Acute Medical Presentations — Flashcards

Flashcard 291: The _____ score risk stratifies patients with ACS to predict the 6 month mortality

Answer: GRACE

Flashcard 292: An ECG should be repeated _____ after fibrinolysis for STEMI

Answer: 60-90 minutes

Flashcard 293: Killip class is used to stratify _____

Answer: 30 day mortality post-MI

Flashcard 294: An NSTEMI/unstable angina patient with a GRACE score > 3% (_____) should have coronary angiography→PCI within 72 hours

Answer: high

Flashcard 295: What is the best initial investigation for aortic dissection? _____

Answer: CXR (Chest X-ray)

Extra: Chest X-ray (CXR) is often the first test performed in the ER for chest pain and may show a widened mediastinum (in ~60-90% of cases), but it is not sensitive or specific enough to diagnose or rule out aortic dissection.

Flashcard 296: A patient presents complaining of severe chest pain that radiates to the back in between his scapulae. Physical exam reveals BP of 169/108 in the left arm and 120/70 in the right arm. What is the most accurate test? _____

Answer: CT Angiography if stable TOE transoesophageal echocardiography if unstable

Flashcard 297: Initial management for NSTEMI/unstable angina includes _____ & fondaparinux if ↓ bleed risk and angiography is not being immediately performed

Answer: aspirin 300mg

Flashcard 298: Aortic dissection can present with _____ between each arm

Answer: BP difference > 20mmHg

Flashcard 299: What investigation is done for aortic dissection in unstable patients? _____

Answer: Transoesophageal echocardiography (TOE)

Flashcard 300: Aortic dissection can be complicated by _____ murmur

Answer: aortic regurgitation