CHEST PAIN/MYOCARDIAL INFARCTION

1. Streptokinase, Metalyse & Alteplase are thrombolytic treatment use to break down clots in some cases of --------,EXCEPT?

• A. Myocardial Infarction

• B. Pulmonary Embolism

• C. Arterial thromboembolism

• D. Deep Vein Thrombosis

2. Chest pain may cause?

• A. permanent damage to the heart muscle

• B. Heart muscle get enough oxygen in the blood

• C. Heart muscle doesn't get enough oxygen in the blood

• D. All above

3. Below are ABSOLUTE CONTRAINDICATION for thrombolyse patient,except :

• A. Suspected aortic dissection

• B. History of intracranial bleed

• C. Pregnancy

• D. Significant head trauma within 3 months

4. IV Streptokinase should be administer within _________?

• A. 30 minutes

• B. Fast bolus over 5-10 seconds

• c. 1 hour

• D.2 hour

5. A 45 year-old female presents to the A&E Department with acute chest pain and ST elevation in the anterior chest leads of the electrocardiogram. Enzyme and troponin levels are not available. The pain has been present for 1œ hours and there is no previous history. The best treatment is:

• A. Treat the pain, admit to the Coronary Care Unit and observe

• B. Take the patient to the Cardiac Catherization Laboratory and carry out and angiogram with a view to PCI/ angioplasty if approriate

• C. Use a Thrombolytic agent immediately

• D. Await the results of the cardiac enzymes before taking any action apart from treating pain

• E. initiate investigations to exclude other possible diagnoses such as pulmonary embolus or dissection before taking further action

6. Below are adverse effect of IV streptokinase,Except :

• A. Hypotension

• B. Minor Bleeding

• C. Hypertension

• D. Allergic reaction

7. Myocardial Infarction is ?

• A. Heart muscle get enough oxygen in the blood

• B. Permanent damage to the heart muscle / death of tissue due to lack of blood

• C. Heart muscle doesn't get enough oxygen in the blood

• D. Discomfort at chest feel like burning

8. In secondry triage,ECG should be do within ?

• A. > 10 minutes

• B.< 10 seconds

• C. < 10 minutes

• D. > 10 minutes

9. How long IV metalyse can be store after reconstitution in fridge (2-8'c) ?

• A. 1 hour

• B. 8 hour

• C. 24 hour

• D. use immediately

10. A specific blood test to confirm an acute myocardial infarction is?

• A. Lipid profile

• B. Cardiac Enzyme

• C. Full Blood Count

• D.Serum Electrolyte