Cardiology Dr.

Payawal
(Yung mga nilagyan ko lng ng picture ung mga mejo
nkakalito..pki tignan nlng sa handouts niu ung iba)
1.
2.
3.
4.
5.

Normal ecg - normal sinus rhythm

Monomorphic Vtach
Mobitz II
Mobitz I
Atrial Flutter

(eto kse ung isang type ng atrial flutter nkapababa eto ung lumbas smen)
6.

Premature Atrial Contraction

7.

Premature Ventricular Contractions

8.

9.
10.
11.

(actually Multifocal Premature Ventricular Contraction to..so fall pren xa

under Premature Ventricular Contractions..eto lmbas smen)
Junctional Rhythm

Sinus tachycardia
Sinus Pause
Asystole

12 Complete Heart Block

13.
14.

(eto gntong gnto ung heart block na lmbas smen finals)

BONUS ~ Torsades Pointes
Right Atrial Enlargement
15.
Sinus Bradycardia
16-18 case with ECG
60 y/o 40 years of smoking was brought to ER, w/ complaint of chest tightness 1
hour duration, cold clammy, BP 150/95 HR- 80 PR-28 Apex 5 th ICS S2-S3
16.
17.

18.

What is the rate? Ans. A = 75

Diagnosis on the 12 lead ECG
a. Acute inferior wall MI
b. Acute anterior wall MI
c. LVH
d. RVH
ECG tracing (+) Lead 1, (+) AVF = Normal Axis Deviation

19-21 Case
35y/o female in ER with progressive SOB and DOB. Non alcoholic non smoker non
diabetic. BP 130/95, HR 110, RR 30 +1 Bipedal edema. No murmurs. Loud s3. PMI
at 6th ICL LAAL with bilateral crackles mid to base anterior both lung fields.

19.

The electrical axis on her 12 lead ECG

a. Right axis deviation

b. Left axis deviation

c. Normal
d. Extreme right axis deviation
20.

Her 12 lead ECG shows

a. Right BBB
b. RVH
c. LVH
d. Left posterior Hemiblock
e. None of the above

Her clinical findings are compatible with a diagnosis

a. Dilated Cardiomyopathy
b. Rheumatic Mitral Stenosis
c. Inferior Wall Myocardial Infarction
d. TOF
e. ASD
Case female patient, cardiac arrest, treated in ICU
21.

ECG Tracing na lumabas dun is Ventricular Tachycardia

Initial treatment for Vtach = Administer Oxygen by face mask
24.
After above intervention, 100/80 still tachycardic, what should be given?
Amiodarone 150 mg IV
25.
What anti arrhythmic agent would you recommend when patient has been
successfully resuscitated with your intervention
a. Verapamil
b. Nifedipine
c. Diltiazem
d. Metropolol
22.
23.

50 y/o man smoker, diabetic with poor control, brought to ER with with cardiac
arrest
Axis of heart A. Cannot be Determined
Ventricular Fibrillation
28.
What is the initial treatment
a. Lidocaine IV 100mg
b. Adrenaline IV 1mg
c. Administer mask 02
d. Defibrillate at 360 joules
29.
What are the expected Physical examination findings with this rhythm in this
patient?
a. BP 80/50
b. BP 0/0
c. HR 120/min
d. HR 150/min
26.

27.

30.

What anti arrhythmic agent would you recommend when patient has been

successfully resuscitated with your initial intervention?

a. Verapamil
b. Nifedipine
c. Diltiazem
d. Metoprolol

DITO KO BNASE UNG SAGOT SA TAAS..KSE SUREBALL TO RECORDINGS ANSWER KEY

HAWAK NMEN NUNG CHECKING SCANTRON

Recalls
B2 Prelims: Cardiology
1-15 (ECG Findings)
C
A
C
A
D
B
A
C
C
B
A
C
B
B
E
Cases 16-18: A 60 year old man with 40 years of smoking, was brought to the
emergency room with a complaint of chest tightness 1 hour duration. Cold Clammy
Sweats, BP 150/95, HR 80, RR 28, Apex 5th ICS, Soft S3.
Heart Rate on the above ECG? Answer: A
Diagnosis? Answer: B. Acute Anterior Wall Myocardial Infarction
Total electrical axis of the heart above 12 leads. Answer: A. Normal
Case 19-21: A 35 year old female, came in at the ER complaining progressive SOB,
DOB. She is non-diabetic, non-smoker, BP 130/95, HR 110, RR 30, Apex displaced 6 th
ICS, LAA, with loud S3.
Electrical axis of 12 leads: Answer: C Normal
12 leads ECG: Answer: C LVH
Clincial Findings: Answer: A. Dilated Cardiomyopathy
Case

22-25: Female patient, cardiac arrest, treated in the ICU.

ECG shows. Answer: D. Ventricular tachycardia
Initial Tx for Vtach. Answer: D. Administer oxygen by face mask
After above intervention, 100/80 still tachy, give: Answer: C. Amoidarone
150mg IV
What anti-arrhythmic agent would you recommend when px has been
succsesfully resucitated by your intervention? Answer: D. Metroprolol

Case 26-30: a 50 year old man, smoker, diabetic with poor control, brought to ER
with cardiac arrest.
Initial ECG showed. Answer: A. Cannot be determined
Answer: A. Ventricular Fibrillation
Answer: D. Defibrillate at 360 joules
Answer: B. BP 0/0

Answer: D. Metroprolol

O. Deduyo 31-35:
Left Leg pain, 160/100 mmHg, warm to touch, peripheral pulses (+2).
Answer: B. Right Normal, Left Borderline
Treatment of choice of the above patient with walking impairment? Answer:
A. Aspirin, Cilostazole, Statins, AntiHPN Drugs, Anti Diabetic,
Smoking Cessation
Acute limb ischemia which of the following which is consistent with an
embolic cause? Answer: A. the patient is recently suffering in an acute
myocardial infacrtion
55 year old male, complains of severe pain in the right distal leg, peripheral
pulse, local capillary refill, no atrial signal on Doppler, there is venous signal.
What is the ideal treatment? Answer: D. IV heparin bolus, followed by
continous IV heparin, then emergency surgical treatment
Which of the following is consistent with limb edema pre-cox? Answer: B.
patient first notice the edema