Coronary Artery Disease - STEMI Quiz

1. Which of the following best describes the most common pathophysiologic mechanism present during ST segment elevation myocardial infarction?

1. Which of the following best describes the most common pathophysiologic mechanism present during ST segment elevation myocardial infarction?

2. Which of the following describes a patient with a myocardial infarction that is Killip Class II?

3. Which of the following alterations of heart sounds is present during active myocardial ischemia?

4. Which of the following murmurs can be heard on physical examination in a patient with active myocardial ischemia?

5. Which of the following ECGs is consistent with an anterior ST elevation myocardial infarction in a 60 year old male?

6. Which of the following would be consistent with the initial ECG change that occurs during a ST elevation myocardial infarction?

7. Which of the following is considered diagnostic ECG changes for STEMI?

8. Which of the following best describes the ECG findings of a true posterior myocardial infarction?

9. Which of the following ECG findings should be treated like a STEMI in a patient with a previously normal ECG 3 months prior now with acute chest…

10. When is fibrinolytic therapy NOT indicated in a facility not capable of PCI?

11. When is fibrinolytic therapy indicated at a facility not capable of percutaneous coronary intervention?

12. Which of the following statements regarding fibrinolytic therapy is true?

13. Which of the following best describes facilitated PCI?

14. Which of the following best describes rescue percutaneous coronary intervention?

15. Which of the following would be NOT suitable for coronary artery bypass grafting as a means of coronary revascularization during a ST segment…

16. What is the proper dose of initial aspirin therapy during STEMI?

17. Which of the following statements regarding thienopyridines is TRUE?

18. Which of the following is true about glycoprotein IIb/IIIa inhibitors?

19. Which of the following therapeutic strategies with glycoprotein IIb/IIIa inhibitors is correct during a ST elevation myocardial infarction?

20. Which of the following therapeutic strategies is NOT considered appropriate during a right ventricular infarction?

21. Which of the following situations should a beta-blocker NOT be used during a ST elevation myocardial infarction?

22. Angiotensin converting enzyme inhibitors should be given long-term to all of the following patients except:

23. When a therapeutic dose of ACE inhibitors have been given in a diabetic after an anterior ST elevation myocardial infarction with an ejection…

24. In which of the following situation would a non-dihydropyridine calcium channel blocker be indicated during ST elevation myocardial infarction?

25. Which of the following are complications of left ventricular aneurysm formation?

26. What is the therapy for the following rhythm, seen after an anterior ST elevation myocardial infarction?

27. What would be the treatment for the below rhythm after a myocardial infarction?

28. Which of the following right heart catheterization findings would be consistent with an acute ventricular septal defect?

29. Which of the following right heart catheterization findings would be consistent with left ventricular free wall rupture?

30. Which of the following right heart catheterization findings would be consistent with papillary muscle rupture during an inferior myocardial…

31. Which of the following statements is true regarding stroke and myocardial infarction?

32. Which of the following is true regarding no-reflow after coronary intervention?