Scenario
An 82 year old man, who lives alone, presents to the emergency department following being found collapsed at home. He says he takes tablets for his heart but cannot recall their names.
Question
a. Describe and interpret his ECG (100%)
Answer
FACEM VAQ Exam 2010.2- Question 8
- The overall pass rate for this question was 57/92 (62%)
- Pass Criteria
- Sinus rate 65-70 (from consecutive sinus beats in rhythm strip)
- Rhythm = sinus + Bigeminy / multifocal VE’s
- Axis = normal
- 1st degree AV block
- QT normal
- Interpretation / differential to include Drugs – β blockers, Digoxin, Ca channel blockers, and Cardiac – ? Ischemia


















