MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient developed substemal pains in the 7 o’clock in the morning. He presented at the Emergency Department in 8 o’clock in the morning, where electrocardiograph investigation revealed a myocardial infarction. Ten minutes later he died. What most reliable morphological sign of myocardium infarction would be found at histological investigation after the autopsy?
A
Disappearance of glycogen in myocardial cells
B
Vacuolar dystrophy of myocardial cells
C
Fatty infiltration of myocardial cells
D
Necrosis of myocardial cells
Explanation: 

Detailed explanation-1: -Introduction. The diagnosis of ST‐segment elevation myocardial infarction (STEMI) in the emergency department (ED) is made solely by ECG. Timely diagnosis is critical to achieving timely intervention. The goal is to achieve a door‐to‐ECG time of 10 minutes.

Detailed explanation-2: -The electrocardiogram (ECG) is an essential diagnostic test for patients with possible or established myocardial ischemia, injury, or infarction. Abnormalities are manifest in the ST segment, T wave, and QRS complex. However, the ECG may be normal or nonspecific in these patients.

There is 1 question to complete.