Pcciv Exam 1 Nclex Questions Accurate 100%

What is the best assessment for identifying the presence, location, and extent of acute myocardial ischemia? a. Coronary angiography b. EKG c. Estimating troponin every hour d. Estimating CPK - MB every hour {Ans: b. EKG EKG is the reference standard for identifying the presence, location, and extent of acute myocardial ischemia and injury. Coronary angiography identifies vessel lumen anatomy, whereas the EKG reflects the physiology of the myocardium during acute ischemia.}A patient presents with acute anterior wall infarction and hypotension. His coronary angiography shows an ejection fraction of 22% with global hypokinesis.Which will be the immediate treatment modality for this patient? a. Intra aortic balloon counter pulsation b. Anticoagulation c. Thrombolytic therapy d. Diuretic therapy {Ans: a. Intra aortic balloon counter pulsation IABP therapy is indicated for this patient due to his low EF (normal 55-70%)}A patient presents with intense chest pain of 2 hrs duration. ECG shows ST depression in leads 1 and V1 to V4. There is associated T inversion and CPK-¬MB is elevated. Which of the following should not be included in his management? a. Nitroglycerine drip b. Aspirin c. Coronary angiography d. Streptokinase {Ans: d. streptokinase Thrombolytic therapy is not used for