Natalie ECG Quiz (final) Flashcards
Based on this ECG, what is the most likely Diagnosis?
Pericardial Effusion
Your patient received azithromycin and ceftriaxone for community acquired pneumonia. Then he became very agitated and was given a total of 15 mg of haloperidol. Upon your assessment, you acquire the following ECG. What abnormality can be seen on this ECG?
Long QT
The patient from question 2 is now complaining of increased SOB. His ECG is as follows. What is the rhythm?
ventricular tachycardia
A 70 ylo woman with CHF, chronic afib, and diabetes presents with visual disturbances, malaise, nausea, vomiting and diarrhea x 1 week. On exam, she appears weak and confused. She has some hypotension and mild bradycardia. Based on her ECG, what is her most likely diagnosis?
Digoxin Toxicity
This ECG is suggestive of an occlussive myocardial infarction (OMI).
TRUE
A 62-year-old male presents with chest pain and dyspnea. Based on his history and this ECG, what is the more likely diagnosis?
OMI
This ECG pattern is suggestive of which of the following pathologies?
Hypertrophic Cardiomyopathy
A 71-year-old female presents with chest pain radiating to the right arm and dyspnea. This ECG shows which of the following pathologies?
OMI
A 42 ylo female presents to the ED with epigastric pain, SOB, and nausea. This ECG shows which of the following pathologies?
De Winter T-waves
A 22 yo male of African descent presents to the ED with vertigo. What is the most likely cause of the ECG changes noted?
Benign Early Repolarization
A 26-year-old otherwise healthy man presents to the emergency department with a 3- to 4-hour history of left-sided chest pain. The pain is pleuritic and accompanied by nausea and discomfort in the left arm. Based on his presentation and this ECG, what is the most likely diagnosis?
Pericarditis
34-year-old male presents to the emergency department complaining of typical cardiac chest pain, which started 12 hours before presentation with no associated symptoms. The patient is a smoker and has no family history of cardiac disease. At the time of this ECG, the patient is pain-free. The ECG is suggestive of which of the following pathologies?
Wellen’s T-waves, LAD reperfusion pattern
The abnormalities noted on this ECG are most likely the result of subendocardial ischemia.
Clinical causes may include:
- Left main coronary artery (LMCA) stenosis
-Proximal left anterior descending artery (LAD) stenosis
-Severe triple vessel disease
- Hypoxia or hypotension
TRUE
The following ECG is suggestive of which of the following pathologies?
Inferoposterior OMI
A 46 y/o male presents to the ED with neck, back, and chest discomfort after an MVC. He was the restrained driver of a vehicle that was rear-ended. The changes noted on this ECG most likely represent which of the following pathologies?
Left Ventricular Anuerysm
A 71-year-old male complained of near syncope and SOB without any chest pain. He was put on the monitor. Here is the rhythm strip. What is the rhythm?
3rd degree AV Block
Same patient from question 16. Which of the following pathologies can be seen on his ECG?
RBBB with Inferior OMI
A woman in her 60’s presented to the ED c/o weakness. She reports that she had experienced several months of shortness of breath and fatigue, which had worsened in the last several days. She had also experienced new dyspnea on exertion, along with a non-productive cough and swollen ankles. What pathology can be diagnosed based on her ECG?
Right heart strain pattern
A 20 y/o female presents to the ED with episodes of syncope. During your assessment, she develops palpitations and lightheadedness. The following ECG is recorded. Interpret the rhythm.
Afib with WPW
What intervention or treatment would you like to administer to your patient from question 19?
Cardioversion and/or procainamide
An 82 y/o female with HT, IDDM, and chronic renal failure presents to the ED with increased weakness today after several days of urinary tract infection signs and symptoms. Based on this ECG, what is her most likely diagnosis?
Hyperkalemia
While you are assessing the patient from Question 21, her rhythm changes. She has no new symptoms and her vital signs are unchanged. What are your treatment priorities based on his ECGs and your working diagnosis?
Calcium
A 62 ylo male presents to the ED via EMS after a syncopal event at home. Based on this ECG, what was the most likely cause of his syncopal event?
Poor cardiac output secondary to complete heart block
A 36-year-old male university student of far east Asian heritage with no significant past medical history presents with syncope.
Based on this ECG, which of the following is the most likely cause of his syncope?
Poor cardiac output secondary to ventricular tachycardia
The abnormality seen on the ECG for Question 24 is due to which of the following pathologies?
Sodium Channelopathy
Aka Brugada Syndrom
