An 82 year old man is brought to your emergency department after having been found on the floor of his home.
He was last seen by his neighbor 18 hours earlier.
a. Describe and interpret his ECG (50%) b. Outline the investigations you would perform (50%)
FACEM VAQ Exam 2008.2 – Question 1
- The overall pass rate for this question was 62/81 (76.5%).
- ECG showing a junctional bradycardia with wide QRS, deep anterior Q waves and tall anterior T waves.
- The examiners felt that this was a straight forward question requiring a structured description and a focused differential including structural heart disease, metabolic, toxicological and environmental causes.
- Most answers were considered adequate but lacking extra detail.