Free Practice Quiz Question List

5 Myocardial Infarction and Acute Coronary Syndromes Online Quiz Questions

Use this free practice quiz with 20 questions to review 5 Myocardial Infarction and Acute Coronary Syndromes, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

True or false: Unstable angina can cause acute ischemia without the characteristic rise or fall in cardiac troponin that indicates heart-muscle injury.

A
True
B
False

Choose one

1 point

A person develops new chest pressure and shortness of breath that persist for several minutes. What is the safest immediate response?

A
Call 911 and do not drive yourself.
B
Drive to the hospital if the symptoms are tolerable.
C
Wait to see whether the symptoms pass before seeking help.

Fill in the blank

1 point

For a patient with STEMI, is the preferred way to restore blood flow when it can be delivered promptly.

Choose one

1 point

A patient arrives for assessment of possible ACS. When should the initial 12-lead ECG ideally be obtained?

A
Within 60 minutes of arrival.
B
Only after the first troponin result is available.
C
Ideally within 10 minutes of arrival.
D
Only if the initial physical examination shows instability.

Written response

1 point

Which test primarily distinguishes STEMI from NSTEMI?

Choose all

1 point

Which symptoms may occur with a possible heart attack, with or without chest discomfort? Select all that apply.

A
Shortness of breath
B
Fever
C
Sweating
D
Nausea
E
Localized ankle swelling
F
Unusual fatigue
G
Lightheadedness

True or false

1 point

True or false: If the ECG is diagnostic for STEMI, clinicians should wait for the troponin result before acting.

A
True
B
False

Written response

1 point

What clot-dissolving treatment is not used for NSTEMI or unstable angina?

Fill in the blank

1 point

ACS can lead to dangerous arrhythmias, acute heart failure, cardiogenic shock, or .

Choose one

1 point

In which situation should clinicians avoid or use particular caution with nitrates for ischemic chest pain?

A
The patient has normal blood pressure and ongoing ischemic pain.
B
The patient recently used a certain erectile-dysfunction medicine.
C
The patient has no history of cardiovascular risk factors.
D
The patient is being assessed with a 12-lead ECG.

Choose all

1 point

Which actions are appropriate during the initial assessment and diagnostic evaluation of suspected ACS? Select all that apply.

A
Assess airway, breathing, and circulation.
B
Check vital signs and oxygen saturation.
C
Wait for troponin results before responding to a diagnostic STEMI ECG.
D
Place the patient on cardiac monitoring.
E
Obtain a 12-lead ECG promptly.
F
Give routine oxygen to every patient, including those with normal oxygen levels.
G
Obtain IV access as appropriate and measure cardiac troponin using the local testing pathway.

True or false

1 point

True or false: Every patient with suspected ACS should receive oxygen, even when oxygen levels are normal and there is no respiratory distress.

A
True
B
False

Choose one

1 point

Which option is a common component of care after the acute phase of ACS?

A
Routine fibrinolysis for all patients after the acute phase.
B
Stopping all cardiovascular risk-factor management once symptoms resolve.
C
Cardiac rehabilitation as part of continued care.
D
Avoiding lipid-lowering therapy in every patient.

Open ended

1 point

A patient is diagnosed with NSTE-ACS. Explain how clinicians decide whether invasive assessment should be urgent, and identify the clinical features that can make it urgent.

Choose one

1 point

A patient is being assessed for a sudden reduction in blood flow to the heart muscle. Which set of conditions makes up acute coronary syndrome (ACS)?

A
Unstable angina, NSTEMI, and STEMI
B
Stable angina, heart failure, and cardiac arrest
C
NSTEMI, myocarditis, and pulmonary embolism
D
STEMI, aortic dissection, and pericarditis

Choose one

1 point

In initial management of suspected ACS, which approach to aspirin is appropriate?

A
Wait for troponin results before considering aspirin
B
Give aspirin promptly if ACS is suspected and there is no contraindication
C
Give aspirin only after a STEMI is confirmed by angiography
D
Give aspirin only if the patient has normal blood pressure

Choose one

1 point

A patient with suspected ACS has normal oxygen levels and no respiratory distress. Which oxygen approach is recommended?

A
Give oxygen routinely to every patient with suspected ACS.
B
Avoid oxygen even if the patient is hypoxemic.
C
Do not give routine oxygen when oxygen levels are normal and the patient is not in respiratory distress.
D
Use oxygen only after troponin confirms myocardial injury.

Choose one

1 point

A patient with possible ACS has ongoing chest discomfort, but the initial ECG is nondiagnostic. What is the appropriate response?

A
Repeat the ECG if symptoms continue, recur, or change; an initial nondiagnostic ECG does not rule out ACS
B
Rule out ACS because the first ECG is nondiagnostic
C
Wait for troponin results before repeating the ECG, even if symptoms change
D
Repeat the ECG only if the patient loses consciousness

Written response

1 point

For many patients after ACS who are not at high bleeding risk, what is the guideline's default minimum duration of dual antiplatelet therapy? Enter the number of months.

Written response

1 point

A hospitalized patient with ACS may need an invasive intervention. Besides ACS type and bleeding risk, what aspect of the treatment plan should clinicians consider when selecting antiplatelet or anticoagulant medicines? Enter the factor as a concise noun phrase.