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BKAT Study Questions and Correct Answers/ Latest Update / Already Graded

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BKAT Study Questions and Correct Answers/ Latest
Update / Already Graded
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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