ACS Quiz: Can You Act In The Golden Hour?

1. Which complication is most common in the first 24 hours post-MI?

Ventricular septal defect

Arrhythmias

Mitral valve rupture

Dressler syndrome

2. True or False: Nitroglycerin is contraindicated in patients with right ventricular infarction.

True

False

3. Which finding would prompt immediate notification of the physician in a patient with acute MI?

Blood pressure 140/90 mmHg

Heart rate 82 bpm

Sudden severe dyspnea with crackles and hypoxia

Troponin elevation without EKG changes

Submit

5. A patient with NSTEMI receives a stent. How long should dual antiplatelet therapy typically continue?

1 month

3 months

6-12 months or longer depending on stent type

Lifelong

6. The HEART score is used to stratify risk in patients with suspected ACS. True or False: A HEART score of 3 indicates high risk.

True

False

7. Which symptom presentation is atypical for ACS in elderly or diabetic patients?

Severe crushing chest pain

Silent ischemia or dyspnea without chest pain

Sharp pleuritic chest pain

Sudden onset diaphoresis

Submit

9. A patient with ACS has a blood pressure of 95/60 mmHg and appears in cardiogenic shock. Which medication should be avoided?

Dopamine

Nitroglycerine

Dobutamine

Epinephrine

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11. A 58-year-old male presents with sudden onset substernal chest pain radiating to the left arm and jaw. Which clinical finding is most consistent with Acute Coronary Syndrome?

ST elevation on EKG with elevated troponin levels

Normal EKG with normal cardiac enzymes

T-wave inversion only, no other changes

Peaked T-waves and prolonged QT interval

12. What is the primary goal of dual antiplatelet therapy (DAPT) in ACS?

Reduce blood pressure

Prevent stent thrombosis and recurrent ischemia

Lower cholesterol levels

Improve cardiac contractility

13. A patient with unstable angina (NSTEMI equivalent) has which EKG pattern?

ST elevation with T-wave inversion

ST depression and/or T-wave inversion without ST elevation

Completely normal EKG

Peaked T-waves with widened QRS

14. Aspirin is contraindicated in ACS for patients with which condition?

History of hypertension

Active bleeding or severe thrombocytopenia

Diabetes mellitus

Previous stroke

15. Which troponin level indicates myocardial infarction in acute coronary syndrome?

Any detectable troponin above the 99th percentile

Troponin level greater than 1.0 ng/mL only

Troponin elevation only with positive CK-MB

Serial troponin showing four-fold rise

16. A patient receiving fibrinolytic therapy for STEMI should show signs of reperfusion within which timeframe?

5-10 minutes

15-30 minutes

45-60 minutes

90-120 minutes

17. Which EKG finding indicates acute anterior wall MI?

ST elevation in leads II, III, aVF

ST elevation in leads V1-V4

ST depression in V1-V2

Q waves in lateral leads only

18. A patient with STEMI is being prepared for primary percutaneous coronary intervention (PCI). What is the recommended door-to-balloon time?

Less than 30 minutes

Less than 60 minutes

Less than 90 minutes

Less than 120 minutes

19. Which medication is a P2Y12 inhibitor used in ACS management?

Metoprolol

Clopidogrel

Lisinopril

Simvastatin

20. During the golden hour of ACS, which intervention should be prioritized first?

Administer morphine for pain control

Obtain 12-lead EKG within 10 minutes

Start continuous IV infusion of heparin

Perform cardiac catheterization

ACS Quiz: Can You Act in the Golden Hour?

1. Which complication is most common in the first 24 hours post-MI?

2.

What first name or nickname would you like us to use?

2. True or False: Nitroglycerin is contraindicated in patients with right ventricular infarction.

3. Which finding would prompt immediate notification of the physician in a patient with acute MI?

4. Elevated____levels are a biomarker for myocardial necrosis in ACS.

5. A patient with NSTEMI receives a stent. How long should dual antiplatelet therapy typically continue?

6. The HEART score is used to stratify risk in patients with suspected ACS. True or False: A HEART score of 3 indicates high risk.

7. Which symptom presentation is atypical for ACS in elderly or diabetic patients?

8. Right ventricular infarction is suspected when ST elevation appears in leads____.

9. A patient with ACS has a blood pressure of 95/60 mmHg and appears in cardiogenic shock. Which medication should be avoided?

10. In ACS, beta-blockers are beneficial because they____.

11. A 58-year-old male presents with sudden onset substernal chest pain radiating to the left arm and jaw. Which clinical finding is most consistent with Acute Coronary Syndrome?

12. What is the primary goal of dual antiplatelet therapy (DAPT) in ACS?

13. A patient with unstable angina (NSTEMI equivalent) has which EKG pattern?

14. Aspirin is contraindicated in ACS for patients with which condition?

15. Which troponin level indicates myocardial infarction in acute coronary syndrome?

16. A patient receiving fibrinolytic therapy for STEMI should show signs of reperfusion within which timeframe?

17. Which EKG finding indicates acute anterior wall MI?

18. A patient with STEMI is being prepared for primary percutaneous coronary intervention (PCI). What is the recommended door-to-balloon time?

19. Which medication is a P2Y12 inhibitor used in ACS management?

20. During the golden hour of ACS, which intervention should be prioritized first?