Thrombolytic therapy instituted within 3-6 hours of onset of acute myocardial infarction affords the following benefit(s): A. Reduces mortality B. Reduces area of myocardial necrosis C. Preserves ventricular function D. All of the above

Thrombolytic therapy instituted within 3-6 hours of
onset of acute myocardial infarction affords the
following benefit(s):
A. Reduces mortality
B. Reduces area of myocardial necrosis
C. Preserves ventricular function
D. All of the above
by

1 Answer

Answer :

D. All of the above
by

Related questions

Use of anticoagulants in acute myocardial infarction affords the following benefit(s): A. Reduces short-term mortality B. Prevents thrombus extension and subsequent attack C. Prevents venous thromboembolism D. All of the above

Description : Use of anticoagulants in acute myocardial infarction affords the following benefit(s): A. Reduces short-term mortality B. Prevents thrombus extension and subsequent attack C. Prevents venous thromboembolism D. All of the above

Last Answer : C. Prevents venous thromboembolism

A patient of acute myocardial infarction has been brought to the ICU. What is the time lapse since symptom onset beyond which you will not consider instituting thrombolytic therapy: A. 3 hours B. 6 hours C. 16 hours D. 24 hours

Description : A patient of acute myocardial infarction has been brought to the ICU. What is the time lapse since symptom onset beyond which you will not consider instituting thrombolytic therapy: A. 3 hours B. 6 hours C. 16 hours D. 24 hours

Last Answer : C. 16 hours

Started within 4-6 hours of acute myocardial infarction, which of the following drug(s) can reduce the area of necrosis and the attendant mortality: A. Propranolol B. Glyceryl trinitrate C. Lignocaine D. Both ‘A’ and ‘B’ are correct

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Last Answer : D. Both ‘A’ and ‘B’ are correct

Thrombolytic therapy is indicated in the following conditions except: A. Acute myocardial infarction B. Stroke due to cerebral thrombosis C. Deep vein thrombosis D. Large pulmonary embolism

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Last Answer : B. Stroke due to cerebral thrombosis

A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/method of administration would be most suitable: A. Sublingual B. Oral C. Intravenous bolus injection D. Slow intravenous infusion

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Lignocaine is the preferred antiarrhythmic for emergency control of cardiac arrhythmias following acute myocardial infarction because: A. It has a rapidly developing and titratable antiarrhythmic action B. It causes little myocardial depression and hypotension C. It has broad spectrum antiarrhythmic efficacy in atrial as well as ventricular arrhythmias D. Both ‘A’ and ‘B’ are correct

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Last Answer : D. Both ‘A’ and ‘B’ are correct

Streptokinase therapy of myocardial infarction is contraindicated in the presence of the following except: A. Peptic ulcer B. Ventricular extrasystoles C. History of recent trauma D. Severe hypertension

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Low dose subcutaneous heparin therapy is indicated for: A. Prevention of leg vein thrombosis in elderly patients undergoing abdominal surgery B. Ischaemic stroke C. Patients undergoing neurosurgery D. Prevention of extention of coronary artery thrombus in acute myocardial infarction

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Last Answer : A. Prevention of leg vein thrombosis in eld

Higher incidence of myocardial infarction and increased mortality has been noted with the use of the following antihypertensive drug: A. Nifedipine B. Verapamil C. Diltiazem D. Lisinopril

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Last Answer : A. Nifedipine

Ventricular remodeling after myocardial infarction involves the mediation of: A. Angiotensin II B. Prostaglandin C. Bradykinin D. Thromboxane A2

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A patient of acute myocardial infarction being treated in intensive care unit developed left ventricular failure with raised central venous pressure. It was decided to use glyceryl trinitrate. Which route/method of administration would be most suitable. (a) Sublingual (b) Oral (c) Intravenous bolus injection (d) Slow intravenous infusion

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Last Answer : Ans: D

Lidocaine is the preferred antiarrhythmic for emergency control of cardiac arrhythmias following acute myocardial infarction because (a) It has a rapidly developing and titratable antiarrhythmic action (b) It casues little myocardial depression and hypotension (c) It has broad spectrum antiarrhythmic efficacy in atrial as well as ventricular arrhythmias (d) Both (a) and (b)

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Last Answer : Ans: D

On the third day following onset of acute myocardial infarction, which enzyme estimation will have the best predictive value? (A) Serum AST (B) Serum CK (C) Serum ALT (D) Serum LDH

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Last Answer : Answer : D

On the third day of onset of acute myocardial infarction the enzyme elevated is (A) Serum AST (B) Serum CK (C) Serum LDH (D) Serum ALT

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Morphine affords symptomatic relief of dyspnoea in acute left ventricular failure by the following mechanisms except: A. Bronchodilatation B. Depression of respiratory centre C. Reduction in cardiac preload D. Shift of blood from pulmonary to systemic circuit

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Antiretroviral treatment affords the following benefit(s) in HIV infection: A. Increases CD4 leucocyte count B. Reduces the incidence of opportunistic infections in AIDS patients C. Increases survival time in AIDS patients D. All of the above

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The preferred route of administration of streptokinase in acute myocardial infarction is: A. Intravenous B. Subcutaneous C. Intracoronary

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Vasodilators are used to treat: A. Acute heart failure attending myocardial infarction B. Chronic heart failure due to diastolic dysfunction C. Chronic heart failure due to both systolic as well as diastolic dysfunction D. All of the above

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Higher incidence of myocardial infarction and increased mortality has been noted with the use of the following antihypertensive drug (a) Nifedipine (b) Verapamil (c) Diltiazem (d) Lisinopril

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The most clear cut beneficial results are obtained in the use of anticoagulants for the following purpose: A. Prevention of recurrences of myocardial infarction B. Prevention of venous thrombosis and pulmonary embolism C. Cerebrovascular accident D. Retinal artery thrombosis

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Consumption of alcoholic beverages in moderate amounts can be allowed for the following category of subjects: A. Epileptics B. Patients with history of myocardial infarction C. Gastroesophageal reflux patients D. Pregnant women

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Last Answer : B. Patients with history of myocardial infarction

Health benefits afforded by the combined estrogenprogestin oral contraceptive pill include the following except: A. Reduced menstrual blood loss B. Lower risk of fibrocystic breast disease C. Lower risk of myocardial infarction D. Lower risk of endometrial carcinoma

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Choose the correct statement about long acting calcium channel blocking drugs as antihypertensives: A. They are the most effective drugs in suppressing hypertensive left ventricular hypertrophy B. They are as effective as diuretics or β blockers in reducing cardiovascular/total mortality C. They compromise quality of life more than β blockers D. They have no beneficial effect in hypertensive/diabetic nephropath

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On which day following acute myocardial infarction the estimation of serum AST will be of greatest significance? (A) First day (B) Second day (C) Third day (D) Fourth day

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The slow moving fraction of LDH is typically increased in pancreas with (A) Cerebrovascular accidents (B) Acute myocardial infarction (C) Acute pancreatitis (D) Acute viral hepatits

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Serum gamma glutamyl transpeptidase is raised in (A) Haemolytic jaundice (B) Myocardial infarction (C) Alcoholic hepatitis (D) Acute cholecystitis

Description : Serum gamma glutamyl transpeptidase is raised in (A) Haemolytic jaundice (B) Myocardial infarction (C) Alcoholic hepatitis (D) Acute cholecystitis

Last Answer : Answer : C

Increased serum ornithine carabamoyl transferase activity is diagnostic of (A) Myocardial infarction (B) Hemolytic jaundice (C) Bone disease (D) Acute viral hepatitis

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Last Answer : Answer : D

If a fibrinolytic drug is used for treatment of acute myocardial infarction, the adverse drug effect that is most likely to occur is (a) Acute renal failure (b) Development of antiplatelet antibodies (c) Encephalitis secondary to liver dysfunction (d) Hemorrhagic stroke (e) Neutropenia

Description : If a fibrinolytic drug is used for treatment of acute myocardial infarction, the adverse drug effect that is most likely to occur is (a) Acute renal failure (b) Development of antiplatelet antibodies (c) Encephalitis secondary to liver dysfunction (d) Hemorrhagic stroke (e) Neutropenia

Last Answer : Ans: D

Streptokinase is a substance used in the treatment of acute myocardial infarction. How does this substance act?

Description : Streptokinase is a substance used in the treatment of acute myocardial infarction. How does this substance act?

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A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: a. Administer glycerine trinitrate and monitor patient in upright position. b. Patient has an acute episode of angina as demonstrated by curve in ECG c. No treatment is required until confirmed as MI by ECG d. Patient has myocardial infarction as confirmed by ECG

Description : A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: a. Administer glycerine trinitrate and monitor patient in upright ... required until confirmed as MI by ECG d. Patient has myocardial infarction as confirmed by ECG

Last Answer : a. Administer glycerine trinitrate and monitor patient in upright position.

A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: A. Administer glycerine trinitrate and monitor patient in upright position B. Patient has an acute episode of angina as demonstrated by curve in ECG C. No treatment is required until confirmed as MI by ECG D. Patient has myocardial infarction as confirmed by ECG

Description : A patient has developed a sever chest pain and difficulties in breathing while in the dental chair. Your initial response is: A. Administer glycerine trinitrate and monitor patient in upright ... required until confirmed as MI by ECG D. Patient has myocardial infarction as confirmed by ECG

Last Answer : A. Administer glycerine trinitrate and monitor patient in upright position

Adrenaline added to local anaesthetic solution for infiltration anaesthesia affords the following except: A. Prolongs the duration of local anaesthesia B. Makes the injection less painful C. Provides a more bloodless field for surgery D. Reduces systemic toxicity of the local anaesthetic

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Last Answer : B. Makes the injection less painful

Thrombolytic therapy has become a useful adjunct in the management of peripheral arterial occlusion. In this setting, direct intraarterial administration rather than intravenous has been advocated to decrease the risk of systemic bleeding. Which of the following true statement(s) concerning the use of thrombolytic agents for arterial occlusion is/are true? a. A standard technique involves infusing high-dose urokinase, 4000 units per minute for 1–2 hours, directly into the clot by a catheter embedded in the thrombus b. If progress is made, further fibrinolytic therapy is given at 1000 to 2000 units per minute until clot lysis has occurred c. The usual infusion time by the above-stated technique is usually in excess of 24 hours d. Successful clot lysis occurs more frequently in arterial graf

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Last Answer : Answer: a, b, e The most popular method for intraarterial thrombolytic therapy for arterial occlusion involves passing a guidewire through the thrombus with arteriographic guidance and ... acute arterial occlusion) or when distal vasculative is occluded and precludes appropriate inflow patency

Digoxin produces the following effect(s) in atrial flutter: A. Reduces ventricular rate B. Prevents shift of A-V block to a lower grade C. Converts atrial flutter to atrial fibrillation D. All of the above

Description : Digoxin produces the following effect(s) in atrial flutter: A. Reduces ventricular rate B. Prevents shift of A-V block to a lower grade C. Converts atrial flutter to atrial fibrillation D. All of the above

Last Answer : D. All of the above

Which of the following statement(s) is/are true concerning the effects of MOFS? a. Pulmonary dysfunction tends to arise early and may resolve within 7 to 10 days b. Unless the precipitating insult has prompted oliguric acute tubular necrosis, renal function tends to be maintained early in the course of MOFS c. Although hepatic dysfunction is common with MOFS, the GI tract plays little role in this process d. Intercurrent nosocomial infection, most commonly pulmonary, is a common complication providing a “second hit” to the patient

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Digoxin affords the following benefit/benefits in CHF: A. Restores cardiac compensation and relieves symptoms B. Reverses the pathological changes of CHF C. Prolongs survival of CHF patients D. Both ‘A’ and ‘B’ are correc

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Last Answer : A. Restores cardiac compensation and relieves symptoms

What is true of acyclovir treatment of genital herpes simplex: A. Topical treatment affords symptomatic relief in primary as well as recurrent disease B. Oral therapy for 10 days affords symptomatic relief as well as prevents recurrences C. Oral therapy for 10 days affords symptomatic relief but does not prevent recurrences D. Continuous long-term topical therapy is recommended to prevent recurrences

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Choose the correct statement about use of gold sod. thiomalate in rheumatoid arthritis: A. It affords more rapid symptomatic relief than NSAIDs B. The NSAIDs therapy is discontinued when it is started C. It is used as an alternative to corticosteroids D. It is used only in severe cases when other diseases modifying antirheumatic drugs have failed

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The antihypertensive action of calcium channel blockers is characterized by the following except: A. Delayed onset; blood pressure starts falling after 1–2 weeks therapy B. Lack of central side effects C. No compromise of male sexual function D. Safety in peripheral vascular diseases

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Infusion of potassium chloride is indicated in digitalis toxicity when the manifestation(s) is/are: A. Vomiting, hyperapnoea and visual disturbance B. Pulsus bigeminus with heart rate 110/min in a patient on maintenance digoxin therapy C. Ventricular tachycardia in a child who has accidentally ingested 10 digoxin tablets D. 2:1 A-V block with occasional ventricular extrasystoles

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