SAEM Emergency Medicine
| | |
Exam WITH DETAILED
| | |
ANSWERS
What |are |the |top |3 |causes |of |morbidity/mortality |in |acute |chest |pain? |- |correct |answersACS
pulmonary |embolism
aortic |dissection
What |is |the |cardioversion |and |defibrillation |joules? |- |correct |answerscardioversion |= |50-100 |J
defibrillation |= |200 |J
What |is |the |most |common |EKG |finding |in |a |pulmonary |embolus? |What |should |you |be |on |the |
lookout |for? |- |correct |answersmost |common |= |sinus |tachycardia
look |for |= |"S1Q3T3" |(large |S |wave |in |lead |I |+ |Q |wave |in |lead |3 |+ |T |wave |inversion |in |lead |3)
What |should |you |worry |about |if |a |patient's |EKG |shows |electrical |alternans? |What |does |this |
look |like? |- |correct |answerscardiac |tamponade! |looks |like |alternating |big |and |small |spikes
Describe |the |basic |evolution |of |the |EKG |of |a |patient |having |a |STEMI |- |correct |answers1-normal
2- |T |waves |become |wide |and |tall
3- |ST |elevation
4- |Q |waves |and |T |wave |inversion
5- |Q |waves |persist |but |T |wave |normalizes
chest |pain, |weakness, |nausea, |fatigue |
, classic |presentation |of |___________________ |- |correct |answersACS!
pleuritic |chest |pain, |shortness |of |breath, |anxiety
classic |presentation |of |___________________ |- |correct |answerspulmonary |embolism
a |patient |with |SOB |is |found |on |physical |exam |to |have |tachycardia, |clear |lung |sounds, |and |a |
swollen |leg
classic |presentation |of |___________________ |- |correct |answerspulmonary |embolism
sudden |on |set |severe |chest |pain |that |rips |through |to |the |back; |unequal |blood |pressures |on |PE
classic |presentation |of |___________________ |- |correct |answersaortic |dissection
How |does |cardioversion |work? |- |correct |answersused |to |stop |tachyarrhythmias |--> |the |
impulse |is |delivered |at |the |peak |of |an |R |wave |(prevents |going |into |v |fib)
What |are |5 |indications |for |cardioversion? |- |correct |answers1. |ventricular |tachycardia |with |a |
pulse
2. |supraventricular |tachycardias |with |hypotension
3. |atrial |fibrillation
4. |atrial |flutter
5. |AVNRT
| | |
Exam WITH DETAILED
| | |
ANSWERS
What |are |the |top |3 |causes |of |morbidity/mortality |in |acute |chest |pain? |- |correct |answersACS
pulmonary |embolism
aortic |dissection
What |is |the |cardioversion |and |defibrillation |joules? |- |correct |answerscardioversion |= |50-100 |J
defibrillation |= |200 |J
What |is |the |most |common |EKG |finding |in |a |pulmonary |embolus? |What |should |you |be |on |the |
lookout |for? |- |correct |answersmost |common |= |sinus |tachycardia
look |for |= |"S1Q3T3" |(large |S |wave |in |lead |I |+ |Q |wave |in |lead |3 |+ |T |wave |inversion |in |lead |3)
What |should |you |worry |about |if |a |patient's |EKG |shows |electrical |alternans? |What |does |this |
look |like? |- |correct |answerscardiac |tamponade! |looks |like |alternating |big |and |small |spikes
Describe |the |basic |evolution |of |the |EKG |of |a |patient |having |a |STEMI |- |correct |answers1-normal
2- |T |waves |become |wide |and |tall
3- |ST |elevation
4- |Q |waves |and |T |wave |inversion
5- |Q |waves |persist |but |T |wave |normalizes
chest |pain, |weakness, |nausea, |fatigue |
, classic |presentation |of |___________________ |- |correct |answersACS!
pleuritic |chest |pain, |shortness |of |breath, |anxiety
classic |presentation |of |___________________ |- |correct |answerspulmonary |embolism
a |patient |with |SOB |is |found |on |physical |exam |to |have |tachycardia, |clear |lung |sounds, |and |a |
swollen |leg
classic |presentation |of |___________________ |- |correct |answerspulmonary |embolism
sudden |on |set |severe |chest |pain |that |rips |through |to |the |back; |unequal |blood |pressures |on |PE
classic |presentation |of |___________________ |- |correct |answersaortic |dissection
How |does |cardioversion |work? |- |correct |answersused |to |stop |tachyarrhythmias |--> |the |
impulse |is |delivered |at |the |peak |of |an |R |wave |(prevents |going |into |v |fib)
What |are |5 |indications |for |cardioversion? |- |correct |answers1. |ventricular |tachycardia |with |a |
pulse
2. |supraventricular |tachycardias |with |hypotension
3. |atrial |fibrillation
4. |atrial |flutter
5. |AVNRT
