Chest pain Quiz - Ch 20

Question 1

What is considered a patient with low probability ACS

Answer 1

a patient with no objective evidence of acute coronary ischemia or infarction.

(no ST elevation/depression on EKG and no elevation of cardiac biomarkers)

Question 2

what is the only test that is reliable in completely ruling OUT ACS or AMI

Answer 2

cardiac catheterization

(neg cardiac cath suggests that there is a very low incidence of MI or ACS within a 2 year period)

Question 3

Describe the evaluation process for patients with possible acute coronary syndrome.

Answer 3

Question 4

describe classes 1-5 of the prognosis-based classification system for ED chest pain patients

Answer 4

Question 5

what are some examples of advanced cardiac testing that can be completed in those with low-intermediate risk of ACS

Answer 5

• CT coronary angiography
• noninvasive stress testing (physial or pharmological)
• stress test + cardiac assessment (EKG, echo, nuclear imaging, Cardiac MRI)

Question 6

please read this chapter for yourself. it was very heavy and im unsure if these 5 cards do it justice lol

Answer 6

yes ma’ammmmmmm