Add note

Brain Storming

Most of the perfusion to coronary artery occurs during:

  1. Ventricular systole
  2. Atrial systole
  3. Ventricular diastole
  4. Atrial relaxation
to view the answer to the question above

Ventricular diastole


Increases incidence of acute coronary syndromes is not associated with:

  1. Smoking
  2. Morbid obesity
  3. Diabetes
  4. Type A personality
to view the answer to the question above

Type A personality


Ist, 2nd and third heart blocks are first discovered by:

  1. Wenkebach
  2. Einthoven
  3. Mobitz
  4. Bachman
to view the answer to the question above

Wenkebach


The three lead system I, II, & III was developed by:

  1. Wenkebach
  2. Einthoven
  3. Mobitz
  4. Kent
to view the answer to the question above

Einthoven


The rhythm  associated with sudden cardiac death is:

  1. VF
  2. VT
  3. Ventricular escape
  4. Sinus bradycardia below 20 bps
to view the answer to the question above

VF


Average size of ventricle compared to atria is:

  1. Same size
  2. Two times larger
  3. Three times larger
  4. Four times larger
to view the answer to the question above

Three times larger


In patients with IHD,  the following is associated with less incidence of AMI:

  1. Calcium channels blockers
  2. GTN
  3. Beta blockers
  4. Aspirin
to view the answer to the question above

Aspirin


Anginal pain is described as:

  1. Stabbing
  2. Crushing
  3. Tearing
  4. Stinging
to view the answer to the question above

Crushing


The speed of an ECG strip is usually:

  1. 25 mm/sec
  2. 50 mm/sec
  3. 10 mm/sec
  4. 5 mm/sec
to view the answer to the question above

25mm/sec


Greatest chance of adult survival from VF is associated with:

  1. Prompt CPR with pushing hard and fast
  2. Adrenalin 1mg IV every 4 minutes during CPR
  3. Early Defibrillation
  4. 100% oxygen administration during CPR
to view the answer to the question above

Early Defibrillation


Cardiac Output in adults is:

  1. 2-3 l/min
  2. 7-10 l/min
  3. 5-6 l/min
  4. Normally >10 l/m
to view the answer to the question above

5-6 l/min


Which medication is not given routinely in acute MI?

  1. Beta blockers
  2. Lidocaine (as an antiarrhythmic)
  3. Nitroglycerine
  4. Aspirin
to view the answer to the question above

Lidocaine


The most common complication associated with thrombolytics is:

  1. Anaphylaxis
  2. Arrhythmias
  3. Stroke
  4. Bleeding
to view the answer to the question above

Bleeding


Tenecteplase is:

  1. An anticoagulant
  2. A thrombolytic agent
  3. An anti-platelet
  4. Glycoprotein IIb/IIIa inhibitor
to view the answer to the question above

A thrombolytic agent


An occlusion of the R coronary artery most likely causes:

  1. An inferior MI
  2. An anterior MI
  3. A posterior MI
  4. A lateral MI
to view the answer to the question above

An inferior MI


Thrombolytic therapy in ACS is aimed at:

  1. Destroying cholesterol plaques
  2. Prevention of the enlargement of intracoronary thrombosis
  3. Preventing deep vein thrombosis
  4. Dissolving the intracoronary thrombus
to view the answer to the question above

Dissolving the intracoronary thrombus


 

In unstable angina Beta Blockers may reduce the risk of:

  1. Stroke
  2. Pulmonary oedema
  3. MI
  4. DVT
to view the answer to the question above

MI


The S3 heart sound is associated with:

  1. Congestive heart failure
  2. Stroke
  3. Low cardiac output
  4. Junctional rhythm
to view the answer to the question above

Congestive heart failure


The S4 heart sound is often associated with:

  1. Pulmonary hypertension
  2. Fibrosis of the ventricle following MI
  3. Unstable angina
  4. Austin Flint murmur
to view the answer to the question above

Fibrosis of the ventricle following MI


Presence of ventricular ectopics with coexisting chest pain perhaps best managed initially with:

  1. Lidocain infusion
  2. Amiodarone infusion
  3. Magnesium sulphate 2g slow IV
  4. Supplementary Oxygen
to view the answer to the question above

Supplementary Oxygen


Starling Low states that:

  1. Increased stretch of cardiac muscle fibers results in increased force of contractions
  2. Increased after load leads to reduction of C.O.
  3. Reduced preload reduces C.O.
  4. None of above statements.
to view the answer to the question above

Increased stretch of cardiac muscle fibers results in increased force of contractions


Symptom often associated with descending aortic dissection:

  1. Tearing mid scapular pain
  2. Crushing chest pain
  3. Bradycardia
  4. Coma
to view the answer to the question above

Tearing mid scapular pain

The location of the pain may indicate the site of dissection. Anterior chest pain and chest pain that mimics acute myocardial infarction usually are associated with anterior arch or aortic root dissection. This is caused by the dissection interrupting flow to the coronary arteries, resulting in myocardial ischemia. Pain in the neck or jaw indicates that the dissection involves the aortic arch and extends into the great vessels.

Tearing or ripping pain in the intrascapular area may indicate that the dissection involves the descending aorta. The pain typically changes as the dissection evolves.

The pain of aortic dissection is typically distinguished from the pain of acute myocardial infarction by its abrupt onset and maximal severity at onset, although the presentations of both conditions overlap to some degree and are easily confused. Aortic dissection can be presumed in patients with symptoms and signs suggestive of myocardial infarction but without classic electrocardiographic (ECG) findings.


The following is not usually associated with Atrial fibrillation:

  1. Congestive heart failure
  2. Hypertension
  3. Ventricular fibrillation
  4. Rheumatic Heart Disease
to view the answer to the question above

Ventricular fibrillation


Adrenaline administered in refractory VF

  1. Reduces morbidity and mortality
  2. Is an effective antiarrhythmic
  3. Increases coronary perfusion pressure during CPR
  4. Is more effective when given in higher doses and more frequently
to view the answer to the question above

Increases coronary perfusion pressure during CPR


An average stroke volume during resting state is:

  1. 10-30ml
  2. 35-45ml
  3. 50-80ml
  4. 90-130 ml
to view the answer to the question above

50-80ml


Which drug when given with rTPA in AMI enhances its efficacy?

  1. Beta blockers
  2. Aspirin
  3. Low molecular weight heparin
  4. Nitroglycerine
to view the answer to the question above

Aspirin


The reduction in CO due to loss of atrial kick in Atrial Fibrillation is:

  1. <5%
  2. 10%
  3. 15-35%
  4. There is virtually no effect at all
to view the answer to the question above

15-35%


Crushing chest pain and tightness may be a symptom of:

  1. Angina pectoris
  2. Acute pancreatitis
  3. Pulmonary embolization
  4. All of above
to view the answer to the question above

All of above


The management of acute myocardial infarction is:

  1. To reduce after load to the heart
  2. Increase oxygen supply to the myocardium
  3. Increase oxygen supply and reduce demand
  4. Generally symptomatic only, as the damage already done
to view the answer to the question above

Increase oxygen supply and reduce demand


The endothelium possesses an endocrine role in:

  1. Stimulating and inhibiting vessel growth
  2. Influencing arterial tone
  3. Affecting coagulation
  4. All of above
to view the answer to the question above

All of above


Beta blockers should not be used in MI when associated with:

  1. Sinus tachycardia
  2. AF
  3. Mobitz type II block
  4. VT
to view the answer to the question above

Mobitz type II block


The ECG criteria for AMI:

  1. ST elevation (> 1mm) in leads 1 & AVL
  2. ST elevation (> 1mm) in leads 2,3 & AVF
  3. ST elevation (> 1mm) in leads V1-V4
  4. New Q waves in 2,3 &AVF
to view the answer to the question above

ST elevation (> 1mm) in leads 2,3 & AVF


Criteria for thrombolysis does not include:

  1. ST depression
  2. ST elevation in leads 1,aVl and V5-V6
  3. St elevation in leads 2,3 & aVF
  4. New LBBB associated wit ST elevation I Leads V1-V4
to view the answer to the question above

ST depression


R ventricular infarct is associated with:

  1. Inferior MI
  2. Anterior MI
  3. Antero-septal MI
  4. Lateral MI
to view the answer to the question above

Inferior MI


Glycoprotein 2b/3a antagonists are beneficial in:

  1. Acute pulmonary oedema
  2. Cardiogenic shock
  3. Unstable angina
  4. Stroke
to view the answer to the question above

Unstable angina


High risk in acute coronary syndrome include:

  1. Elevated CKMB, angina controlled with medication an normal LV function
  2. Angina at rest with medications, elevated Troponins, ST depression and a prior MI
  3. Family history of CAD, prior use of aspirin and a normal ECG
  4. One episode of angina while on medical therapy, Normal CKMB but elevated Troponins and prior MI
to view the answer to the question above

Angina at rest with medications, elevated Troponins, ST depression and a prior MI


« Medications Video- Resuscitation Team Consept »
 
    
Add paper Cornell note Whiteboard Recorder Download Close
PIP mode
Edit page