WorksheetsSTEMI SIMLive!
Total questions: 9
Worksheet time: 14mins
Based on the triage notes, what risk factors does Jennifer have for cardiovascular disease (3 examples)?
How should the doctor administer oxygen to Jennifer?
Jennifer does not need oxygen
2L oxygen via a Nasal Cannula
4L oxygen via a Face Mask
35% oxygen via a Venturi Mask
15L oxygen via a non-rebreathe mask
What blood tests should the doctor request?
D-Dimer, Liver Function Tests, Serum protein electrophoresis, Lipids
Troponin, Thyroid Function Tests, Coagulation Screen, Glucose, Ferritin
Coagulation screen, Urea & Electrolytes, Liver Function Tests, Glucose
Full blood count, Urea & Electrolytes, Lipids, Glucose, Troponin
Lipids, Troponin, Full Blood Count, ANCA screen, D-Dimer
Where should the chest electrodes for the ECG leads be placed on the patient? Select the answer based on the options provided in your resource booklet.
A
B
C
D
E
Jennifer's ECG is shown in your resource booklets. What is the most likely diagnosis?
Anterior ST Elevation Myocardial Infarction
Atrial Fibrillation
Inferior ST Elevation Myocardial Infarction
Lateral ST Elevation Myocardial Infarction
Ventricular Fibrillation
Which coronary artery is most likely to be affected in this patient?
Circumflex Artery
Left Anterior Descending
Left Main Coronary Artery
Obtuse Marginal Artery
Right Coronary Artery
What common side effect is associated with GTN (Glyceryl Trinitrate) Spray?
Bradycardia
Epigastric Pain
Hypotension
Peripheral oedema
Shortness of breath
Now that Jennifer's acute assessment and treatment is complete, what is the definitive way to diagnose and treat her STEMI?
Cardiac Magnetic Resonance Imaging
Delayed Coronary Angiogram + Angioplasty
Exercise Tolerance Test (ETT) ECG
Primary Percutaneous Coronary Intervention
Transcatheter Aortic Valve Implantation (TAVI)
Jennifer is discharged from hospital on Bisoprolol, Ramipril, Aspirin, Prasugrel (for 12 months), Atorvastatin, Metformin, Lansoprazole and a GTN spray. What is the mechanism of action of statins like Atorvastatin?
Competitive inhibitor of cholesterol receptors
HMG-CoA Reductase Inhibitor
Increases LDL receptor expression in vascular endothelium
Promotes conversion of HDL to LDL
Up-regulates hepatic LDL synthesis
