Cardiology Quiz

With good initial management, patients with an MI will not die in the

hospital.

• True

• False

When is diagnosis of STEMI made?

• 1. History of typical MI chest pain

  2. ECG: ST elevation

  3. Lab: troponins, CK-MB elevation

• 1. ECG: ST elevation

  2. Lab: troponins, CK-MB elevation

• ECG: ST elevation

• 1. History of typical MI chest pain

  2. ECG: ST elevation

What are drugs that improve mortality of patients with ACS?

• Aspirin

  ACEi

  Morphine

  Nitrates

• Aspirin

  ACEi

  Beta-blockers

  Oxygen

• Aspirin

  ACEi

  Beta-blockers

  Statin

• Aspirin

  ACEi

  Beta-blockers

  Warfarin

When should you give anticoagulant for Afib patients?

• Every patient with Afib will be given anticoagulant for stroke prophylaxis

• After Echo confirms left atrium thrombus

• CHA2DS2-VASc score in male ≥1, female ≥2

• Patients who have Afib onset <48 hrs

What is the first step in management of Afib with onset >48hours?

• Control ventricular rate with beta-blocker or calcium channel blocker

• Anticoagulate

• Direct current (DC) cardioversion

• Vagal maneuver (or carotid masseage) to slow down AV conduction

DVT in most cases can lead to a stroke.

• True

• False

What is the target INR in patients who take oral vitamin K antagonist?

• INR 1

• INR 2-3

• INR 2.5 - 3.5

• As long as INR >2

What are common signs and symptoms of isolated left ventricular failure?

• orthopnea, paroxysmal nocturnal dyspnea, rales, bilateral pleural

  effusions

• orthopnea, paroxysmal nocturnal dyspnea, rales, peripheral edema

• orthopnea, paroxysmal nocturnal dyspnea, jugular venous distention, S3 gallop

• orthopnea, paroxysmal nocturnal dyspnea, S4 gallop, rales

List 5 common clinical scenarios leading to the development of DVT.

Correcting which of the following risk factors for CAD will result in the most immediate benefit for the patient?

• Diabetes mellitus

• Tobacco smoking

• Hypertension

• Hyperlipidemia