Acute Coronary Syndrome Quiz! Trivia
Acute Coronary Syndrome Quiz: The heart is one of the main organs in the human body, and it is charged with ensuring that blood is transported throughout the body. For one to be termed as having the acute coronary syndrome, it means that there is reduced blood flow to the heart or blockage in its path. Non-ST elevation myocardial infarction (NSTEMI), unstable angina, and ST-elevation myocardial infarction (STEMI) are the three types of ACS. This quiz will help you learn more about this syndrome.
- 1.Which of the following is NOT classified as an acute coronary syndrome (ACS)?
- A.
Unstable angina
- B.
Atherosclerosis
- C.
Non-ST-segment elevation myocardial infarction
- D.
ST-segment elevation myocardial infarction
- 2.An acute coronary syndrome with total occlusion is most consistent with which of the following?
- A.
Plaque Rupture
- B.
Unstable Angina
- C.
Non-ST segment elevation myocardial infarction
- D.
ST segment elevation myocardial infarction
- 3.Which of the following is NOT a correct recommendation for patients prior to hospital arrival?
- A.
Patients should use transdermal nitroglycerin (if available), then wait to see if symptoms subside within 5 minutes
- B.
Patients should use sublingual nitroglycerin (if available), then wait to see if symptoms subside within 5 minutes
- C.
Patients should chew a non-enteric coated ASA
- D.
Patients should seek emergency help (i.e. call 911) if symptoms do not resolve within 5 minutes
- 4.The "A" in MONA-B stands for "acute pain management".
- A.
True
- B.
False
- 5.Which is not a goal in unstable angina?
- A.
Prevent total occlusion
- B.
Limit infarct size
- C.
Control chest pain
- D.
Control other symptoms
- 6.Which is not an ABSOLUTE contraindication to fibrinolytic?
- A.
Previous intracranial hemorrhage
- B.
Suspected aortic dissection
- C.
Current use of anticoagulants
- D.
Known structural vascular lesion
- 7.Which CYP is responsible for the interaction between PPIs (e.g. omeprazole) and clopidogrel?
- A.
CYP 3A4
- B.
CYP 2C9
- C.
CYP 2C19
- D.
CYP 2D6
- 8.Which antiplatelet is indicated for PCI only?
- A.
Clopidogrel
- B.
Prasugrel
- C.
Ticagrelor
- 9.Which antiplatelet has the lowest risk of bleeding?
- A.
Clopidogrel
- B.
Prasugrel
- C.
Ticagrelor
- 10.Which of the following is NOT true in regards to Coronary Artery Bypass Graft (CABG)?
- A.
It relieves angina and risk of mortality in ACS
- B.
Vasculature is normally taken from the heart to bypass the arthersclerotic lesions
- C.
The procedure requires the heart to be stopped
- D.
The number of bypasses (e.g. triple bypass) is equivalent to the number of coronary arteries involved in the procedure
- 11.Which are typical clinical presentations of ACS?
- A.
Angina
- B.
Diaphoresis
- C.
Shortness of breath
- D.
Headache
- E.
Nausea and vomiting
- F.
Diarrhea
- 12.A Percutaneous Coronary Intervention (PCI) has a lower bleeding risk than a fibrinolytic.
- A.
True
- B.
False
- 13.A male patient is being discharged from the hospital after having a STEMI. The patient has an LDL of 100 mg/dL and an HDL of 45 mg/dL with no contraindications to a statin but is not currently taking one. Which of the following choices BEST describes how to discharge statin therapy should be handled in this patient.
- A.
Since this patient has abnormal cholesterol lab values, atorvastatin 10mg should be started and lab values should be drawn in one month to determine any dosage changes needed.
- B.
Since this patient has normal cholesterol lab values, a statin is not needed.
- C.
Since this patient has normal cholesterol lab values but recently had a STEMI, atorvastatin 10mg would be the best choice for therapy.
- D.
Since this patient has normal cholesterol lab values but recently had a STEMI, atorvastatin 80mg would be the best choice for therapy.
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