , .................. ,....................

Answer 28

Headache, orthostatic hypotension, tachyphylaxis , methemoglobinemia, #with PDEL-5 sildenafil

Question 29

B-blockers :

Answer 29

Atenolol 100mg\day

Question 30

MOA of BB >> ....................

Answer 30

dec heart rate = dec O2 demand

Question 31

CCB: .......................

Answer 31

Verapamil 40 mg 3\day

Question 32

MOA of CCB : .....................

Answer 32

coronary VD = inc supply

Question 33

Anti-platelets : ..................

Answer 33

Aspirin 75mg \day + statins 10mg\day

Question 34

Rt. Coronary >> ........... wall & ............... | ST ................. in : ............... | ST depression : .........................

Answer 34

Inferior wall & SAN | ST elevation in : II III AVF | ST depression : I AVL

Question 35

Circumflex artery >> ............. wall | ST elevation in : ..................| ST depression : ..................

Answer 35

lateral wall | ST elevation in : I AVL V5 V6 | ST depression : inferior leads

Question 36

Left anterior descending artery >> ............ & .............. wall | ST ...................... : in V3 V4

Answer 36

septal & anterior wall | ST elevation : V3 V4

Question 37

MI caused >> .......................

Answer 37

mitral incompetence

Question 38

Absolute # of thrombolytics in MI >> ................ , ................ , .................. , ....................

Answer 38

CNS stroke or surgery , BP>185\110 , aortic dissection , active bleeding , (for streptokinase >prior use in the last 6mns)

Question 39

Relative # of thrombolytics in MI >> ................... , ..................... , ..................

Answer 39

prolonged CRP >10min, current use of anticoagulant, active peptic ulcer