Acute Medical Presentations UK Medical PG Flashcards - Medical Study Cards
Master Acute Medical Presentations with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Acute Medical Presentations Flashcard Deck - 10 Cards
Flashcard 61: A STEMI is diagnosed as:
_____ with
persistent (> 20 mins) ECG features in ≥ 2 contiguous leads of:
2.5mm (i.e ≥ 2.5 small squares) ST elevation in V2-3 in men under 40 years or
2mm (i.e ≥ 2 small squares) ST elevation in V2-3 in men over 40 years or
1.5mm ST elevation in V2-3 in women or
1mm ST elevation in other leads or
new LBBB
Answer: Clinical symptoms consistent with ACS (≥ 20 mins duration)
Flashcard 62: What ECG changes indicate an NSTEMI (in the absence of ST elevation)?\n_____ and T wave inversion
Answer: ST depression
Flashcard 63: What is the appropriate treatment for Torsades de Pointes?
Answer:
• IV magnesium sulfate
Flashcard 64: What can reduce BNP levels?
Answer:
• ACE inhibitors
• ARBs
• Diuretics
Flashcard 65: What is this?
Answer:
• Wellen's syndrome
*high-grade stenosis in the LAD
*Pt pain may have resolved at the time, and trop = normal/minimially elevated
**Biphasic or deep T wave inversion in Leads V2-3
Minimal ST Elevation
• no Q waves
Flashcard 66: What are the ECG findings in hypokalaemia?
Answer: U have no Pot (K+) and no T, but a long PR and a long QT
(small or absent T waves)
- U waves
- Small or absent T waves
- Long PR
- ST Depression
- Long QT
Flashcard 67: What does this ECG show?
Answer: Atrial Flutter with variable block
Flashcard 68: Management of a peri-arrest tachycardia with any of the following adverse signs: shock (hypotension, confusion, cold extremities), syncope, MI, heart failure?
Answer: • Synchronised DC shocks
Up to 3 shocks can be given; if unsuccessful, expert help should be sought.
Flashcard 69: QRS of 0.14 seconds and 130 HR?
Answer:
• Broad complex tachycardia
Flashcard 70: What is contraindicated in VT?
Answer:
• Verapamil
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