MCQs

Question 1

What is the QRISK2 cut off score for prescribing a statin in an <84 without type 1 diabetes?

Answer 1

10%

Question 2

What is the cut off from presentation to commence PCI for STEMI?

Answer 2

12 hours

Question 3

What is the cut off from from resentation to commence PCI for STEMI?

Answer 3

120 minutes

Question 4

A 60-year-old man presents to the emergency department with a sudden central chest pain. He has a past history of diabetes mellitus. On examination, he is alert but appears to be in pain and feeling nauseous. He has a pulse rate of 96 beats per minute and a blood pressure of 85/60 mmHg. ECG shows an ST-depression in the inferior leads.

Which of the following medications is contraindicated in this patient?

Aspirin
Clopidogrel
Fondaparinux
Nitrates
Metoclopramide

Answer 4

Nitrates are CI in hypotension

Question 5

What are the 3 conditions in which rhythm control is first line in the management of AF?

Answer 5

AF has a reversible cause
AF of new onset
AF with assoc. HF

Question 6

Which cardiac biomarker is used to detect re-infarction within the 4-10 day period post infarct?

Answer 6

The Creatine Kinase (CK-MB) remains elevated for 3 to 4 days following infarction. Troponin remains elevated for 10 days. This makes CK-MB useful for detecting re-infarction in the window of 4 to 10 days after the initial insult

Question 7

If patients treated with PCI for MI are experiencing pain or haemodynamic instability post PCI, what is recommended?

Answer 7

CABG