Myocardial infraction (Lec 9) (Set 1)
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Questions and Answers

Which of the following is a consequence of atheroma?

  • Artery narrowing
  • Thrombus formation
  • Bleeding into the plaque
  • All of the above (correct)

What is the main lab sample used for testing myocardial infarction (MI)?

  • Troponin I (cTnI) (correct)
  • Myoglobin
  • Lactate dehydrogenase (LDH)
  • Creatine kinase (CKMB)

Which enzyme is specific for cardiac muscle damage?

  • Creatine kinase (CKMB)
  • Lactate dehydrogenase (LDH)
  • Aspartate aminotransferase (AST)
  • Troponin I (cTnI) (correct)

Which troponin subunit binds calcium and regulates muscle contraction?

<p>Troponin C (C)</p> Signup and view all the answers

What is the gold standard for myocardial infarction (MI) testing?

<p>Troponins (D)</p> Signup and view all the answers

What is the treatment for MI involving the use of thrombolytic agents?

<p>Tissue plasminogen activator (D)</p> Signup and view all the answers

What is the procedure called where a catheter is inflated in an obstructed vessel to remove obstruction?

<p>Coronary angioplasty (B)</p> Signup and view all the answers

What is the term for the thickening and hardening of the artery wall?

<p>Arteriosclerosis (C)</p> Signup and view all the answers

What is the term for the lipid-rich accumulation in arteries?

<p>Atheroma (B)</p> Signup and view all the answers

What is the term for a graft of artery or vein to a coronary artery to enable blood flow around an obstruction?

<p>Coronary bypass (D)</p> Signup and view all the answers

Which of the following is the commonest cause of mortality and morbidity in adults?

<p>Myocardial infarction (MI) (D)</p> Signup and view all the answers

What does the term 'infarction' mean?

<p>Death of tissue following lack of blood supply (B)</p> Signup and view all the answers

Which artery supplies the left ventricle and left atrium?

<p>Circumflex branch (C)</p> Signup and view all the answers

Where does the blood drain into after entering the capillaries in the coronary circulation?

<p>Coronary sinus (C)</p> Signup and view all the answers

What is the cause of myocardial infarction (MI)?

<p>Atheromatous plaque rupture with overlying thrombosis (D)</p> Signup and view all the answers

What is the initial damage that leads to the development of atheroma in coronary arteries?

<p>Endothelium in arteries being damaged (B)</p> Signup and view all the answers

What are the foam cells that develop underneath endothelial cells in the intima called?

<p>Fatty streak (B)</p> Signup and view all the answers

What do macrophages release into the intima during the development of atheroma in coronary arteries?

<p>Lipid and chemical signals (C)</p> Signup and view all the answers

What is the term for the condition of suffering from a disease or medical condition?

<p>Morbidity (B)</p> Signup and view all the answers

What is the structure that the blood drains into after entering the capillaries in the coronary circulation?

<p>Coronary veins (D)</p> Signup and view all the answers

True or false: Myocardial infarction is the commonest cause of mortality and morbidity in adults.

<p>True (A)</p> Signup and view all the answers

True or false: Atheroma is the term for the lipid-rich accumulation in arteries.

<p>True (A)</p> Signup and view all the answers

True or false: The initial damage to endothelium in arteries leads to the development of atheroma in coronary arteries.

<p>True (A)</p> Signup and view all the answers

True or false: Macrophages release lipid into the intima during the development of atheroma in coronary arteries.

<p>True (A)</p> Signup and view all the answers

True or false: The left coronary artery supplies the left ventricle and left atrium.

<p>True (A)</p> Signup and view all the answers

Lipid plaques form due to the release of collagen by cells in the intima.

<p>False (B)</p> Signup and view all the answers

Thrombus formation on the plaque can lead to bleeding into the plaque.

<p>True (A)</p> Signup and view all the answers

Arteriosclerosis is the term used to describe the thickening and hardening of high pressure artery walls caused by atheroma.

<p>False (B)</p> Signup and view all the answers

Troponin I is a specific biomarker for cardiac muscle damage.

<p>True (A)</p> Signup and view all the answers

Coronary angioplasty is a procedure where a graft of artery or vein is used to enable blood flow around an obstruction in a coronary artery.

<p>False (B)</p> Signup and view all the answers

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