Week 5

Question 1

What are the characteristics of chronic stable angina?

Answer 1

Fixed stenosis, relieved by GTN, comes on during exercise, safe/predictable

Question 2

What is the key pathological trigger?

Answer 2

Plaque rupture from fixed stenosis to dynamic stenosis

Question 3

What should be shown on an ECG that suggests ST elevation infarct?

Answer 3

ST elevation, T wave inversion and Q wave formation

Question 4

What should a STEMI look like on an ECG?

Answer 4

more than 1 box in 2 adjacent limb leads
ST elevation is in at leads 2 leads next to each other
New onset bundle branch block

Question 5

What is anatomical site of inferior on an ECG?

Answer 5

II, III, AVF

Question 6

What is anatomical site of anteroseptal on an ECG?

Answer 6

V1-4

Question 7

What is anatomical site of anterolateral on an ECG?

Answer 7

I, AvL, V1-6

Question 8

What does switching off platelets do?

Answer 8

Blocks the ADP receptor and switches off COX

Question 9

What does troponin detect in MI?

Answer 9

myocardial necrosis

Question 10

What is the early treatment in MI?

Answer 10

Clopidogrel, aspirin and thrombolysis

Question 11

Who shouldn’t receive thrombolysis?

Answer 11

Those who have had operations, brain tumours haemorrhagic stroke

Question 12

What is the guidelines on Optimal Reperfusion Therapy in MI?

Answer 12

90mins and >40mins drive time= Thrombolysis

Question 13

What is the early treatment in MI?

Answer 13

Analgesia, anti- emetic IV, Aspirin and Clopidigrel
GTN
O2 if hypoxic
Primary angioplasty
Thrombolysis