ACS, or acute coronary syndromes, are a cluster of syndromes characteristed by insufficient perfusion of the coronary arterial circulation to the myocardium. The result is ischaemic chest pain during various levels of activity. This MCQ tests your knowledge on some fundamental ACS facts. Good luck!
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Acute Coronary Syndromes
Replicated with palpation
Relieved when leaning forward
S3 heart sound
Bibasal lung field crackles
Pain not relieved with rest or ISMN administration
The propensity for cardiac arrest
The elevated troponin C levels in the serum
The fact that rest does not relieve symptoms
Stem 1 of 5
A patient with history of unstable angina is blue-lighted into ED with bradycardia, raised JVP, reduced LOC and noted hypotension.How is JVP measured?
Measure from the sternal angle
Measure from the suprasternal notch
Measure from the xiphoid process
Measure circumferentially about the cervical region
Stem 2 of 5Which initial examination would you not conduct?
Cardiovascular physical exam to listen for heart sounds
Respiratory physical exam to listen for oedema
ECG to check for ischaemic changes
Abdominal examination to assess hepatosplenomegaly secondary to raised JVP
Stem 3 of 5Investigations are returned with noted troponin elevation. BUN and sCreat are also raised. What accounts for the latter findings?
Stem 4 of 5ECG ischaemic changes are noted in the V3 lead. Which of the following vessels are most likely to be occluded?
Stem 5 of 5Which of the following is not a trigger of the platelet plug formation?
Red, fibrin-rich and stableWhich of the following best matches this occlusive event?
Inverted T wave
Pathological Q wave