Kahoot Questions Flashcards
EKG
What is the next step in the management of this patient?
Coronary Angiogram
EKG shows a STEMI
What area of myocardium is affected?
- Predominat ST elevation is in II/III AVM 7 AVF– inferior
- For anterior, would need to see V2/3/4
Non-contrast CT Chest
b/c the abdominlal & bilateral femoral bruits - pointing toward AAA & can’t see on TTE
What is the current working diagnosis with the information given?
What risk stratification score should you calculate?
Acute Coronary Syndrome
(includes STEMI, NSTEMI, Unstable Angina)
Risk: HEART
Admit to rule out myocardial infarction
Here are some Key points!
Occlusion of the following arteries leads to what type of MI?
LAD
RCA
LCx
- LAD: anterior
- RCA: inferior
- LCx: posterior/lateral
Where is the thrombosis?
LAD- anterior
Most notably: V2,3,4
V3: “tombstoning”
Most likely diagnosis?
Pericarditis – you have pan ST elevations (diffuse ST elevations)
What is the rhythm?
second degree atriventricular block type 1 (or unknown)
can tell that it is bradycardic
is it a regular rhythm (R-R)? - kind of, but then have one beat that comes a little earlier & then it returns to regular- slightly irregular
is there a P before every QRS? - yes, then long PR, then really prolonged & returned to regular and then started dropping again. A lot of Ps are beign dropped
untypeable b/c if it is 2:1 conduction, you can’t tell if the P-R is elongating
Irregularity in the rhythm of an EKG rules out what type of block?
third degree - always regular
Adenosine (rapid IVP) is considered an atrioventricular blocking agent, which rhythm woudl you give it for?
A regular tachycardic rhythm with a QRS less than 120
means it supraventriculat, which is why you can give them AV-nodal blocking agent
Blood pressure 85/40, chest pain onset 1 hour ago, next best step?
synchronized cardioversion
