Emergency Medicine Quizzes: Electrolyte Imbalance and ECG Abnormalities

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Questions and Answers

What ECG abnormality would you expect to see in a 23-year-old woman with severe vomiting and diarrhoea and a serum potassium of 2.6 mmol/L?

  • Tented T waves (correct)
  • S-T depression
  • Prolonged P-R interval
  • Wide QRS complex

In dextrocardia, where is the apex beat of a normal heart usually felt?

  • Upper back
  • Right side of the chest (correct)
  • Left side of the chest
  • Lower abdomen

Which heart sound is produced by the closure of the atrioventricular (mitral and tricuspid) heart valves?

  • Heart sound II (S2)
  • Heart sound IV (S4)
  • Heart sound III (S3)
  • Heart sound I (S1) (correct)

Which heart sound is known as the 'dub' sound heard during cardiac auscultation?

<p>Heart sound II (S2) (B)</p> Signup and view all the answers

What ECG abnormality would you expect to see in a 23-year-old woman with severe vomiting and diarrhoea and a serum potassium of 2.6 mmol/L?

<p>Tented T waves (D)</p> Signup and view all the answers

What is the hallmark ECG finding in hyperkalemia?

<p>Tall peaked T waves (A)</p> Signup and view all the answers

Which of the following heart sounds is produced by the closure of the atrioventricular (mitral and tricuspid) heart valves?

<p>Heart sound I (S1) (A)</p> Signup and view all the answers

In dextrocardia, where is the apex beat of a normal heart usually felt?

<p>Right side of the chest (D)</p> Signup and view all the answers

What is the hallmark ECG finding in hyperkalemia?

<p>Peaked T waves (D)</p> Signup and view all the answers

Which of the following is indicative of severe dehydration in a patient?

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

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Study Notes

Electrocardiogram (ECG) Abnormalities

  • In a 23-year-old woman with severe vomiting and diarrhoea and a serum potassium of 2.6 mmol/L, the expected ECG abnormality is a prolonged PR interval, flattened or inverted T waves, and a widened QRS complex.
  • The hallmark ECG finding in hyperkalemia is a widened QRS complex.

Heart Sounds

  • The heart sound produced by the closure of the atrioventricular (mitral and tricuspid) heart valves is the S1 sound, also known as the 'lub' sound.
  • The S2 sound, also known as the 'dub' sound, is produced by the closure of the semilunar (aortic and pulmonary) valves.

Dextrocardia

  • In dextrocardia, the apex beat of a normal heart is usually felt on the right side of the chest.

Dehydration

  • Severe dehydration in a patient is indicated by a serum potassium level of 2.6 mmol/L.

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