th

4 Annual UMEM
Residency ECG
Competition
April 27, 2016

Name: ______________________________

What program are you in? (circle one)

EM EM/Peds EM/IM EM/IM/CC

What is your PG year? (1-6) _______

1. 56 yo man presents with dyspnea and chest tightness.
a. What is the full ECG interpretation?
b. What is the best treatment?

2. 56 yo man presents with dyspnea and chest tightness.

a. What is the full ECG interpretation?

4th Annual UMEM Residency ECG Competition 2

Amal Mattu, MD
3. 66 yo woman presents with nausea, vomiting, and weakness.
a. What is the full ECG interpretation? Include any diagnoses you think can be strongly
suggested by the ECG

4. 66 yo W presents unconscious, hypotensive.

a. What is the best treatment for what is seen on the ECG?

4th Annual UMEM Residency ECG Competition 3

Amal Mattu, MD
5. 87 yo M presents with dyspnea and sweats.
a. What is the likely diagnosis, and explain why.

6. 45 yo W is boarding in the ED, waiting to be admitted when this occurs. She is now
asymptomatic.
a. What is the diagnosis?
b. What is the treatment?

4th Annual UMEM Residency ECG Competition 4

Amal Mattu, MD
Incident ID: Software Revision: 3011371-134

7. 13 yo male presents after syncope. He is now asymptomatic.

a.Name:
What is the presumed ECG
12-Lead 1 diagnosis?
HR 94bpm ‡1RUPDO(&* 8QFRQILUPHG
b.
ID: What is the
120711100210 12/7/2011 of choice?
diagnostic test 10:02:56 ‡  3HGLDWULF(&*DQDO\VLV 
c.Patient
If you
ID: are unable toPRget the diagnostic
0.152s QRS 0.066stest‡1RUPDOVLQXVUK\WKP
of choice right away, what therapy should
you initiate
Incident ID: as an outpatient
QT/QTc: until the test
0.320s/0.400sis done?
Age: 12 Sex: P-QRS-T Axes: 18° 31° 37°
I aVR V1 V4

II aVL V2 V5

III aVF V3 V6

x1.0 .05-150Hz 25mm/sec 30885616 BCFD M-23 3011371-134 LP1230885616

Physio-Control, Inc. Comments:

ST measurements are measured at the median point and are expressed in mm.
I II III aVR aVL aVF V1 V2 V3 V4 V5 V6
8.1.07
68 yo man 1.22 presents
0.14 unable -1.18 to move 0.48 arms 0.68and legs.
-0.05 He is 0.73awake0.92 and lucid.
0.73 0.53 0.43
a. What is the name of this syndrome?
To What
b. ensure printer
areaccuracy, confirm that thethat
4 medications calibration
can markers are 10mm
be used high and
to treat the grid
this squares are 5mm wide.
patient?

LIFENET® Report Renderer (5.1.4.1) Page: 1 of 1

4th Annual UMEM Residency ECG Competition 5

Amal Mattu, MD
9. 76 yo woman with palpitations and syncope.
a. What is the full ECG interpretation?

10. 35 yo man presents with altered mental status/agitation.

a. What is the diagnosis?
b. What is the treatment of choice?

4th Annual UMEM Residency ECG Competition 6

Amal Mattu, MD
11. 70 yo woman presents with weakness, dyspnea, near-syncope.
a. What is the diagnosis?
b. What is the treatment of choice?

12. 35 yo man presents with vomiting and diarrhea.

a. What is the probable cause of this T-wave abnormality?
b. What is the most feared complication of this condition?
c. What name is given to these T-waves?

4th Annual UMEM Residency ECG Competition 7

Amal Mattu, MD