JACKLINE
ECG only questions
Terms in this set (17)
Complete heart block A 42M, presents to the ED 30 mins after the onset of
-A) ECG Findings severe chest pain.
------1) Atria & ventricles beat
INDEPENDENTLY of each other Using the ECG, give the diagnosis?
---------a) The key abnormality to look for is (Complete heart block
that you DO NOT SEE A P-WAVE BEFORE EVERY OR
QRS 1st-degree AV block)
---------b) Abnormality is seen in ALL Leads
(V1 continuous, III, aVF, V3, V6)
1st degree AV block
-This would only show on ECG as a
*prolonged PR interval* → this would cause
NO SYMPTOMS
------[pt has Chest pain]
- Additionally, there would be a P-wave
BEFORE every QRS complex
ECG only questions
1/16
,9/26/24, 8:18 AM
Amiodarone A 64M, is admitted to the hospital w/ palpitations &
- Pt has signs concerning for Ventricular lightheadedness for the past several days. He has
tachycardia experienced palpitations previously, but recently they
-A) ECG findings seemed sustained & "uncomfortable". The pt has had no
-----1) WIDE QRS Complex chest pain or SOB. He has a Hx of CAD & prior
-----2) Tachycardia percutaneous coronary intervention. He is treated w/
---------a) 2 fusion beats (Fusion beats are metoprolol, lisinopril, aspirin, clopidogrel, & rosuvastatin.
circled in red on ECG) → this is DIAGNOSTIC Echo shows mild left ventricular dilation, A left ventricular
for sustained monomorphic ventricular EF of 30%, & no major valvular abnormality. Serum K+ is
tachycardia (SMVT) 4.2, & Mg+ is 1.9. On day 2 of hospitalization, the pt
-B) Rf's include: develops sudden-onset palpitations that feel like
------1) CAD "fluttering in my chest." BP is 120/60. He is alert & does not
------2) Left ventricular systolic dysfunction appear to be in distress. Exam shows clear lungs
→ which increases risk for ventricular bilaterally.
arrhythmias (VT, V-fib)
-----------a) Pt has LV dilation which would Which of the following is the best next step in MGMT?
lead to LV dysfunction (Amiodarone
-C) MGMT OR
------a) TMT -> DEPENDENT ON Esmolol
HEMODYNAMIC STATUS OR
-------AA) Hemodynamically STABLE Electrical cardioverison)
---------------1) Antiarrhythmics
--------------------a) Amiodarone
(PREFERRED)
--------------------b) Procainamide,
sotalol, lidocaine
-------------------------b.1) All reserved
for pts who do not respond to amiodarone
---------BB) Hemodynamically UN-stable
----------------2) DC Cardioversion
Esmolol
- Not used in TMT for Tachycardia
(supraventricular/ventricular)
-*Ultra Short acting* beta-blocker → used for
rapid rate control in A-fib/A-flutter
ECG only questions
2/16
, 9/26/24, 8:18 AM
Advise him to stop alcohol & smoking A 34M, presents to the office for eval of premature atrial complexes found on a routine ECG. He
-Premature atrial beats/complexes represent a has had no chest pain, SOB, or lightheadedness. He has smoked 1-2 packs of ciggs daily &
benign arrhythmia consumed 1-2 beers a day for the past 10 years. The pts FMHx is sig for an MI in his mother at age
-A) Signs/Symptoms 65 & s stroke in his father at age 72. He has no sig PMHx of HTN or DM. PE, including vital signs, is
-----1) Occur singly or in a pattern bigeminy w/in normal limits.
(one normal heart beat followed by an
abnormal one) What is the next best step in MGMT?
-----2) Can sometimes cause skipped beats (Advise him to stop alcohol & smoking
or palpitations OR
-B) MGTM Order a Transthoracic echo)
----a) TMT
-------1) Includes controlling precipitating
factors, such as:
-----------1) Tobacco
-----------2) Alcohol
-----------3) Caffeine
-----------4) Stress
Order Transthoracic echo
- Would be correct if pt didn't have any
precipitating factors
(Smoke, alcohol, etc)
ECG only questions
3/16
ECG only questions
Terms in this set (17)
Complete heart block A 42M, presents to the ED 30 mins after the onset of
-A) ECG Findings severe chest pain.
------1) Atria & ventricles beat
INDEPENDENTLY of each other Using the ECG, give the diagnosis?
---------a) The key abnormality to look for is (Complete heart block
that you DO NOT SEE A P-WAVE BEFORE EVERY OR
QRS 1st-degree AV block)
---------b) Abnormality is seen in ALL Leads
(V1 continuous, III, aVF, V3, V6)
1st degree AV block
-This would only show on ECG as a
*prolonged PR interval* → this would cause
NO SYMPTOMS
------[pt has Chest pain]
- Additionally, there would be a P-wave
BEFORE every QRS complex
ECG only questions
1/16
,9/26/24, 8:18 AM
Amiodarone A 64M, is admitted to the hospital w/ palpitations &
- Pt has signs concerning for Ventricular lightheadedness for the past several days. He has
tachycardia experienced palpitations previously, but recently they
-A) ECG findings seemed sustained & "uncomfortable". The pt has had no
-----1) WIDE QRS Complex chest pain or SOB. He has a Hx of CAD & prior
-----2) Tachycardia percutaneous coronary intervention. He is treated w/
---------a) 2 fusion beats (Fusion beats are metoprolol, lisinopril, aspirin, clopidogrel, & rosuvastatin.
circled in red on ECG) → this is DIAGNOSTIC Echo shows mild left ventricular dilation, A left ventricular
for sustained monomorphic ventricular EF of 30%, & no major valvular abnormality. Serum K+ is
tachycardia (SMVT) 4.2, & Mg+ is 1.9. On day 2 of hospitalization, the pt
-B) Rf's include: develops sudden-onset palpitations that feel like
------1) CAD "fluttering in my chest." BP is 120/60. He is alert & does not
------2) Left ventricular systolic dysfunction appear to be in distress. Exam shows clear lungs
→ which increases risk for ventricular bilaterally.
arrhythmias (VT, V-fib)
-----------a) Pt has LV dilation which would Which of the following is the best next step in MGMT?
lead to LV dysfunction (Amiodarone
-C) MGMT OR
------a) TMT -> DEPENDENT ON Esmolol
HEMODYNAMIC STATUS OR
-------AA) Hemodynamically STABLE Electrical cardioverison)
---------------1) Antiarrhythmics
--------------------a) Amiodarone
(PREFERRED)
--------------------b) Procainamide,
sotalol, lidocaine
-------------------------b.1) All reserved
for pts who do not respond to amiodarone
---------BB) Hemodynamically UN-stable
----------------2) DC Cardioversion
Esmolol
- Not used in TMT for Tachycardia
(supraventricular/ventricular)
-*Ultra Short acting* beta-blocker → used for
rapid rate control in A-fib/A-flutter
ECG only questions
2/16
, 9/26/24, 8:18 AM
Advise him to stop alcohol & smoking A 34M, presents to the office for eval of premature atrial complexes found on a routine ECG. He
-Premature atrial beats/complexes represent a has had no chest pain, SOB, or lightheadedness. He has smoked 1-2 packs of ciggs daily &
benign arrhythmia consumed 1-2 beers a day for the past 10 years. The pts FMHx is sig for an MI in his mother at age
-A) Signs/Symptoms 65 & s stroke in his father at age 72. He has no sig PMHx of HTN or DM. PE, including vital signs, is
-----1) Occur singly or in a pattern bigeminy w/in normal limits.
(one normal heart beat followed by an
abnormal one) What is the next best step in MGMT?
-----2) Can sometimes cause skipped beats (Advise him to stop alcohol & smoking
or palpitations OR
-B) MGTM Order a Transthoracic echo)
----a) TMT
-------1) Includes controlling precipitating
factors, such as:
-----------1) Tobacco
-----------2) Alcohol
-----------3) Caffeine
-----------4) Stress
Order Transthoracic echo
- Would be correct if pt didn't have any
precipitating factors
(Smoke, alcohol, etc)
ECG only questions
3/16
