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WorksheetsChest Pain and ACS
Total questions: 10
Worksheet time: 5mins
Which of these is NOT an absolute contraindication for thrombolytic therapy in myocardial infarction?
History of stroke 2 months ago
Recent abdominal surgery
Suspected aortic dissection
BP 170/100
Which of the following are risk factors for cardiovascular disease?
Chronic kidney disease
Family history of ischemic heart disease
Diabetes mellitus
Obesity
After a myocardial infarction, a patient is usually discharged with one of these drugs, please choose the CORRECT medication
Aspirin 300mg od
Clopidegrol 150mg od
Atorvastatin 40mg on
Bisoprolol 12.5mg od
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?
LCx
LAD
RCA
LMS
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:
2
3
4
5
Which of the following characteristic of chest pain is most suggestive of an ischemic type chest pain?
Pain score of 10 out of 10
Radiation to neck
Severity magnified by panic attack
During exertion and relieved by resting
Which of the following should NOT be the management following NSTEMI?
Dual anti platelet
Smoking cessation
Stress test
Angiogram
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?
Low dose aspirin
Stress test
S/L GTN prn
All of the above
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?
Acute myocardial infarction
Perforated peptic ulcer
Aortic dissection
Mitral valve prolapse
Short term deaths due to MI are caused by the following EXCEPT
cardiogenic shock
ventricular aneurysm
arrhytmias
cardiac rupture
