AMI - Etiopathogenesis (6) 20/05/24

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1) 57-year-old Mr. Ram has been admitted with chest pain. His ECG shows acute inferior wall MI. What has caused this condition? *

1 point

s. Coronary emboli

b. Coronary thrombosis

c. Coronary artery spasm

d. Coronary artery stenosis

2) Investigation of a 60-year-old female with chest pain revealed that she is having myocardial ischemia. What is the time taken for irreversible myocardial infarction to occur after myocardial ischemia in her? *

1 point

a. 5 minutes

b. 15 minutes

c. 30 minutes

d. 60 minutes

3) A 65-year-old retired professor of chemistry was investigated for recurrent chest pain and a diagnosis of angina pectoris was made. When he came for follow up, he wanted to know how long does it take for stunned myocardium to occur when coronary blood flow is impaired? *

1 point

a. 1 to 5 minutes

b. 5 to 15 minutes

c. 15 to 30 minutes

d. 30 to 45 minutes

4) A 68-year-old man presents to the emergency department with sudden onset of severe chest pain that started this morning. A diagnosis of acute coronary syndrome (ACS) was made. Which of the following is included in ACS? *

1 point

a. STEMI

b. Non-STEMI

c. Unstable angina

d. All

5) Mr. Kumar, 60 years, has chronic stable angina. He is suspected to be having hibernating myocardium. How can you accurately determine the amount of hibernating myocardium?
*

1 point

a. Coronary angiography

b. Treadmill to the maximum limit

c. Echocardiography

d. Cardiac magnetic resonance

6) A 50-year-old male physician is being prepared for percutaneous coronary intervention for STEMI. He is concerned about reperfusion injury. Which is true about reperfusion injury?
*

1 point

a. Caused by primary percutaneous coronary intervention

b. There is acceleration of myocardial damage

c. Fatal arrhythmias may occur

d. No effective therapy

e. All are true

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