Myocardial Infarction MI Multiple choice questions MCQs

Myocardial Infarction MI Multiple choice questions MCQs: Heart attack

Myocardial infarction MI or heart attack is a very high yeild topic and you must cover all MCQs related to this to ace  tour exams

Which arm hurts when having heart issues: left arm

Multiple Choice Questions regarding heart attack

1. Your patient is presenting with acute chest pain and you’re suspecting an acute myocardial infarction. Which one of these would not be true for an MI: 

• ST elevation in ECG
• Chest pain radiating to right arm 
• Dyspnea 
• Nausea and diaphoresis

Ans: b (Chest pressure radiating to right arm)

2. Your 62 year old patient has just been diagnosed with an MI, she had a stent placed to the RCA. She states that she is feeling fine and would like to be discharged now. Which common complication is necessary for observation?

• Cardiac Tamponade 
• Dysrhythmia 
• Endocarditis 
• Pulmonary emboli 

Ans: b (Dysrhythmia)

3. You ordered a lab tests on patient presenting with complaints of chest pain for 6 hours. Which of the following abnormal values would you expect to see if the patient’s chest pain is related to cardiac? 

• Low potassium of 3.1 
• Elevated troponin of 4.5 
• Low hemoglobin of 7.3 
• Low glucose of 65 

Ans: c (Elevated troponin of 4.5)

Normal Value of Tropinin - 0- 0.14 ng/mL

4. Based on the following options which modifiable risk factors place your patient at increased risk of MI:

• Age of 65 
• Smoking history of 3 packs per day for 30 years
• Male 
• Vigorous exercise 3 times a week

Ans: b (Smoking history of 3 packs per day for 30 years)

5.Which of the following statement is correct?

• Myocardial tissue necrosis occurs immediately when blood flow is occluded.
• Cardiac troponin is highest in 30 minutes after infarction.
• Inflammatory markers are often elevated after an acute MI.
• Chest pain is always present in MI.

Ans: c (Inflammatory markers are often elevated after an acute MI)

6. A 55 years old patient is admitted with chest pain that radiated to neck, jaw and shoulders that occurs at rest with high body temperature, weak with generalized sweating and decreased blood pressure. MI is diagnosed. The health personnel knows that the most accurate explanation for one of these presenting symptoms is:

• Catecholamines released at the site of infarction causes localized pain
• Parasympathetic reflexes from the infarcted myocardium causes diaphoresis.
• Inflammation in the myocardium causes a rise in the systemic body temperature.
• Constriction of central and peripheral blood vessels causes a decrease in blood pressure.

Ans: c (Inflammation in the myocardium causes a rise in the systemic body temperature.)

7. What is heart failure?

• A condition in which the heart stops beating.
• A condition in which the heart cannot pump enough blood to meet the body’s need.
• A heart attack 
• A condition in which the patient experiences chest pain  

Ans: b (A condition in which the heart cannot pump enough blood to meet the body’s need)

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8. Most common side cause of left sided heart failure: 

• Septal defect 
• Congenital heart disease 
• Coronary artery disease 
• Hypertension 

Ans: c (Coronary artery disease )

9. Clinical signs of left sided heart failure: 

• Dyspnea and bradycardia 
• Dyspnea and tachycardia 
• Tachycardia and restlessness 
• Restlessness and cough 

Ans: b(Dyspnea and tachycardia)

10. Auscultation of crackles in the lungs is present in which condition : 

• Pulmonic valve malfunction 
• Tricuspid valve malfunction 
• Left sided heart failure 
• Right sided heart failure 

Ans: c(Left sided heart failure)

11. The edema in heart failure is due to : 

• Change in oncotic pressure 
• Renal failure 
• Liver failure 
• Venous stasis 

Ans: d(Venous stasis)

12. Clinical signs of right sided heart failure: 

• Ascites 
• Peripheral edema 
• Oliguria 
• All of the above 

Ans: d(All of the above)

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