Cardio Exam (Lec 2) ACTUAL
QUESTIONS AND CORRECT ANSWERS
Labs used in Cardiology - CORRECT ANSWERS - CBC
- CMP
- Lipid panel
- Cardiac Enzyme/Biomarkers
- Arterial Blood gas
- Coagulation labs
- BNP
- TSH
- ESR
- CRP
- Blood cultures
Diagnostics used in Cardiology - CORRECT ANSWERS - EKG
- ECHO
- Angiogram
- CT Angiogram of the chest
- CT Calcium score
- CXR
- Stress test
- Holter monitor
Vascular diagnostic tests - CORRECT ANSWERS - Doppler US
- Ankle- Brachial index
- CT angiogram
,Evaluation of chest pain - CORRECT ANSWERS - acute, subacute,
chronic
- Hx
- physical
- diagnostics
- clinical reasoning
What does an electrocardiogram initially evaluate for? - CORRECT ANSWERS
- Acute Coronary Syndrome (ST depression or elecation across 2 or
more leads)
- Arrhythmia (V. Fib, V. tach, A. fib, A, flutter)
What other conditions can an EKG test for? - CORRECT ANSWERS -
Prior MI-> Q-wave
- Pericarditis-> diffuse ST-wave elevation
- Cardiomyopathy-> abnormal axis
Evolution of Ischemia - CORRECT ANSWERS - Peaked t waves
- ST-elevation depression-> elevation
- Q-wave
- T-wave inversion
EKG protocol - CORRECT ANSWERS - preform within 10 min of
arrival
- repeat every 15-30 min to monitor for changes
- compare with prior EKGs
, EKG lead placement - CORRECT ANSWERS Remember for the
extremity leads:
- white in upper right-> snow over grass
- Smoke over fire (left)
- Chocolate wins the heart
What part of the EKG shows the inferior portion of the heart? - CORRECT
ANSWERS II, III, AVF
What part of the EKG shows the later portion of the heart? - CORRECT
ANSWERS V5, V6, I, AVL
What part of the EKG shows the septal portion of the heart? - CORRECT
ANSWERS V1, V2
What part of the EKG shows the Anterior portion of the heart? - CORRECT
ANSWERS V3, V4
EKG criteria for a STEMI - CORRECT ANSWERS New ST- Segment
elevation in 2 continuous leads (>1mm)
Progression of an MI on EKG - CORRECT ANSWERS
EKG criteria for a NSTEMI - CORRECT ANSWERS - New down-
slopping ST depression >0.5 mm in 2 continuous leads
- T-wave inversion > 1mm in 2 continuous leads with prominent R wave or R/S
ratio
QUESTIONS AND CORRECT ANSWERS
Labs used in Cardiology - CORRECT ANSWERS - CBC
- CMP
- Lipid panel
- Cardiac Enzyme/Biomarkers
- Arterial Blood gas
- Coagulation labs
- BNP
- TSH
- ESR
- CRP
- Blood cultures
Diagnostics used in Cardiology - CORRECT ANSWERS - EKG
- ECHO
- Angiogram
- CT Angiogram of the chest
- CT Calcium score
- CXR
- Stress test
- Holter monitor
Vascular diagnostic tests - CORRECT ANSWERS - Doppler US
- Ankle- Brachial index
- CT angiogram
,Evaluation of chest pain - CORRECT ANSWERS - acute, subacute,
chronic
- Hx
- physical
- diagnostics
- clinical reasoning
What does an electrocardiogram initially evaluate for? - CORRECT ANSWERS
- Acute Coronary Syndrome (ST depression or elecation across 2 or
more leads)
- Arrhythmia (V. Fib, V. tach, A. fib, A, flutter)
What other conditions can an EKG test for? - CORRECT ANSWERS -
Prior MI-> Q-wave
- Pericarditis-> diffuse ST-wave elevation
- Cardiomyopathy-> abnormal axis
Evolution of Ischemia - CORRECT ANSWERS - Peaked t waves
- ST-elevation depression-> elevation
- Q-wave
- T-wave inversion
EKG protocol - CORRECT ANSWERS - preform within 10 min of
arrival
- repeat every 15-30 min to monitor for changes
- compare with prior EKGs
, EKG lead placement - CORRECT ANSWERS Remember for the
extremity leads:
- white in upper right-> snow over grass
- Smoke over fire (left)
- Chocolate wins the heart
What part of the EKG shows the inferior portion of the heart? - CORRECT
ANSWERS II, III, AVF
What part of the EKG shows the later portion of the heart? - CORRECT
ANSWERS V5, V6, I, AVL
What part of the EKG shows the septal portion of the heart? - CORRECT
ANSWERS V1, V2
What part of the EKG shows the Anterior portion of the heart? - CORRECT
ANSWERS V3, V4
EKG criteria for a STEMI - CORRECT ANSWERS New ST- Segment
elevation in 2 continuous leads (>1mm)
Progression of an MI on EKG - CORRECT ANSWERS
EKG criteria for a NSTEMI - CORRECT ANSWERS - New down-
slopping ST depression >0.5 mm in 2 continuous leads
- T-wave inversion > 1mm in 2 continuous leads with prominent R wave or R/S
ratio
