Quiz ECG 003


A 72 year old woman is brought to your Emergency Department after a syncopal episode.

ecg 01 2009 01


a. Describe and interpret her ECG (50%)
b. Outline your disposition considerations (50%)



FACEM VAQ Exam 2009.1 – Question 1

  • The overall pass rate for this question was 26/81 (32.1%)
  • ECG showing first degree heart block, left axis deviation and RBBB.
  • The examiner pair felt that this was a core EM scenario that was done very poorly by the majority of candidates.
  • Pass criteria were to identify the ECG features above plus appreciate the conduction implications of this in the presence of syncope with need for monitoring and potentially pacing.

ACEM Fellowship Visual Aid Questions


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