Quiz ECG 017

FACEM VAQ Exam 2006.1 – Question 8

• Overall pass rate for this question was 25/40 (62.5%).
• The ECG given shows a regular, narrow complex tachycardia with widespread ischaemic changes
• The examiners noted that with the limited clinical information given and the number of ECG abnormalities present a reasonably broad range of possibilities need to be considered in the interpretation.
• The description needed to note the tachycardia which was atrial in origin and associated with significant ischaemic changes.
• The interpretation should have noted that this was likely to be a clinical situation requiring urgent treatment or referral.
• Failures were due to basic errors of description (often including findings that were not present) or due to providing very limited differentials.