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P1 Acute Coronary Syndrome CH18

Total questions: 10

Worksheet time: 18mins

Name
Class
Date
1.

12-lead shows ST-elevation in leads I, aVL, V5. Where is the STEMI located?

a)

Anterior

b)

Inferior

c)

Septal

d)

Lateral

2.

John, a 55-year-old man, suddenly feels severe chest pain and is rushed to the hospital. The doctors diagnose him with a specific type of heart attack. Which of the following is true of John's condition if it is identified as STEMI?

a)

Blood flow through one or more coronary arteries is completely blocked, resulting in myocardial tissue death.

b)

Subsequent laboratory tests will reveal normal levels of cardiac biomarkers, indicating no myocardial damage.

c)

Most patients with STEMI do not experience chest pain or discomfort.

d)

Blood flow through one or more coronary arteries is intermittently blocked because of coronary vasospasm.

3.

Your patient appears pale, cool, and diaphoretic. You quickly check their vital signs: BP 96/58 mm Hg; pulse, 82 beats/min; respirations, 16 breaths/min; and SpO2, 96%. What is the next step in your assessment?

a)

Confirm the list of their current medications.

b)

Obtain an ECG strip for lead aVL.

c)

Obtain a 12-lead ECG.

d)

Obtain a blood draw for blood chemistry.

4.

Dr. Smith reviews a 12-lead ECG from a patient complaining of chest pain and notices ST changes in leads II, III, and aVF. Based on these findings, which anatomic region of the heart is likely affected?

a)

Anterior

b)

Lateral

c)

Septal

d)

Inferior

5.

Your patient presents with crushing chest pain radiating to his back that started while he was gardening in high temperatures. He is sweating profusely and has a history of MI. He has administered one dose of nitroglycerin prior to EMS arrival and states his pain has improved. The 12-lead shows no measurable ST-elevation. What do you suspect based on the 12-lead findings and patient presentation?

a)

Anxiety

b)

STEMI

c)

NSTEMI

d)

Pleurisy

6.

During a routine check-up, a cardiologist observes ST changes in leads II, III, and aVF on a patient's ECG. The cardiologist then looks for reciprocal changes. In which of the following leads might these changes be observed?

a)

V1 and V2

b)

I and aVL

c)

V3 and V4

d)

V5 and V6

7.

During a routine health check-up at a community health fair, you are reviewing the ECG of a middle-aged person who reports no cardiac history. The ECG monitor displays a Normal Sinus Rhythm with a PR-Interval of 0.28 seconds. Based on this information, what rhythm do you suspect?

a)

Sinus dysrhythmia

b)

Sinus rhythm with premature atrial complexes

c)

Third-degree AV block

d)

First-degree heart block

8.

During a routine check-up, a patient's ECG shows signs of ischemia, injury, or infarction in leads II, III, and/or aVF. Which coronary artery is most likely affected?

a)

Right coronary artery

b)

Left anterior descending artery

c)

Circumflex artery

d)

Left coronary artery

9.

Your 12-lead shows inverted T-waves in leads II, III, aVF. What do you suspect based on this finding?

a)

Inferior MI

b)

Lateral ischemia

c)

Inferior ischemia

d)

Anterior MI

10.

During a routine check-up, a cardiologist explains that the intrinsic rate for the heart’s primary pacemaker, the SA node, is ...

a)

40 to 60 bpm

b)

60 to 100 bpm

c)

20 to 40 bpm