EM 2--Cardiovascular emergencies Part I Actual Exam Questions and CORRECT Answers
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EM 2-Cardiovascular emergencies Part I
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EM 2-Cardiovascular Emergencies Part I
EM 2--Cardiovascular emergencies Part I
Actual Exam Questions and CORRECT
Answers
What things are included under acute coronary syndrome? - CORRECT ANSWER-
acute MI and unstable angina
What is the difference between an NSTEMI and a STEMI? - CORRECT ANSWER-
Both have myocardial necrosis wit...
EM 2--Cardiovascular emergencies Part I
Actual Exam Questions and CORRECT
Answers
What things are included under acute coronary syndrome? - CORRECT ANSWER✔✔-
acute MI and unstable angina
What is the difference between an NSTEMI and a STEMI? - CORRECT ANSWER✔✔-
Both have myocardial necrosis with positive biomarkers but NSTEMI doesn't show ST
segment elevation on EKG and STEMI does.
T/F?
Unstable angina will have no ST segment elevation and no biomarkers. - CORRECT
ANSWER✔✔- True
Pain that is poorly localized, dull, heavy or aching and described as discomfort and heaviness
likely comes from what type of pain fibers? - CORRECT ANSWER✔✔- Visceral pain fibers
from heart, blood vessels, pericardium, lungs, esophagus
Visceral pain signals perceived in somatic structures is known as ______ ____. - CORRECT
ANSWER✔✔- Referred pain
How is the classic CP associated with an MI described in terms of location, character,
exacerbation, and radiation? - CORRECT ANSWER✔✔- retrosternal left anterior chest
crushing, squeezing, tightness, pressure
brought on or worsened with exertion and relieved with rest
radiates to arms, neck or jaw
Pain from the pleura, peritoneum, muscle, skeleton and skin comes from what kind of pain
fibers? - CORRECT ANSWER✔✔- Somatic pain fibers, well localized and sharp, easily
described
,Chest pain that is worse with movement or position, that is constant over 12-24 hours or that
is described as stabbing, well-localized, positional, pleuritic can be described as what? -
CORRECT ANSWER✔✔- Non-classic CP
uncommon with ACS but doesn't exclude it
Patient presents to the ED with visceral CP and abnormal vitals. Within how many minutes
should an EKG be obtained? - CORRECT ANSWER✔✔- 10 minutes
What is a typical chief complaint of a woman with chest pain and what are some common
associated symptoms? - CORRECT ANSWER✔✔- cc: fatigue
other symptoms: n/v, jaw, neck and back pain MC in women
diaphoresis MC in men!
What is the difference between angina, unstable angina, and AMI in terms of how long
symptoms last? - CORRECT ANSWER✔✔- angina 2-10 minutes
unstable angina 10-30 minutes
AMI >30 minutes
Which of the following is not an anginal equivalent?
A. Nausea
B. Dyspnea at rest
C. Mental status change
D. Shoulder, arm, jaw discomfort
E. Epigastric pain relieved by antacids
F. All of the above are anginal equivalents - CORRECT ANSWER✔✔- F. All are anginal
equivalents
What is the most important part of the evaluation of a patient that presents with CP? -
CORRECT ANSWER✔✔- the history!
HPI, FH, SH, PMH
, All of the following factors decrease the likelihood of AMI except ______.
A. Diaphoresis
B. sharp, Pleuritic pain
C. Pain reproducible with palpation or positioning
D. inframammary location of pain - CORRECT ANSWER✔✔- A. diaphoresis increases the
likelihood of AMI
What symptom do you want to be especially careful with in patients >50 or with known
CAD? - CORRECT ANSWER✔✔- Upper abdominal pain
A patient that presents with which of the following complaints has the greatest likelihood of
actually having an MI?
A. Radiation to both arms or shoulders
B. Radiation to the left arm or shoulder
C. Radiation to the right arm or shoulder
D. Chest pressure - CORRECT ANSWER✔✔- All are factors that increase the likelihood of
AMI but
C. radiation to the right arm/shoulder has the greatest predictive factor of AMI
This population may have pain at rest and not with exertion, may have pain during sleep or
stress, and may have palpitations without pain. - CORRECT ANSWER✔✔- Women-
sometimes have atypical presentation of ACS
also non-white minorities, diabetics, elderly, and psych or AMS patients
Which of the following is not a cardiac risk factor?
A. Smoking
B. Alcohol
C. Cocaine
D. Postmenopausal female - CORRECT ANSWER✔✔- B. alcohol
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