SAEM EMERGENCY MEDICINE
ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS | LATEST
2024-2025 // ALREADY GRADED A+
What are the top 3 causes of morbidity/mortality in acute
chest pain? - CORRECT ANSWER-ACS
pulmonary embolism
aortic dissection
What is the cardioversion and defibrillation joules? -
CORRECT ANSWER-cardioversion = 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
ANSWER-most 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
ANSWER-cardiac tamponade! looks like alternating big and
small spikes
Describe the basic evolution of the EKG of a patient having a
STEMI - CORRECT ANSWER-1-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
ACTUAL EXAM COMPLETE
QUESTIONS AND CORRECT
DETAILED ANSWERS | LATEST
2024-2025 // ALREADY GRADED A+
What are the top 3 causes of morbidity/mortality in acute
chest pain? - CORRECT ANSWER-ACS
pulmonary embolism
aortic dissection
What is the cardioversion and defibrillation joules? -
CORRECT ANSWER-cardioversion = 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
ANSWER-most 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
ANSWER-cardiac tamponade! looks like alternating big and
small spikes
Describe the basic evolution of the EKG of a patient having a
STEMI - CORRECT ANSWER-1-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