Top Polls

A 32-year-old woman with a history of diabetes mellitus presents to the Emergency Department with blood glucose levels exceeding 400 mg/dL. She also reports experiencing atypical chest pain.While...

A. Do nothing.

B. Start IV amiodarone, check cardiac enzymes.

C. Consult cardiology for possible cardiac cath, start amiodarone meanwhile

D. Check electrolytes and give IV magnesium.

E. Outpatient monitor and echo.

This is a 65-year-old male, otherwise healthy who presented to the ED with chest pain and was found to have elevated troponin around 622 ng/L (high sensitivity troponin).Based on the EKG findings,...

a. Pericarditis, anti-inflammatory.

b. NSTEMI, Heparin, ASA, Cath later.

c. STEMI, Heparin, ASA, Cath immediately.

d. Pulmonary embolus, Heparin, ICU admission.

e. Early repolarization pattern, investigate other causes of elevaed troponin.

A 55-y-o male with h/o stroke. Found to be aphasic awake but non-communicating. HR: 130s, and BP: 160/80. No more history obtainable.

1. A fib with RBBB – Rate control with BB/CCB.

2. Undifferentiated tachycardia – Challenge with Adenosine.

3. VT – proceed with Amiodarone or cardioversion, if needed.

4. Sinus tachycardia with RBBB – initiate on BB or calcium channel blockers.

What is the cause of the irregularities in this EKG?

Atrial fibrillation

Heart block (second degree)

Blocked PACs

Sinus node Exit block

None of the above

This EKG was taken from a 75 year-old male with paroxysmal AF. He is on longer acting metoprolol 50 mg. You noticed that his heart rate is on the slow side, but his blood pressure is normal and he...

Cut back his metoprolol or stop it completely.

He is asymptomatic and some bradycardia is expected with beta-blockers, keep on metoprolol and observe.

Consider adding amiodarone at this time to minimize AF recurrence.

Consider switching metoprolol with diltiazem CD 240.

This EKG was done on an 82-year-old male who is asymptomatic. You checked his pulse in the clinic and was found to be irregular, therefore this EKG was done.Was the interpretation and next...

1. Block PACs, observation.

2. Second-degree AV block, type 1, observation.

3. Second-degree AV block, type 2, observation.

4. Second-degree AV block, type 1 , pacemaker implantation.

5. Second-degree AV block, type 2, pacemaker implantation.

This is a 56-y-o-Hispanic man in ER with SOB. His EKG is "classical" for what diagnosis?

Severe COPD

Acute/subacute pulmonary embolus.

Cardiomyopathy due to Amyloidosis

Hypokalemia

None of the above

This EKG was taken from an 83-year-old female in the hospital with UTI. She reports shortness breath and palpitations. What is the rhythm interpretation?

Atrial flutter with right bundle-branch block.

Ventricular tachycardia of right bundle-branch block morphology.

A Fib with right bundle-branch block.

A Fib with left bundle-branch block.

Ventricular tachycardia of left bundle-branch block morphology.

How do you describe this rhythm?

1-Atrial fibrillation

2-Atrial flutter, typical

3-Atrial flutter, atypical

4-A fib / flutter

5-Sinus rhythm with artifact

This EKG was done on a 77 y-o female who was referred because of irregular heart beats. She is asymptomatic. Her PMH included HTN, and DM.Based on this EKG, what is the next step in managing this...

Initiate low-dose BB and anticoagulation.

Initiate anticoagulation only.

Repeat the EKG.

Consider cardioversion after 4 weeks of anticoagulation.

Start baby aspirin and observation.

This EKG was taken from a 68-year-old male who underwent electrical cardioversion for atrial tachycardia/flutter a couple of weeks ago. He has a dual chamber PM. He is feeling well...

a) PM malfunction, cardioversion likely unsuccessful. refer back to cardiology.

b) Normal PM function, cardioversion likely successful.

c) Normal PM function, but cardioversion likely unsuccessful, refer back to cardiology.

d) This EKG alone is not sufficient to tell if cardioversion was successful or not.

A 48-year-old female sees you because she noticed that at home her BP runs around 138/85. You check her BP in office and her BP reading (10 min apart) were 135/88 and 139/82. What is the label of...

Pre-hypertensive - Life style adjustments

Stage 1 hypertension - start life style changes as well as hypertensive medications.

Stage 1 hypertension - start life style changes and calculate ASCVD risk.

Stage 2 hypertension - start life style changes as well as hypertensive medications.

Stage 1 hypertension - start life style changes only.