Preventing Common Nutritional Deficiencies In Poultry Flocks (PPT).pdf
ACS:STEMI
1. PRE TEST QUESTIONS
• State true or false
1. In an Elderly diabetic male coming with short history of retrosternal crushing
chest pain acute gastritis is your first differential diagnosis
2. A detailed and elaborate cardiovascular examination is a must in acute MI ?
2. • State true or false
3. The earliest cardiac enzyme to elevate and decrease is troponin I
4. Oxygen should be provided for all MI patients
5. All patients with MI should receive antiplatelets as a early as possible if no
contraindications
6. Thrombolysis is the preferred treatment in all patients of MI?
4. • 56 year old male
• c/o acute onset chest pain since 1 hour with minimal dyspnea
• Past history : HTN since 10 years , DM since 5 years
• Family : nothing contributory
• Personal : smoking 10 pack years per day
5. EXAMINATION
• PR : 108 / min
• BP : 120 /80
• RR: 20/min
• SPO2 : 96 % on RA
21. CLINICAL FEATURES
• Examination should be quick assessment as acute presentation usually has no
CVS findings
• Mechanical complications will produce CVS findings
22. ECG
• ST segment elevation of more than 1 mm in 2 contiguous leads
• Or new onset LBBB
39. REPERFUSION THERAPY
FIBRINOLYTICS VS PERCUTANEOUS CORONARY INTERVENTION
DOOR TO Drug time 30 mins Door to balloon time 90 mins
Time period <12 hours