Cardiac & Cardiology MCQs

 2. While waiting for the cardiologist to evaluate the asymptomatic patient, what is the next step in his management?

a. Start a NS drip at 100 ml/hr

b. Administer 0.5 mg atropine IV 

c. Apply transcutaneous pacing pads and test for capture

d. Cardiovert the patient 

e. Start renal dose dopamine

https://youtu.be/KdCTRdUetOM

Cardiology & Cardiac MCQs

 1. A 70 yo admitted to the ICU is found to have the following ECG.  His troponin levels are elevated. In general, this rhythm is most often associated with which type of MI?

a. Inferior wall 

b. Anterior wall

c. Posterior wall

d. Lateral wall

https://youtu.be/KdCTRdUetOM

Cardiac & Cardiology MCQs

 A 29 yo asthmatic patient suddenly develops palpitations and diaphoresis. His ECG is shown below. BP is 110/75. What therapy would you avoid in him?

a. Ask him to take a deep breath and push down on the abdomen

b. Apply an ice cold cloth to his face

c. Verapamil 

d. Adenosine 6 mg IV push 

e. Massage the neck if there is no bruit

f. Use a tongue depressor to induce gagging 

https://youtu.be/KdCTRdUetOM

Cardiology & Cardiac MCQs

 A patient on the medical floor is found to be bradycardic and it is decided to pace him. You are not able to get hold of the cardiologist. You decide to insert the pacing lead. What is the ideal location for the catheter tip for temporary transvenous pacemaker- see image?

A

B

C

D

E

https://youtu.be/KdCTRdUetOM

Cardiac & Cardlology MCQs

 You are called to the ED where a patient is unresponsive with a BP of 69/40. His ECG is shown. What is the next step in his management?

a. Load with digoxin 1 mg followed by 0.25 mg IV qd

b. Administer amiodarone IV

c. Cardiovert at 360 joules using a monophasic device

d. Cardiovert at 120-200 joules using a biphasic device

e. Defibrillate at 360 joules

https://youtu.be/KdCTRdUetOM