EM Basic- Chest Pain Assessment Quiz

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Questions and Answers

What is the appropriate method to determine heart rate on EKG?

  • Count the number of QRS complexes in a 6-second strip and multiply by 10
  • Divide 150 by the number of small squares between QRS complexes
  • Calculate it based on the P wave morphology
  • Divide 300 by the number of boxes between two R waves (correct)

Which EKG lead represents the lateral wall of the heart?

  • Lead II
  • Lead I and AVL (correct)
  • Lead V1-V3
  • Lead III and AVF

In EKG interpretation, what does an upright QRS complex in lead AVF indicate?

  • Anterior wall ischemia
  • Inferior wall ischemia
  • Septal wall infarction
  • Normal axis (correct)

What characteristic differentiates ischemic T-wave inversions from infarction on an EKG?

<p>Presence of Q waves (D)</p> Signup and view all the answers

What aspect of chest pain history is crucial to differentiate syncope from other cardiac conditions?

<p>Onset (A)</p> Signup and view all the answers

What is the main reason behind ordering a Cardiac Enzyme panel for a patient suspected of cardiac chest pain?

<p>To detect myocardial damage (A)</p> Signup and view all the answers

What is the typical treatment approach for a patient diagnosed with a submassive pulmonary embolism?

<p>Thrombolytic therapy and ICU admission (D)</p> Signup and view all the answers

In the context of chest pain evaluation, what does a widened mediastinum on chest X-ray suggest?

<p>Aortic dissection (B)</p> Signup and view all the answers

Which medication is indicated for the initial management of a patient diagnosed with an acute pulmonary embolism?

<p>Lovenox (enoxaparin) (A)</p> Signup and view all the answers

What is the primary consideration when deciding whether to proceed with surgery in a patient presenting with chest pain in the last 4 weeks?

<p>Negativity of diagnostic testing (C)</p> Signup and view all the answers

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