IHD

Question 1

Typical angina

Answer 1

3/3
- supsternal chest pain
- worse with exertion
- relieved with rest / NG

Question 2

Atypical angina ( Angina equivalent )

Answer 2

2/3
- shortness of breath (dyspnea), diaphoresis (sweating), extreme fatigue, or pain at a site other than the chest, occurring in a patient at high cardiac risk

Question 3

Medications that lowers mortality in ACS:

Answer 3

💊 Aspirin / DAPT
💊 Statins
💊 ß-blockers
💊 ACE-i

Question 4

The most important preventable risk factor for CAD is […]

Answer 4

smoking 🚬

Question 5

In the management of Stable angina
1. ECG : non specific ST / T wave changes
2. Troponin : normal
3. […]

Answer 5

Repeat troponin 6 hours after

Question 6

medications for NSTEMI :

Answer 6

🔸 DAPT (Aspirin/Clopidogrel)
🔸 ß-blocker
🔸 ACE-i
🔸 Statins
🔸 Heparin
🔸Nitroglycerin
🔸 Morphine
🔸 GP iib/iiia inhibitors

Question 7

What is the role of PCI and tPA in ACS

Answer 7

thrombolytics only for STEMI
▪️ PCI within first 90 min
▪️tPA if presented late or PCI fail

🔴 CABG: reserved for cardiogenic shock, Arrhythmias, Mechanical complications of MI

Question 8

Contraindications of theombolytics:

Answer 8

• Coagulopathy / active bleeding
• recent surgery or trauma
• recent stroke
• Dissecting Aortic Aneurysm

Question 9

Patient present with MI
Hypotensive and bradycardia
What is your first line management ?

Answer 9

Atropin

Question 10

Patient present with MI
Was managed by PCI
On warfarin for AF
What is the best management regarding his anticoagulation therapy?

Answer 10

✔️ Continue warfarin
✔️ add DAPT

Question 11

medications for STEMI :

Answer 11

🔸 DAPT (Aspirin/Clopidogrel)
🔸 ß-blocker
🔸 ACE-i
🔸 Statins
🔸 Heparin (only after tPA)
🔸Nitroglycerin
🔸 Morphine
🔸 thrombolytics (but PCI is superior)