10 Questions
What is the appropriate method to determine heart rate on EKG?
Divide 300 by the number of boxes between two R waves
Which EKG lead represents the lateral wall of the heart?
Lead I and AVL
In EKG interpretation, what does an upright QRS complex in lead AVF indicate?
Normal axis
What characteristic differentiates ischemic T-wave inversions from infarction on an EKG?
Presence of Q waves
What aspect of chest pain history is crucial to differentiate syncope from other cardiac conditions?
Onset
What is the main reason behind ordering a Cardiac Enzyme panel for a patient suspected of cardiac chest pain?
To detect myocardial damage
What is the typical treatment approach for a patient diagnosed with a submassive pulmonary embolism?
Thrombolytic therapy and ICU admission
In the context of chest pain evaluation, what does a widened mediastinum on chest X-ray suggest?
Aortic dissection
Which medication is indicated for the initial management of a patient diagnosed with an acute pulmonary embolism?
Lovenox (enoxaparin)
What is the primary consideration when deciding whether to proceed with surgery in a patient presenting with chest pain in the last 4 weeks?
Negativity of diagnostic testing
Test your knowledge on assessing chest pain in emergency medicine using charts, vitals, and EKG interpretations. Determine if there is ST elevation myocardial infarction (STEMI) by analyzing elevations in different leads and anatomical locations.
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