Acute Coronary Syndrome Test
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Name: _____________________________ Journal # ___________ 1. Acute coronary syndrome (ACS) refers to any group of signs and symptoms of a. angina. b. atherosclerosis. c. elevated cholesterol. d. sudden myocardial ischemia. 2. Which of the following is primarily responsible for decreased perfusion in a coronary artery? a. a disrupted plaque b. Stenosis c. lost elasticity d. hypertension 3. A clinical manifestation of myocardial ischemia and injury is a. bradycardia. b. diuresis. c. hypertension. d. cyanosis. 4. An initial effect of the sympathetic nervous system's response to ischemic changes in the myocardium is a. increased cardiac output. b. increased oxygen demand. c. decreased blood pressure. d. decreased heart rate. 5. In a patient with ACS, an increase in preload a. results when morphine is administered. b. puts the patient at risk for heart failure. c. increases cardiac output. d. eases the strain on the myocardium. 6. The classic symptom of ACS is a. nausea. b. diaphoresis. c. dyspnea. d. chest pain. 7. When compared with men, women diagnosed with ACS are more likely to report which of the following manifestations? a. dry mouth b. dizziness c. indigestion d. arm pain 8. Of the following, which is the most cardiac-specific biomarker? a. myoglobin b. troponin T c. lactate dehydrogenase d. creatine kinase- MB 9. Which of the following electrocardiographic changes that indicate myocardial compromise remains permanently on the patient's electrocardiogram? a. ST elevation b. inverted T waves c. ST depression d. abnormal Q waves 10. The A in the mnemonic MONA stands for which initial treatment strategy in patients presenting with angina? a. aspirin therapy b. analgesic therapy c. anticoagulation d. antiarrhythmic therapy 11. Early administration of which of the following is considered controversial because of a failure to improve overall mortality rates, especially in patients with heart failure or hemodynamic instability? a. statins b. [beta]-blockers
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acs test
Transcript of Acute Coronary Syndrome Test
Name: _____________________________ Journal # ___________
1. Acute coronary syndrome (ACS) refers to any group of signs and symptoms of a. angina.b. atherosclerosis.c. elevated cholesterol.d. sudden myocardial ischemia.
2. Which of the following is primarily responsible for decreased perfusion in a coronary artery? a. a disrupted plaqueb. Stenosisc. lost elasticityd. hypertension
3. A clinical manifestation of myocardial ischemia and injury isa. bradycardia. b. diuresis. c. hypertension. d. cyanosis.
4. An initial effect of the sympathetic nervous system's response to ischemic changes in the myocardium isa. increased cardiac output.b. increased oxygen demand.c. decreased blood pressure.d. decreased heart rate.
5. In a patient with ACS, an increase in preloada. results when morphine is administered.b. puts the patient at risk for heart failure. c. increases cardiac output.d. eases the strain on the myocardium.
6. The classic symptom of ACS isa. nausea.b. diaphoresis.c. dyspnea.d. chest pain.
7. When compared with men, women diagnosed with ACS are more likely to report which of the following manifestations? a. dry mouthb. dizzinessc. indigestiond. arm pain
8. Of the following, which is the most cardiac-specific biomarker? a. myoglobinb. troponin Tc. lactate dehydrogenased. creatine kinase-MB
9. Which of the following electrocardiographic changes that indicate myocardial compromise remains permanently on the patient's electrocardiogram? a. ST elevationb. inverted T wavesc. ST depressiond. abnormal Q waves
10. The A in the mnemonic MONA stands for which initial treatment strategy in patients presenting with angina?a. aspirin therapyb. analgesic therapyc. anticoagulationd. antiarrhythmic therapy
11. Early administration of which of the following is considered controversial because of a failure to improve overall mortality rates, especially in patients with heart failure or hemodynamic instability? a. statinsb. [beta]-blockersc. angiotensin-receptor blockers
d. angiotensin-converting enzyme inhibitors
12. Clopidogrel (Plavix) is not given to patients for 5 to 7 days before coronary artery bypass surgery because it increases their risk ofa. bleeding.b. hypertension. c. respiratory depression. d. renal insufficiency.
13. For a patient whose percutaneous coronary intervention is planned and performed without delay, the recommended glycoprotein IIb/IIIa inhibitor isa. eptifibatide (Integrilin). b. abciximab (ReoPro). c. tirofiban (Aggrastat). d. reteplase (Retavase).
14. Which of these is the preferred choice for anticoagulation in patients with an elevated risk of bleeding? a. enoxaparin (Lovenox) b. unfractionated heparinc. bivalirudin (Angiomax) d. fondaparinux (Arixtra)
15. Reperfusion therapy is recommended in patients diagnosed witha. unstable angina.b. any myocardial injury.c. ST-segment elevation myocardial infarctiond. non-ST-segment elevation myocardial infarction.
16. How many minutes after medical evaluation should fibrinolytic therapy begin? a. 30b. 45c. 60d. 90
