BKAT Study Guide With Complete Solution 2023
What to do first if patient has chest pain. - Correct Answer-Rest!
ECG changes in an acute MI - Correct Answer-ST elevation in 2 or more contiguous leads. Ischemia d/t full thickness loss of muscle. EMERGENCY.
Inferior leads - Correct Answer-II, III, aVF. RCA occlusion.
Septal leads - Correct Answer-V1 & V2.
Anterior leads - Correct Answer-V1 - V4. LAD lesion.
Lateral leads - Correct Answer-V5, V6, I, and aVL. Circumflex lesion.
Cardiac enzymes - Correct Answer-Troponins, CK-MB, and CK
Changes in CK - Correct Answer-Rise: 3-6 hours
Peak: 24 hours
Normal: 3-4 days
Changes in CK-MB - Correct Answer-Released after myocardial necrosis. Specific for myocardial damage.
Rise: 3-12 hours
Peak: 24 hours
Normal: 2-3 days
Troponin I - Correct Answer-Protein found in cardiac muscle. High sensitivity.
Rise: 3-12 hours
Peak: 24 hours
Normal: 5-10 days
Troponin T - Correct Answer-Protein found in cardiac muscle. High sensitivity.
Rise: 3-12 hours
Peak: 12-48 hours
Normal: 5-14 days
Common conditions that cause a murmur - Correct Answer-Aortic dissection, aortic regurgitation (both acute & chronic), mitral valve regurgitation (both acute & chronic), mitral valve stenosis Drugs to decrease afterload/SVR/PVR - Correct Answer-(Arterial Dilators) Nitroprusside, nitroglycerin, amrinone, alpha (Regitine) & Ca channel blockers
Drugs to increased afterload/SVR/PVR - Correct Answer-(Vasopressors) Epinepherine, norepinepherine, dopamine, neosynephrine
Drugs to decrease contractility/SVI - Correct Answer-Beta blockers (atenolol, metoprolol, propranolol, labetolol, esmolol) and Ca channel blockers
Drugs to increase contractility/SVI - Correct Answer-Positive inotropes, dobutamine, dopamine, milrinone, and digoxin
Drugs to decrease preload/CVP/PAWP - Correct Answer-Venous Dilators - Nitroglycerin, nitroprusside, amrinone, alpha & Ca channel blockers
Diuretics - Furosemide, bumex, mannitol
Drugs to increase preload/CVP/PAWP - Correct Answer-Volume - Colloid, crystalloids, blood, hetastarch
Dysrhythmia control - antirhythmics, pacemaker, AICD
Complications when using thrombolytics - Correct Answer-Allergic reaction, bleeding/hemorrhage, stroke
Failure to capture - Correct Answer-Pacer delivers a stimulus at the appropriate time but
no depolarization occurs. No P or QRS wave after pacer spike.
Failure to fire/pace - Correct Answer-No pacer spikes seen
Failure to sense - Correct Answer-Pacemaker does not detects heart's intrinsic activity or interprets noncardiac activity as intrinsic activity. Spikes in inappropriate times.
Normal PR - Correct Answer-0.12 - 0.20
Normal QRS - Correct Answer-0.04-0.10
Normal QT - Correct Answer-Less than 0.48. Varies by age, HR, and gender.
Vasopressors - Correct Answer-Epinepherine, norepinepherine, dopamine, phenylephrine/neosynephrine, vasopressin/pitressin, milrinone/Primacor, dobutamine/Dobutrex
Indication for dopamine/Intropin - Correct Answer-Acts on SNS to increased HR and BP. Indicated for hypotension, low CO, decreased renal blood flow. Use if patient is bradycardic.
Doses of dopamine - Correct Answer-Low: 0.5-2 mcg/kg/min (dopaminergic)