Feb 21 2019

Insane :O

100

^{32 Y old with productive cough and SOB?}

^NSR

200

^{Homeless man found lying in the snow, unresponsive?}

^{Hypothermia, Osborn J waves, Shivering artifact}

300

^{65 Y old man with no prior follow up's presents to PCP clinic. BP 160/100mmhg b/l, LV heave, S4 on exam.} 

^LVH

400

^{Cause of wide QRS?}

^IVCD

500

^{81 Y old F with PMH of MI presents for routine follow up. Dx?}

^{Mobitz type I}

Lol!

100

^Axis?

^{LAFB and Clockwise rotation}

200

^{56 Y old M with ESRD, missed last session of HD. Dx?}

^{Hyperkalemia, Counterclock wise rotation, LVH}

300

^{72 Y old man presents with abd discomfort. He says he is on "meds", can't name any. ED wants to admit this Pt for ACS rule out? Dx?}

^{Dig toxic}

400

^{Indication for CRT?}

^{EF <35% ( NYHA >II), LBBB, Qrs >150ms}

500

^{32 Y old with scleroderma presents with progressive SOB. 5 EKG findings?}

^{Sinus tachy, RA enlargement, RVH, Rt axis, Counter clock wise rotation}

Ridiculous :)

100

^{65 Y old F with chest pain for past hr. Dx?}

^STEMI

200

^{72 Y old F presents with diffuse bone pain, lethargy, constipation, 10lb weight loss. Dx?}

^{Hypercalcemia}

300

^{82 Y old presents with Nausea and vomiting for past 2 days.}

^{U waves. Hypokalemia, LVH}

400

^{Name 4 causes of Rt axis deviation?}

^{RVH, LPFB, Lateral MI, PE, WPW}

500

^{48 Y old M with recent ant MI s/p stenting presents with lightheadedness. Dx?}

^{Third degree HB}

"Crazy"

100

^{73 Y old F presented to clinic with complains of fatigue. Labs wnl, Dx?}

^{Mobitz type II}

200

^{POD 1, s/p parathyroidectomy for primary hyperparathyroidism for seizures?}

^{Hypocalcemia, Qtc prolongation( ST sengment)}

300

^{72 Y old M with PMH of HTN, DM presents with indigestion and abd discomfort x2days. labs wnl}

^{Unstable angina}

400

^{Name 4 indications for permanent pacing?}

^{SSS, third degree, Mobitz II, Symptomatic bradycardia, CRT in HF}

500

^{Biv pacing, RBBB}

Seriously?

100

^{Nurse called you overnight for Irregular HR. EKG below. Dx?}

^{Sinus arrhythmia}

200

^{Pt seen in the office for palpiations. Dx?}

^{Coarse A.fib}

300

^{52 Y old presents with acute chest pain and SOB?}

^{Acute pericarditis}

400

^{A paced and V paced}

500

^Dx?

^{Polymorphic VT ( Torsade's)}