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Quiz # 3: Name
Quiz # 3: Name
QUIZ # 3
A 64 y.o. homeless patient is admitted to the ER because of dyspnea. The patient is disoriented,
tachypneic, with low-grade fever. His CBC reveals WBC = 13,000, with 84% PMN, Hgb = 11.2,
Chemistry is unremarkable accept for CPK = 50,000, and K=6.2.
A. E.C.G
B. Chest X-ray
C. ABGs
D. D-dimer
2. ABGs reveal the following: pH – 7.46, pCO2 – 32, pO2 – 55, HCO3 – 22. What is the most
likely explanation?
3. Which of the following E.C.G. would you expect the patient to have?
A B
A. Tachypnea
B. Elevated JVP
C. Cyanosis
D. Tachycardia
A. PE
B. Sepsis
C. MI
D. COPD
? Which of the following ECG criteria does not suggest PE.6
A. Rapid A.fib
B. New RBBB
C. Inverted T on L3
D. Deep S on L1
E. All of the above suggest PE
7. An 80 y.o. patient is admitted because of nausea and "feeling sick". Her past medical
history is IHD, Chronic AFib, and Chronic renal failure. Her E.C.G shows the following –
What is your diagnosis ?
8. Her Blood Digoxin levels are twice the upper limit. Which of the following intervention
is erroneous for her?
9. Which of the following drugs is not appropriate to slow Rapid A.fib (Assuming that the
patient is hemodynamically stable)?
A. Verapamil
B. Adenosin
C. Amiodarone
D. Digoxin
11. A 50 y.o. is admitted to ER with intermittent chest pain for 5 hours. His past DM,
dyslipidemia, smoker. ECG shows ST depression on anterior wall. Troponin – 14.
The patient is comfortable, without pain. What is the suitable approach?
A. Thrombolysis
B. Rescue PCI
C. Aspirin, LMWH, and β-blockers
D. Serial ECGs and troponins and stress test
12. Another 60 y.o. patient, without apparent CV risk factors, who regularly exercise,,
notes that yesterday while running his 4th mile, a chest pain accrued, which resolved
after a short rest. He is asymptomatic. ECG is normal, and troponin = 0. What is the
recommended approach?
A. Aspirin alone, and Cardiac catheterization
B. Aspirin, LMWH, and β-blockers
C. Aspirin, LMWH, and β-blockers, until thalium scan
D. Aspirin alone, until stress test.
13. A 20 y.o. healthy women comes to the ER with palpitation, and the following ECG.
What is the diagnosis?
A. Accelerated Idioventricular rhythm
B. SVT with abberant conduction
C. Ventricular tachycardia
D. Atrial flutter 2:1 ventricular response
14. The patient recalls that she had similar episode 2 years ago, and was told that she has
"Parkinson" in the heart. The patient looks hemodynamically stable. Which of the
following drugs should be used?
A. Adenosine
B. Amiodarone
C. Verapamil
D. Sotalol (β-blocker)
15. The patient is hospitalized, and 6 hours later you are called to her. The patient looks pale,
dyspneic, Sat = 85%, and bilateral rales are heard on both lungs. Radial pulses are weak,
and Monitor shows HR = 210. What is the proper approach?
A. Furosamide
B. Verapamil
C. Digoxin
D. Synchronized 100j DC
16. A 60 y.o. patient is admitted to the ER with chest pain and dyspnea. The following
arrhythmia is found on his ECG. Which of following intervention would be most
appropriate? (Assuming that the patient is hemodynamically stable)
A. Lidocain
B. Cardioversion
C. Verapamil
D. Amoidarone
Match between the Chest X-ray and the diagnosis:
A B
C D