CardiAQ (G3 Cardiology Assessment Quiz)

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1. 70-year-old man with history of CAD, HTN, HLD presents after a syncopal episode while walking.

HR 42 | BP 100/60 | RR 16 | SpO2 100% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 1 of 20

2. 45-year-old man with no PMHx presenting with chest pain.

HR 70 | BP 110/70 | RR 22 | SpO2 97% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 2 of 20

3. 53-year-old woman with history of smoking and hyperlipidemia presenting with chest pain for the past 2 hours.

HR 95 | BP 130/110 | RR 18 | SpO2 96% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 3 of 20

4. 77-year-old woman with PMH of severe aortic stenosis s/p transcatheter aortic valve replacement complicated by complete heart block now s/p pacemaker placement presents for pre-syncope.

HR 65 | BP 130/80 | RR 14 | SpO2 98% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 4 of 20

5. 65-year-old man with newly diagnosed HTN, DM2 who 3 weeks ago experienced a STEMI s/p DES stent placement. He presented to clinic for titration of his antihypertensives and diabetic medications. He has been experiencing nearly constant vague chest discomfort since his STEMI.

HR 65 | BP 118/66 | RR 12 | SpO2 98% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 5 of 20

6. 24-year-old man with no known PMH presents for chest pain, palpitations and pre-syncope with exertion that has been worsening over the last 3 months. On exam has a 3/6 systolic murmur.

HR 75 | BP 100/60 | RR 14 | SpO2 99% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 6 of 20

7. 55-year-old woman with myasthenia gravis undergoes intubation for respiratory failure. The following EKG is taken immediately after successful intubation.

HR 70 | BP 90/50 | RR 12 | SpO2 100% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 7 of 20

8. 73-year-old with PMH of heart failure with reduced EF (HFrEF) presents to the ED with lightheadedness in the setting of 24 hours of vomiting and diarrhea.

HR 70 | BP 100/70 | RR 16 | SpO2 97% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 8 of 20

9. 37-year-old woman with ACL repair 3 weeks ago complaining of SOB & CP who is hypoxic on room air. SpO2 increased to 96% on non-rebreather.

HR 102 | BP 100/60 | RR 28 | SpO2 88% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 9 of 20

10. 55-year-old man presents with an anterior STEMI and gets fibrinolytics. Two hours after administration of fibrinolytics the patient is chest pain free and has the following EKG

HR 90 | BP 130/90 | RR 14 | SpO2 99% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 10 of 20

11. 21-year-old man with no PMH presents for syncope without a prodrome that occurred while riding his bike. He reports an episode of palpitations and pre-syncope 3 weeks ago.

HR 70 | BP 120/70 | RR 12 | SpO2 98% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 11 of 20

12. 44-year-old man with a history of a “heart problem” presents with palpitations.

HR 150 | BP 120/80 | RR 14 | SpO2 99% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 12 of 20

13. 54-year-old woman with no PMH presents for syncope. She is currently asymptomatic.

HR 100 | BP 119/64 | RR 12 | SpO2 99% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 13 of 20

14. 45-year-old man with obesity, HTN, DM, HLD presents by EMS for 45 minutes of crushing substernal chest pressure and diaphoresis.
By ED arrival the pain has completely resolved.

HR 65 | BP 160/100 | RR 12 | SpO2 97% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 14 of 20

15. 63-year-old man with HFpEF and second degree type 2 AV block s/p pacemaker placement presents for sudden onset of palpitations and dyspnea.

HR 120 | BP 110/80 | RR 18 | SpO2 96% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 15 of 20

16. 57-year-old man with hyperlipidemia, type 2 diabetes mellitus presenting with with 72 hours of palpitations a SOB.

HR 95 | BP 160/110 | RR 18 | SpO2 96% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 16 of 20

17. 35-year-old man with history of HTN and anxiety presenting with palpitations which started 15 minutes prior to arrival. No CP but does feel very tired and SOB since onset.

HR 170 | BP 110/70 | RR 22 | SpO2 97% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 17 of 20

18. 63-year-old man with PMH of HTN, HLD, and BPH presents for nausea, suprapubic discomfort, and inability to urinate for 2 days.

HR 76 | BP 150/90 | RR 14 | SpO2 96% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 18 of 20

19. 15-year-old man with a PMH of a “heart problem” presents for palpitations and lightheadedness. Review of his previous EKG reveals a narrow QRS with a shortened PR-interval.

HR 260 | BP 100/60 | RR 20 | SpO2 99% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 19 of 20

20. 48-year-old man with history of heroin abuse now currently on methadone maintenance therapy who presents to the ED following a syncopal episode. He experienced now prodromal symptoms.

HR 54 | BP 154/108 | RR 12 | SpO2 96% | T 36°C

What is your

ECG interpretation (pertinent features of rate, rhythm, axis, intervals, segments, morphologies)
Clinical diagnosis
Critical actions

Question 20 of 20