Acute Medical Presentations — Flashcards

Flashcard 341: What is the mnemonic for the secondary prevention of ACS/chest pain? _____

Answer: DABS

Extra: Secondary prevention of ACS focuses on reducing future cardiovascular events. Common components include: - **D**: Diet (mediterranean), Dual Antiplatelet Therapy (Aspirin + P2Y12 inhibitor). - **A**: ACE inhibitor (especially in HF/EF <40%), Aldosterone antagonist. - **B**: Beta-blockers, BP control. - **S**: Statins (high intensity), Smoking cessation.

Flashcard 342: Which ECG changes are associated with an inferior myocardial infarction? _____

Answer: II, III, aVF

Flashcard 343: Which area is affected in leads V7-V9? _____

Answer: Posterior MI

Flashcard 344: Which area is affected in leads I, aVL, V5-V6? _____

Answer: Lateral MI

Flashcard 345: Which artery is associated with posterior myocardial infarction?

Answer:

Flashcard 346: What are the initial investigations for a patient presenting with ACS/chest pain? _____

Answer: ECG & troponin (biomarker of cardiac injury)

Flashcard 347: For shockable (VF/VT cardiac arrest) rhythms, _____ should be given once chest compressions have restarted after the third shock

Answer: adrenaline 1mg

Flashcard 348: In advanced life support drug delivery should be done through _____ (first-line)

Answer: IV access

Flashcard 349: In advanced life support drug delivery should be done through _____ (second-line) if IV access cannot be achieved

Answer: IO (intraosseous) route

Flashcard 350: For non-shockable rhythms, _____ should be given as soon as possible

Answer: adrenaline 1mg