ST elevation myocardial infarction (STEMI) | ACLS pretest

The quiz
You are called to the home of a 61-year-old male who began experiencing substernal chest pain while shoveling snow. He rates the pain as 8 on a scale of 1 – 10. He is slightly diaphoretic. His BP is 154/88. His pulse rate is 102. His pulse oximetry is 98% on room air. He has no past medical history.


about 3–5 minutes

Question 1 of 10

You quickly obtain IV access and complete a 12 Lead ECG which is shown below. Your diagnosis is
Quiz question

Question 2 of 10

The ST depression noted in leads V1, V2 and V3 represents

Question 3 of 10

This patient most likely has experienced

Question 4 of 10

Immediate care of this patient includes

Question 5 of 10

As you are preparing the patient for transport, he suddenly becomes dizzy and feels as if he is going to pass out. A quick assessment reveals Sinus Bradycardia at a rate of 32. His blood pressure is now 70/p and his pulse oximetry is 96%. IV access was obtained earlier. You should

Question 6 of 10

There is no response to the administration of atropine. Another option in the acute management of this patient is

Question 7 of 10

A concern with this patient because of the type of infarction he is having is that he is also experiencing

Question 8 of 10

The diagnosis of right ventricular infarction can be suspected by moving which lead to the right side of the chest?

Question 9 of 10

The major determinant of how well this patient will do is

Question 10 of 10

He should be transported to a hospital that

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The quiz

Correct answers

  • Inferior wall infarction.
  • A secondary infarction.
  • Occlusion of the right coronary artery.
  • Aspirin, pain control, NTG if NOT RV infarction, and emergent catheterization
  • Administer atropine 0.5mg IV
  • Transcutaneous pacing
  • A right ventricular infarction.
  • V4
  • The amount of time that the vessel remains blocked.
  • Has an interventional cardiac catheterization laboratory.

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