BKAT STUDY GUIDE (2026) EXAM QUESTIONS
AND CORRECT ANSWERS
What to do first if patient has chest pain. - correct-answer -Rest!
ECG changes in an acute MI - correct-answer -ST elevation in 2 or more contiguous
leads. Ischemia d/t full thickness loss of muscle. EMERGENCY.
Inferior leads - correct-answer -II, III, aVF. RCA occlusion.
Septal leads - correct-answer -V1 & V2.
Anterior leads - correct-answer -V1 - V4. LAD lesion.
Lateral leads - correct-answer -V5, V6, I, and aVL. Circumflex lesion.
, 2
Cardiac enzymes - correct-answer -Troponins, CK-MB, and CK
Changes in CK - correct-answer -Rise: 3-6 hours
Peak: 24 hours
Normal: 3-4 days
Changes in CK-MB - correct-answer -Released after myocardial necrosis. Specific
for myocardial damage.
Rise: 3-12 hours
Peak: 24 hours
Normal: 2-3 days
Troponin I - correct-answer -Protein found in cardiac muscle. High sensitivity.
Rise: 3-12 hours
Peak: 24 hours
Normal: 5-10 days
Troponin T - correct-answer -Protein found in cardiac muscle. High sensitivity.
, 3
Rise: 3-12 hours
Peak: 12-48 hours
Normal: 5-14 days
Common conditions that cause a murmur - correct-answer -Aortic dissection,
aortic regurgitation (both acute & chronic), mitral valve regurgitation (both acute
& chronic), mitral valve stenosis
Drugs to decrease afterload/SVR/PVR - correct-answer -(Arterial Dilators)
Nitroprusside, nitroglycerin, amrinone, alpha (Regitine) & Ca channel blockers
Drugs to increased afterload/SVR/PVR - correct-answer -(Vasopressors)
Epinepherine, norepinepherine, dopamine, neosynephrine
Drugs to decrease contractility/SVI - correct-answer -Beta blockers (atenolol,
metoprolol, propranolol, labetolol, esmolol) and Ca channel blockers
Drugs to increase contractility/SVI - correct-answer -Positive inotropes,
dobutamine, dopamine, milrinone, and digoxin