ACS US Medical PG Flashcards - Medical Study Cards
Master ACS 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.
ACS Flashcard Deck - 10 Cards
Flashcard 21: One complication that may occur 3 - 5 days post-MI is _____, which often causes mitral regurgitation
Answer: papillary muscle rupture
Extra:
Watch Acute Myocardial Infarction & Post MI Timeline [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-cardiac/videos/medical-pathophysiology-cardiac-ischemic-heart-disease-acute-myocardial-infarction-and-post-mi-timeline?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]
Watch Mitral Valve Regurgitation & Prolapse [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-cardiac/videos/medical-pathophysiology-cardiac-ischemic-heart-disease-acute-myocardial-infarction-and-post-mi-timeline?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]
Watch Aortic Stenosis & Regurgitation [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-cardiac/videos/medical-pathophysiology-cardiac-valvular-disorders-aortic-stenosis-and-regurgitation?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical]
https://onlinemeded.org/spa/cardiac?ref=anki
Papillary muscle rupture
Photograph of a heart at autopsy (close-up of the left ventricle in longitudinal section)
The posteromedial papillary muscle of the mitral valve has ruptured and almost completely detached from its ventricular attachment.
This is the characteristic appearance of papillary muscle rupture, a complication of myocardial infarction. The posteromedial papillary muscle is supplied by the posterior descending artery and is susceptible to ischemia and rupture in individuals with critical occlusion of this artery.
Ruptured papillary muscle
Photograph of a heart at autopsy (close-up of the left ventricle in longitudinal section)
The anterolateral papillary muscle of the mitral valve has avulsed from its ventricular attachment. The posteromedial papillary muscle is mostly intact, except for a small area of ischemic necrosis near its attachment to the chordae tendinae. The chordae tendinae are the white strings connecting the papillary muscles to the mitral valve.
This is the characteristic appearance of papillary muscle rupture, a complication of myocardial infarction.
→ acute onset of pulmonary edema, hypotension, dyspnea/tachypnea, and soft systolic murmur (MR)
Flashcard 22: What leads show ST elevations or Q waves in a posterior myocardial infarction?
_____
Answer: V7 - V9
Extra:
Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/myocardial-infarction?index=8]
https://onlinemeded.org/spa/cardiac?ref=anki
Flashcard 23: What heart chamber is most commonly affected by myocardial infarction?
_____
Answer: Left ventricle
Extra:
Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/myocardial-infarction?index=4]
https://onlinemeded.org/spa/cardiac?ref=anki
Flashcard 24: Initial treatment of acute coronary syndrome includes MONA (MONA greets chest pain patients at the door)
- M_____
- Oxygen
- Nitroglycerin
- Aspirin
Answer: orphine
Extra:
Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/myocardial-infarction?index=12]
https://onlinemeded.org/spa/cardiac?ref=anki
Flashcard 25: _____ is chest pain due to myocardial ischemia (secondary to coronary artery narrowing or spasm)
Answer: Angina
Extra:
Watch Stable Angina, Vasospastic Angina, & Acute Coronary Syndromes (UA, NSTEMI, STEMI) [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-cardiac/videos/medical-pathophysiology-cardiac-ischemic-heart-disease-stable-angina-vasospastic-angina-and-acute-coronary-syndromes-ua-nstemi-stemi?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/stable-angina-and-atherosclerosis?index=4]
https://onlinemeded.org/spa/cardiac?ref=anki
Flashcard 26: "_____" describes the period of the hours to days after an MI when contractility is low in the heart
Answer: Myocardial stunning
Extra:
https://onlinemeded.org/spa/cardiac?ref=anki
Flashcard 27: What leads show ST elevations or Q waves in an anteroseptal myocardial infarction?
_____
Answer: V1 - V2
Extra:
Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/myocardial-infarction?index=8]
https://onlinemeded.org/spa/cardiac?ref=anki
Flashcard 28: CK-MB levels rise _____ hours after an MI and peak at 16-24 hours
Answer: 6-12
Extra:
* Troponin I rises 2-4 hours after an MI
Watch Stable Angina, Vasospastic Angina, & Acute Coronary Syndromes (UA, NSTEMI, STEMI) [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-cardiac/videos/medical-pathophysiology-cardiac-ischemic-heart-disease-stable-angina-vasospastic-angina-and-acute-coronary-syndromes-ua-nstemi-stemi?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/myocardial-infarction?index=10]
https://onlinemeded.org/spa/cardiac?ref=anki
Flashcard 29: Diagnosis of a current or previous myocardial infarction may be aided by the presence of pathologic _____ waves on ECG
Answer: Q
Extra:
Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/myocardial-infarction?index=8]
https://onlinemeded.org?ref=anki
Flashcard 30: The initial phase of myocardial infarction (subendocardial infarcts) shows ST-segment _____ on ECG
Answer: depression
Extra:
Watch Stable Angina, Vasospastic Angina, & Acute Coronary Syndromes (UA, NSTEMI, STEMI) [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-cardiac/videos/medical-pathophysiology-cardiac-ischemic-heart-disease-stable-angina-vasospastic-angina-and-acute-coronary-syndromes-ua-nstemi-stemi?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/myocardial-infarction?index=6]
https://onlinemeded.org/spa/cardiology/coronary-artery-disease/acquire?ref=anki
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