9th Annual UMEM Residency ECG Competition Quiz Answers: Part II of II





Question #8:  This 85 yo M presented with palpitations.  What is the FULL ECG diagnosis? (2 pts)



Question #9:  An 85 yo M awaiting admission for GI problems had a telemetry alarm go off transiently, and the nurse printed this 12-lead from the event. He is currently back in sinus rhythm and doing fine. What is your management after reviewing this ECG? (2 pts)



Question #10:  A 71 yo M presents after a syncopal episode. This is his ECG. What is the FULL ECG diagnosis? (3 pts)



Question #11: A 49 yo M presents with malaise, chest pressure, dyspnea, and nausea. BP 85/40.

11a. What is the diagnosis? (1 pt)
11b. Name two other conditions that, when severe, can produce STE in V1 + V2 + aVR, with RAD (2 pts)
11c. Explain why this condition can produce a Brugada pattern in V1-V2 (1 pt)



Question#12: You just got sign-out on a 40 yo W with intractable nausea/vomiting and chest pain presumably due to cannabis-related hyperemesis + gastritis. Labs ok, but no EKG was done. The nurse brings you this rhythm strip which was just pulled up from the monitor.

12a. What’s the diagnosis? (2 pts)
12b. What medication is best, specifically for this rhythm? (1 pt) 12c. Explain your answer to 12b. (1 pt)



Question#13:  BONUS: This is a 61 yo M with nausea, malaise, lightheadedness, and palpitations all day. He presents with this ECG. His first TN-I is negative.

13a. What is the likely dx?
13b. List as many causes of STE as you can think of


Notes: Questions for Amal? Email him at amalmattu@comcast.net or find him on Twitter @amalmattu.

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