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Chest Pain and ACS

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Which of these is NOT an absolute contraindication for thrombolytic therapy in myocardial infarction?

a)

History of stroke 2 months ago

b)

Recent abdominal surgery

c)

Suspected aortic dissection

d)

BP 170/100

2.

Which of the following are risk factors for cardiovascular disease?

a)

Chronic kidney disease

b)

Family history of ischemic heart disease

c)

Diabetes mellitus

d)

Obesity

3.

After a myocardial infarction, a patient is usually discharged with one of these drugs, please choose the CORRECT medication

a)

Aspirin 300mg od

b)

Clopidegrol 150mg od

c)

Atorvastatin 40mg on

d)

Bisoprolol 12.5mg od

4.

A 68 y/o indian male presents with sudden onset chest pain. He has known history of ischemic heart disease. His ECG is as shown. In which territory is the infarction most likely to have taken place?

a)

LCx

b)

LAD

c)

RCA

d)

LMS

5.

A 68 year old male has been admitted to the ward after complaining of recurrent chest pain for the past 24 hours. His ECG showed T inversion in the inferior leads and his troponin I level is not elevated. He is a chronic smoker and has underlying hypertension and dyslipidaemia. His medications are amlodipine 5mg od and simvastatin 20mg on. His TIMI score is:

a)

2

b)

3

c)

4

d)

5

6.

Which of the following characteristic of chest pain is most suggestive of an ischemic type chest pain?

a)

Pain score of 10 out of 10

b)

Radiation to neck

c)

Severity magnified by panic attack

d)

During exertion and relieved by resting

7.

Which of the following should NOT be the management following NSTEMI?

a)

Dual anti platelet

b)

Smoking cessation

c)

Stress test

d)

Angiogram

8.

A 48 year old lady presents with symptoms suggestive of stable angina. Her ECG is normal. She has no known medical history but has strong family history of IHD. Which of the following would you consider for her?

a)

Low dose aspirin

b)

Stress test

c)

S/L GTN prn

d)

All of the above

9.

A 60 year old lady with background of hypertension presents with abrupt, unrelentless chest pain which radiates to the back and tearing in nature. On auscultation you hear a murmur. ECG has no ischemic changes. What is your provisional diagnosis?

a)

Acute myocardial infarction

b)

Perforated peptic ulcer

c)

Aortic dissection

d)

Mitral valve prolapse

10.

Short term deaths due to MI are caused by the following EXCEPT

a)

cardiogenic shock

b)

ventricular aneurysm

c)

arrhytmias

d)

cardiac rupture