How is injury manifested on the EKG in a patient experiencing a myocardial infarction?
ST segment elevation
Q wave
inverted T wave
ST segment depression
The Correct Answer is A
A. ST segment elevation: ST segment elevation is a classic sign of myocardial injury, indicating that a portion of the heart muscle is not receiving enough oxygen and is actively injured.
B. Q wave: A Q wave typically appears later, representing a previous myocardial infarction (necrosis), not acute injury.
C. Inverted T wave: This indicates myocardial ischemia, which is a precursor to injury but not indicative of injury itself.
D. ST segment depression: This is typically associated with ischemia or subendocardial infarction, not full-thickness myocardial injury.
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Related Questions
Correct Answer is A
Explanation
A. ST segment elevation: ST segment elevation is a classic sign of myocardial injury, indicating that a portion of the heart muscle is not receiving enough oxygen and is actively injured.
B. Q wave: A Q wave typically appears later, representing a previous myocardial infarction (necrosis), not acute injury.
C. Inverted T wave: This indicates myocardial ischemia, which is a precursor to injury but not indicative of injury itself.
D. ST segment depression: This is typically associated with ischemia or subendocardial infarction, not full-thickness myocardial injury.
Correct Answer is D
Explanation
A. Grey-Turner Sign: Grey-Turner Sign refers to bruising along the flanks, often associated with retroperitoneal hemorrhage or acute pancreatitis.
B. Steatorrhea: Steatorrhea refers to fatty stools that are pale, bulky, and foul-smelling, indicating malabsorption, not a physical exam finding on the skin.
C. Asterixis: Asterixis, also known as "liver flap," is a tremor of the hand when the wrist is extended, seen in hepatic encephalopathy, not a skin finding.
D. Cullen's Sign: Cullen's Sign is bruising around the umbilicus, indicating intra-abdominal bleeding, often seen in conditions such as acute pancreatitis or ruptured ectopic pregnancy.
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