Quiz Medicine 002

Scenario

A 53 year old previously well man presents with a 6 hour history of palpitations. He is otherwise asymptomatic.
His vitals signs are:

Quiz Medicine 002 2009 01 07 Q
ECG reveals atrial fibrillation with a rate of 130 /minute. His assessment does not reveal a cause for his arrhythmia.

Question

Discuss the management options for this patient.(100%)

Answer

FACEM SAQ Exam 2009.1 – Question 7

  • The overall pass rate for this question was 60/81 (74.1%).
  • Pass Criteria
    • Pass criteria were addressing the options of no treatment, rate control, cardioversion
      (chemical/electrical) and anticoagulation.
  • Features of unsuccessful answers
    • Poor answers failed to discuss these issues in the context of this presentation or missed a major criterion altogether.

ACEM Fellowship Short Answer Questions (SAQ)

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About Mike Cadogan

Emergency physician with a passion for medical informatics and medical education. I write medical textbooks, websites such as HealthEngine and write more eclectically on the web as @sandnsurf | + Mike Cadogan | Contact