Risk Assessment & Management Flashcards
7 cards from real ECC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Risk Assessment & Management flashcards as text
A patient on warfarin presents with NSTEMI. Which bleeding risk score is most commonly applied in this setting before antithrombotic therapy?
Answer: CRUSADE score
The CRUSADE score was developed specifically to estimate in-hospital major bleeding risk in NSTEMI patients receiving antithrombotic therapy.
Which ECG finding in the context of chest pain represents the highest immediate risk for adverse outcomes?
Answer: New left bundle branch block (LBBB)
New LBBB in the setting of chest pain is treated as a STEMI equivalent because it obscures ischemic changes and indicates large territory at risk.
In the Wellens syndrome pattern on ECG, what does the characteristic T-wave morphology indicate about risk?
Answer: High risk; critical LAD stenosis with recent near-occlusion
Wellens pattern (biphasic or deeply inverted T-waves in V2-V3 during pain-free period) signals critical proximal LAD stenosis at high risk for massive MI.
Which patient characteristic MOST significantly increases the risk of adverse outcomes during cardiac arrest resuscitation?
Answer: Non-shockable initial rhythm (PEA or asystole)
Non-shockable rhythms (PEA/asystole) have far lower survival rates than shockable rhythms (VF/pVT) because they lack the depolarization amenable to defibrillation.
A post-ROSC patient has a MAP of 55 mmHg and SpO2 of 91%. Which post-cardiac arrest risk factor is being poorly managed?
Answer: Hypotension and hypoxia
Post-ROSC hypotension (MAP <65) and hypoxia (SpO2 <94%) are both independently associated with worse neurological outcomes and must be corrected urgently.
In acute heart failure risk stratification, which tool integrates BNP, vital signs, and BUN to estimate 30-day mortality?
Answer: ADHERE risk tree
The ADHERE (Acute Decompensated Heart Failure National Registry) risk tree uses BUN, systolic BP, and creatinine to stratify in-hospital mortality.
A patient presents with syncope. Which feature on evaluation MOST increases the likelihood of a cardiac (vs. vasovagal) etiology?
Answer: Syncope occurring during exertion or without warning
Exertional syncope or abrupt loss of consciousness without prodrome strongly suggests a cardiac cause such as arrhythmia or structural disease.