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DSEA Quiz 2 – STEMI Review
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Characteristic changes found with Acute Pericarditis is sometimes diffuse ST-segment elevation concave up and ___________ depression.CorrectIncorrect
A patient in the emergency unit has sustained an Anterior STEMI. It is noted that Lead avR shows an ST-segment elevation of 1.5 mm. The findings at the cardiac cath lab are likely to reveal obstruction of the proximal ____ artery.CorrectIncorrect
The Acute STEMI is often characterized by ST-segment elevation in the associated leads. The curvature of these segments is usually concave down. However, significant numbers will show ST-segments concave up.CorrectIncorrect
The __________ Syndrome is sometimes misinterpreted as an Acute MI. It is a genetic cardiac disorder that can lead to spontaneous Polymorphic V Tach → V Fib → death. This syndrome has been recognized virtually worldwide but is most common in Southeast Asia (Thailand and Laos).CorrectIncorrect
You are presented a 12-lead ECG tracing which demonstrates ST-segment elevation concave down in Leads II, III, avF. Compared with an ECG 1 year earlier, the two are virtually identical. The patient is asymptomatic. The most likely diagnosis / explanation is ______________.CorrectIncorrect
During your analysis of the ECG of a patient with ACS, you note the presence of distortion of the terminal QRS. This finding is suggestive of ___________.CorrectIncorrect
The modified Sgarbossa Criteria for recognizing the STEMI in the presence of the LBBB includes the following except:CorrectIncorrect
The assessment of a patient with ACS reveals only non-specific ST-T changes on the cardiogram. However, your clinical judgement is highly suspicious for acute MI/ischemia. Your patient management should include:CorrectIncorrect
The emergency unit nurse has requested your ECG interpretation of a patient with ACS (the cardiac markers are positive). Your analysis reveals the following abnormalities:
- Wide-spread ST-segment depression (Lead V3, V4, V5, V6, avL, III, avF) maximum V4, V5
- ST-segment elevation (Lead avR) of 1.5 mm
After analyzing a 12-lead ECG, you note the following abnormalities:
- |QRS| = 0.11 sec
- PR-interval = 0.10 sec
- Delta waves present
- Significantly wide Q-waves in Leads III and avF
Your final conclusion should be:CorrectIncorrect