Acute Medical Presentations — Flashcards

Flashcard 291: Killip class is used to stratify _____

Answer: 30 day mortality post-MI

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

Answer: 60-90 minutes

Flashcard 293: An NSTEMI/unstable angina patient with a GRACE score > 3% (_____) should have coronary angiography→PCI within 72 hours

Answer: high

Flashcard 294: Aortic dissection can present with _____ between each arm

Answer: BP difference > 20mmHg

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

Answer: Transoesophageal echocardiography (TOE)

Flashcard 298: Aortic dissection can be complicated by _____ murmur

Answer: aortic regurgitation

Flashcard 299: A aortic dissection with a backwards tear can be complicated with _____ and/or inferior MI

Answer: aortic regurgitation

Flashcard 300: A aortic dissection with a forwards tear can be complicated with _____ pulses, stroke, and/or renal failure

Answer: unequal/absent arm