SAEM CV questions with correct answers
A 23-year-old male presents after a syncopal episode. EKG findings
include normal sinus rhythm, a short PR interval (less than 0.12
seconds), QRS duration of 0.11seconds, and the presence of a "delta
wave" (a slurred upstroke to the QRS complex). What condition most
likely caused the syncopal episode?
Answers:
1.Brugada syndrome
2.Dextrocardia
3.Vasovagal reaction
4.Wolff-Parkinson-White syndrome Correct Answer-4.Wolff-Parkinson-
White syndrome
Of the options below, the therapy best for symptomatic 3rd degree heart
block is:
Answers:
1.lidocaine
2.transcutaneous pacer
3.atropine
,4.oxygen
5.cardioversion Correct Answer-2.transcutaneous pacer
A 54 year old female presents with palpitations. She is otherwise
asymptomatic. EKG shows atrial fibrillation. Vital signs are HR 130-
150, BP 148/78, RR 16, T 36.7. What management intervention is most
important to accomplish next?
Answers:
1.Anticoagulation
2.Cardioversion
3.Pharmacologic ventricular rate control
4.Radiofrequency ablation Correct Answer-3.Pharmacologic ventricular
rate control
An 8 year old female presents with a regular, narrow-complex SVT. You
diagnose AV nodal reentrant tachycardia. Which pharmacologic agent
would be most appropriate for initial management?
Answers:
1.Adenosine
2.Digoxin
,3.Diltiazem
4.Lidocaine Correct Answer-1.Adenosine
A 65 year old male presents to the emergency department with chest
pain. Cardiac monitoring shows a wide complex tachycardia. Past
medical history is significant only for hypertension. His BP is 100/66,
HR 144, RR 24, and T. 37.5. In addition to ongoing chest pain, he
reports dyspnea. His level of consciousness is mildly decreased.
Management should proceed on the assumption that he has what
abnormal rhythm?
Answers:
1.Sinus tachycardia with LVH
2.Supraventricular tachycardia with aberrancy
3.Ventricular tachycardia
4.Wolff-Parkinson-White syndrome with retrograde conduction Correct
Answer-3.Ventricular tachycardia
The best treatment, of the options below, for a patient with second
degree AV block Mobitz Type II is:
Answers:
, 1.amiodarone
2.epinephrine
3.aspirin
4.transvenous pacing
5.lidocaine Correct Answer-4.transvenous pacing
Where are the normally dominant pacemaker cells of the heart found?
Answers:
1.sinoatrial node
2.atrioventricular node
3.bundle of His
4.accessory pathway of Kent Correct Answer-1.sinoatrial node
A 40 year old male presents to the emergency department complaining
of severe ankle pain after inverting the foot during a soccer game. The
triage nurse records the following vital signs: temperature 98.8, pulse 94,
respiratory rate 18, BP 188/118. Which of the interventions below is the
A 23-year-old male presents after a syncopal episode. EKG findings
include normal sinus rhythm, a short PR interval (less than 0.12
seconds), QRS duration of 0.11seconds, and the presence of a "delta
wave" (a slurred upstroke to the QRS complex). What condition most
likely caused the syncopal episode?
Answers:
1.Brugada syndrome
2.Dextrocardia
3.Vasovagal reaction
4.Wolff-Parkinson-White syndrome Correct Answer-4.Wolff-Parkinson-
White syndrome
Of the options below, the therapy best for symptomatic 3rd degree heart
block is:
Answers:
1.lidocaine
2.transcutaneous pacer
3.atropine
,4.oxygen
5.cardioversion Correct Answer-2.transcutaneous pacer
A 54 year old female presents with palpitations. She is otherwise
asymptomatic. EKG shows atrial fibrillation. Vital signs are HR 130-
150, BP 148/78, RR 16, T 36.7. What management intervention is most
important to accomplish next?
Answers:
1.Anticoagulation
2.Cardioversion
3.Pharmacologic ventricular rate control
4.Radiofrequency ablation Correct Answer-3.Pharmacologic ventricular
rate control
An 8 year old female presents with a regular, narrow-complex SVT. You
diagnose AV nodal reentrant tachycardia. Which pharmacologic agent
would be most appropriate for initial management?
Answers:
1.Adenosine
2.Digoxin
,3.Diltiazem
4.Lidocaine Correct Answer-1.Adenosine
A 65 year old male presents to the emergency department with chest
pain. Cardiac monitoring shows a wide complex tachycardia. Past
medical history is significant only for hypertension. His BP is 100/66,
HR 144, RR 24, and T. 37.5. In addition to ongoing chest pain, he
reports dyspnea. His level of consciousness is mildly decreased.
Management should proceed on the assumption that he has what
abnormal rhythm?
Answers:
1.Sinus tachycardia with LVH
2.Supraventricular tachycardia with aberrancy
3.Ventricular tachycardia
4.Wolff-Parkinson-White syndrome with retrograde conduction Correct
Answer-3.Ventricular tachycardia
The best treatment, of the options below, for a patient with second
degree AV block Mobitz Type II is:
Answers:
, 1.amiodarone
2.epinephrine
3.aspirin
4.transvenous pacing
5.lidocaine Correct Answer-4.transvenous pacing
Where are the normally dominant pacemaker cells of the heart found?
Answers:
1.sinoatrial node
2.atrioventricular node
3.bundle of His
4.accessory pathway of Kent Correct Answer-1.sinoatrial node
A 40 year old male presents to the emergency department complaining
of severe ankle pain after inverting the foot during a soccer game. The
triage nurse records the following vital signs: temperature 98.8, pulse 94,
respiratory rate 18, BP 188/118. Which of the interventions below is the
