Scenario
A 52 year old woman presents with atypical chest pain and a normal ECG.
Question
What features on assessment would influence the disposition of this patient? (100%)
Answer
FACEM SAQ Exam 2008.2 – Question 1
- The overall pass rate for this question was 51/81 (63%).
- Pass Criteria
- The examiners felt that this was a good question in that it tested a topical and common area in Emergency Medicine.
- Good answers suggested a structure for ACS stratification and recognised the wide differential of chest pain.
- The best answers demonstrated knowledge of recently published guidelines ( Cardiac Society, TIMI).
- Features of unsuccessful answers
- Poor answers either failed to answer the question or did not mention serial ECG/Cardiac Enzymes as part of the risk stratification.
About Mike Cadogan
