SAEM CV Exam Questions with Complete Solutions

SAEM CV Exam Questions with Complete Solutions A 23-year-old male presents after a syncopal episode. EKG findings include normal sinus rhythm, a short PR interval (less than 0.12 seconds), QRS duration of 0.11seconds, and the presence of a "delta wave" (a slurred upstroke to the QRS complex). What condition most likely caused the syncopal episode? Answers: 1.Brugada syndrome 2.Dextrocardia 3.Vasovagal reaction 4.Wolff-Parkinson-White syndrome - ANSWER 4.Wolff-Parkinson-White syndrome Of the options below, the therapy best for symptomatic 3rd degree heart block is: Answers: aine cutaneous pacer ine n oversion - ANSWER cutaneous pacer A 54 year old female presents with palpitations. She is otherwise asymptomatic. EKG shows atrial fibrillation. Vital signs are HR 130-150, BP 148/78, RR 16, T 36.7. What management intervention is most important to accomplish next? Answers: 1.Anticoagulation 2.Cardioversion 3.Pharmacologic ventricular rate control 4.Radiofrequency ablation - ANSWER 3.Pharmacologic ventricular rate control An 8 year old female presents with a regular, narrow-complex SVT. You diagnose AV nodal reentrant tachycardia. Which pharmacologic agent would be most appropriate for initial management? Answers: 1.Adenosine 2.Digoxin 3.Diltiazem 4.Lidocaine - ANSWER 1.Adenosine