30 Questions
What is the primary diagnosis of the 54-year-old man with acute chest pain?
Acute myocardial infarction with ST elevation
What is the name of the biomarker that is elevated in the 54-year-old man's blood test?
Troponin T
What is the echocardiography result of the 54-year-old man?
Moderately impaired left ventricular function with anterior hypokinesis
What is the final diagnosis of the 54-year-old man?
Q wave MI with impaired left ventricular function
What is the treatment of the 54-year-old man?
Thrombus aspiration and stent implantation
What is the primary goal of the diagnostic procedure in acute coronary syndrome?
To rule out other life-threatening acute chest diseases
Which of the following is NOT a diagnostic test for pulmonary embolism?
Stress test
When did the patient go for rehabilitation?
3 days after discharge
What is the recommended treatment for STEMI within 12 hours?
PCI
What is the primary difference between STEMI and non-STEMI?
Presence of total coronary occlusion
Which of the following is a complication of acute coronary syndrome?
Shock
What is the purpose of ECG in the diagnosis of acute coronary syndrome?
To diagnose STEMI
What is the physical examination procedure used to assess the quality of the pulse in a patient with acute coronary syndrome?
Palpation
Which of the following ECG leads is NOT used to localize an anterior myocardial infarction?
aVR
What is the significance of a distended collar vein in a patient with acute coronary syndrome?
Right ventricular failure
During which phase of myocardial infarction is an ECG most likely to show a STEMI pattern?
Hyperacute phase
What is the purpose of measuring blood pressure in a patient with acute coronary syndrome?
To diagnose cardiogenic shock
Which of the following ECG patterns is NOT associated with an inferior myocardial infarction?
STEMI in leads V1 and V4
What is the primary purpose of risk stratification in patients with acute coronary syndrome without STE elevation?
To determine the need for invasive strategy
What is a key factor in determining the risk category of a patient with acute coronary syndrome without STE elevation?
Clinical condition, including ongoing chest pain and hemodynamic status
According to the GRACE risk stratification model, what is the in-hospital death rate for patients in the low-risk category?
3%
What is the primary goal of patient management in acute coronary syndrome without STE elevation?
To calculate the acute and long-term prognosis
Which of the following co-morbidities suggests a high probability of CHD?
Diabetes mellitus
What is the timing of coronarography determined by in patients with acute coronary syndrome without STE elevation?
Risk category
What is the recommended strategy for patients with STE elevation and acute coronary syndrome?
Immediate invasive strategy as soon as possible
Which of the following is a complication of acute coronary syndrome?
Ventricular fibrillation
What is the benefit of Intraaortic balloon pump (IABP) in acute coronary syndrome?
Passive augmentation of cardiac output
Which of the following is an indication for early invasive strategy in acute coronary syndrome?
Diabetes mellitus
What is the purpose of Extracorporeal Membrane Oxygenation (ECMO) in acute coronary syndrome?
Bridge to decision
What is the name of the device program launched in 2008 for patients with acute coronary syndrome?
BiVAD
Test your knowledge of acute coronary syndrome, including diagnosis, symptoms, and treatment options. This quiz is based on a case study of a 54-year-old man with acute chest pain and a history of hypertension, diabetes, and obesity.
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