BKAT Study Questions and Correct Answers/ Latest
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What to do first if patient has chest pain.
Ans: Rest!
ECG changes in an acute MI
Ans: ST elevation in 2 or more contiguous leads. Ischemia d/t full thickness loss
of muscle. EMERGENCY.
Inferior leads
Ans: II, III, aVF. RCA occlusion.
Septal leads
Ans: V1 & V2.
Anterior leads
Ans: V1 - V4. LAD lesion.
Lateral leads
Ans: V5, V6, I, and aVL. Circumflex lesion.
Cardiac enzymes
Ans: Troponins, CK-MB, and CK
Changes in CK
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Ans: Rise: 3-6 hours
Peak: 24 hours
Normal: 3-4 days
Changes in CK-MB
Ans: Released after myocardial necrosis. Specific for myocardial damage.
Rise: 3-12 hours
Peak: 24 hours
Normal: 2-3 days
Troponin I
Ans: Protein found in cardiac muscle. High sensitivity.
Rise: 3-12 hours
Peak: 24 hours
Normal: 5-10 days
Troponin T
Ans: Protein found in cardiac muscle. High sensitivity.
Rise: 3-12 hours
Peak: 12-48 hours
Normal: 5-14 days
Common conditions that cause a murmur
Ans: Aortic dissection, aortic regurgitation (both acute & chronic), mitral valve
regurgitation (both acute & chronic), mitral valve stenosis
Drugs to decrease afterload/SVR/PVR
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Ans: (Arterial Dilators) Nitroprusside, nitroglycerin, amrinone, alpha (Regitine)
& Ca channel blockers
Drugs to increased afterload/SVR/PVR
Ans: (Vasopressors) Epinepherine, norepinepherine, dopamine, neosynephrine
Drugs to decrease contractility/SVI
Ans: Beta blockers (atenolol, metoprolol, propranolol, labetolol, esmolol) and
Ca channel blockers
Drugs to increase contractility/SVI
Ans: Positive inotropes, dobutamine, dopamine, milrinone, and digoxin
Drugs to decrease preload/CVP/PAWP
Ans: Venous Dilators - Nitroglycerin, nitroprusside, amrinone, alpha & Ca
channel blockers
Diuretics - Furosemide, bumex, mannitol
Drugs to increase preload/CVP/PAWP
Ans: Volume - Colloid, crystalloids, blood, hetastarch
Dysrhythmia control - antirhythmics, pacemaker, AICD
Complications when using thrombolytics
Ans: Allergic reaction, bleeding/hemorrhage, stroke
Failure to capture
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