Scenario
A 78 year old man is brought to your emergency department after being found on the floor of his home. His only past medical history is of congestive cardiac failure, and he is unable to remember his medications.
An ECG has been taken.
Question
Describe and interpret her ECG (100%)
Answer
FACEM VAQ Exam 2006.2 – Question 1
- The overall pass rate for this question was 41/57 (71.9%).
- ECG showing Mobitz type 2 AV block ( 2:1 ) with RBBB and R axis deviation.
- The examiners felt that this question was not well done by the candidates overall, especially as this was regarded as a straight forward ECG.
- In order to pass, candidates needed to exhibit a systematic approach to ECG interpretation and identify pass/fail criteria of 2:1 AV Block, Right BBB and Right Axis Deviation plus a number of secondary changes.
- Better candidates were able to put the ECG findings into the given clinical context. Candidates who scored poorly failed to meet the basic pass/fail criteria above.
ACEM Fellowship Visual Aid Questions
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