By: smithanlakkavally • 1 year ago
Some examples from this set of practice questions
1.
Components of TIMI risk score for UA/NSTEMI?
Answer: 1. Age >55 2. >3 CAD risk factors 3. known CAD (stenosis >50%) 4. ASA use in past 7 days 5. severe angina (>2 episodes in 24 hrs) 6. ECG ST changes >0.5mm 7. +ve cardiac marker
2.
Components of TIMI risk score for STEMI?
Answer: 1. Age 2. DM, HTN or Angina 3. SBP <100mmHg 4. HR > 100 5. Killip class II-IV 6. weight < 67kg 7. Ant. ST elevation/LBBB 8. Time to treatment > 4hrs
3.
Why is TIMI risk score used in STEMI?
Answer: estimates mortality
4.
Sgarbossa\'s criteria for MI in patient\'s with prior LBBB?
Answer: 1. Concordant ST elevation >1mm in leads with a +ve QRS complex 2. Concordant ST depression >1mm in V1-V3 3. Excessively discordant ST elevation in leads with a -ve QRS
5.
Complications of ACS?
Answer: 1. NSTEMI convert to STEMI 2. VTach & Vfib 3. Heart block 4. Dressler\'s syndrome 5. Arrythmogenic/assytole/pump failure 6. VSD/ventricular aneurysm
6.
Acute management of ACS?
Answer: M: morphine 5mg + 10mg metaclopromide O: oxygen if Spo2<90% A: aspirin 300 mg N: nitrates(GTN if SBP>90mmHg)
7.
If PCI window period is exceeded, what is the management that we opt for?
Answer: Fibrinolysis
8.
What is the PCI window period?
Answer: <90 min or <120 min of first medical contact
9.
Dual antiplatelet therapy in ACS?
Answer: Aspirin 300mg + clopidogrel 300mg/ticagrelor 180mg
10.
Supportive investigations in ACS?
Answer: 1. FBC : Hb, plt, Wcc 2. Urea and electrolytes 3. ABG 4. Lipid profile and HBA1C 5. CXR
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