Critical Nursing
Acute Coronary Syndrome Quiz
By: Mohamed Mamdouh
Which of the following is not a non-modifiable risk factor
Age
Gender
Heredity
Stress
Which of the following is a non-modifiable risk factor
Smoking
Sedentary life
Heredity
Hypertension
Obstruction to coronary arterial flow that lasts greater than .......... Results in permanent damage for myocardial muscle
2-3 mins
5-10 mins
10-15 mins
20-30 mins
The development of any acute coronary syndrome begins with a ....... Of palque
A)Rupture
B)Erosion
C)Treatment
Both A and B
Which type of thrombus in coronary artery syndrome cause ischemia and infarction
STEMI
NSTEMI
Unstable angina
All of the above
Which type of thrombus in coronary artery syndrome cause ischemic symptoms only
STEMI
NSTEMI
All of the above
Non of the above
Which of the following represent a thrombus partially occludes a coronary vessel and full of platelets
STEMI
Prinzmetal angina
Unstable angina
All of the above
Which of the following layers NSTEMI damage ?
Epicardium
Myocardium
Endocardium
All of the above
Which of the following layers STEMI damage ?
A)Epicardium
B)Myocardium
C)Endocardium
Both A,B
Bot B,C
Symptoms do not occur until ........... Or more o the blood supply to the area is occluded
40%
50%
60%
70%
NSTEMI is
Reversible
Irreversible
STEMI is
Reversible
Irreversible
Which of the following is NOT a typical symptom of acute coronary syndrome?
Chest pain
Shortness of breath
Headache
Nausea and vomiting
What is the most common cause of acute coronary syndrome?
Atherosclerosis
Hypertension
Heart valve disease
Cardiomyopathy
Which type of acute coronary syndrome involves complete occlusion of a coronary artery?
Unstable angina
NSTEMI
STEMI
Variant angina
Patient with acute coronary syndrome his pain radiates to
Left arm
Right arm
Jaw
Neck
Shoulder
Left Leg
Feeling of impending doom and anxiety represent which of acute coronary syndrome symptoms ?
MI
Unstable angina
Stable angina
All of the above
"it most frequently pain follows exercise , emotional excitement , eating large meal or cold" represent which of acute coronary syndrome symptoms ?
MI
Unstable angina
Stable angina
All of the above
Which ECG finding is characteristic of STEMI?
T-wave inversion
ST-segment elevation
Pathological Q-wave
Prolonged QT interval
Which complication of acute coronary syndrome involves the rupture of a plaque with subsequent formation of a blood clot?
Arrhythmia
Coronary artery dissection
Myocardial infarction
Acute heart failure
What is the typical duration of chest pain in unstable angina?
Less than 5 minutes
5 to 20 minutes
20 minutes to 1 hour
More than 1 hour
Which coronary artery supplies blood to the posterior wall of the heart?
Left main coronary artery
Left anterior descending artery
Circumflex artery
Right coronary artery
Which ECG finding suggests high-risk acute coronary syndrome?
Peaked T waves
Normal sinus rhythm
ST-segment depression
ST-segment elevation greater than 1 mm
In acute coronary syndrome, which ECG change indicates myocardial ischemia?
Prolonged PR interval
Narrow QRS complexes
ST-segment depression
Tall R waves
The ECG represent which of the following
Peaked T waves
Pathological Q waves
ST-segment elevation
T-wave inversions
The ECG represent which of the following
Ischemia /STEMI
Injury/STEMI
Ischemia/NSTEMI
Injury/NSTEMI
What is the significance of Q waves in acute coronary syndrome?
They indicate ongoing ischemia
They suggest reperfusion therapy is not effective
They represent irreversible myocardial damage
They are benign findings
Which medication is commonly used as a thrombolytic agent in the treatment of STEMI?
Streptokinase
Alteplase
Reteplase
All of the above
What is the recommended treatment for unstable angina when other drugs fail
Nitrates
Beta blockers
Calcium channel blocker
Morphine sulfate
Which medication should be administered to patients with acute coronary syndrome who have persistent ischemia despite nitrates and beta-blockers?
Calcium channel blockers
Statins
Angiotensin-converting enzyme (ACE) inhibitors
Glycoprotein IIb/IIIa inhibitors
Which of the following is a complication of acute myocardial infarction?
Hypertension
Hypokalemia
Cardiac tamponade
Hypoglycemia
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