QCM of management of chest pain in emergency department
Chest Pain Management Quiz
Test your knowledge on the management of chest pain in the emergency department with our comprehensive quiz. Covering aspects from initial patient assessment to the administration of treatment, this quiz is designed for healthcare professionals and students.
Key features:
- 10 multiple choice questions
- Focus on acute coronary syndrome (ACS)
- Enhance your clinical decision-making skills
When a patient presents with symptoms suggestive of ACS, they are initially triaged according to their :
Rhythm strip
12 lead ECG
Blood pressure
Heart rate
Hospital personnel will categorize ACS patients into one of the following groups except:
STEMI
Low-risk angina
NSTEMI
Low-intermediate-risk ACS
Healthcare providers must receive results of cardiac markers testing (troponin) prior to initiating thrombolytic therapy:
True
False
Fibrinolytic therapy is indicated:
In the absence of contraindications
When there is ST-segment elevation greater than 2 mm in leads V2 and V3, and elevation of 1 mm or more in all other leads
When there is new (or presumed new) left bundle branch block
When onset of symptoms is within 12 hours of presentation
All of the above
46 years old, male, with medical history of diabetes mellitus type II, and hypertension; he presents in your emergency department at 7h AM rubbing the centre of his chest. He stated that he starts to have chest discomfort like someone is sitting on his chest earlier at 6h AM. He appears pale and his skin is diaphoretic. The blood pressure is 130/80mmHg with a pluse oxygen of 94% on room air. 1. According to his past medical history and cardiovascular risk factors, what is your prioritized hypothesis toward his chest pain?
Pulmonary embolism
Acute coronary syndrome
Pericarditis
Aortic dissection
Pneumothorax
46 years old, male, with medical history of diabetes mellitus type II, and hypertension; he presents in your emergency department at 7h AM rubbing the centre of his chest. He stated that he starts to have chest discomfort like someone is sitting on his chest earlier at 6h AM. He appears pale and his skin is diaphoretic. The blood pressure is 130/80mmHg with a pluse oxygen of 94% on room air. 2. What will you do first for him?
Electrocardiogram
Sending him to referal hospital with primary percutaneous coronary intervention
Blood test for cardiac biomarkers
Echocardiogram
Chest X-Ray
46 years old, male, with medical history of diabetes mellitus type II, and hypertension; he presents in your emergency department at 7h AM rubbing the centre of his chest. He stated that he starts to have chest discomfort like someone is sitting on his chest earlier at 6h AM. He appears pale and his skin is diaphoretic. The blood pressure is 130/80mmHg with a pluse oxygen of 94% on room air. 3. What do you see in the following EKG?
Anterior STEMI
Anterior NSTEMI
Inferior STEMI
Atrio-ventricular block
Lateral STEMI
46 years old, male, with medical history of diabetes mellitus type II, and hypertension; he presents in your emergency department at 7h AM rubbing the centre of his chest. He stated that he starts to have chest discomfort like someone is sitting on his chest earlier at 6h AM. He appears pale and his skin is diaphoretic. The blood pressure is 130/80mmHg with a pluse oxygen of 94% on room air. 4. Which medication should be given immediately upon diagnosis of myocardial infarction?
Calcium channel blockers
Antiplatelet
Beta-blockers
Amdiodarone
Statins
46 years old, male, with medical history of diabetes mellitus type II, and hypertension; he presents in your emergency department at 7h AM rubbing the centre of his chest. He stated that he starts to have chest discomfort like someone is sitting on his chest earlier at 6h AM. He appears pale and his skin is diaphoretic. The blood pressure is 130/80mmHg with a pluse oxygen of 94% on room air. 5. What do you do after seeing the EKG above?
If PCI (percutaneous coronary intervention) is not immediately available and the patient has chest pain less than 180 minutes, give the patient anti-coagulant and anti-platelet. Then send the patient to referral hospital for coronary angiogram
If PCI is not immediately available and the patient has chest pain less than 180 minutes, consider fibrinolythic therapy
Do the echocardiogram for risk assessment and prognosis of heart failure in the future
Immediate primary percutaneous coronary intervention less than 120 minutes
Transport the patient to the cardiac catheterization laboratory
46 years old, male, with medical history of diabetes mellitus type II, and hypertension; he presents in your emergency department at 7h AM rubbing the centre of his chest. He stated that he starts to have chest discomfort like someone is sitting on his chest earlier at 6h AM. He appears pale and his skin is diaphoretic. The blood pressure is 130/80mmHg with a pluse oxygen of 94% on room air. 6. The size of this patient's infarction (amount of myocardium that dies) is what will determine how well he does into the future. The size of his infarction is dependent upon:
His genes
The length of time until the vessel is opened and flow restored
The amount of time it takes to get beta blockade
His LDL levels at discharge
The amount of time that antiplatelet is given
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