Exam-style questions

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Question 2

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Question 3

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Question 4

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Question 5

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Question 6

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Question 10

A 23-year-old female presents with exertional palpitations, she has no past medical history. ECG shown. What is the most likely explanation for her palpitations?

-Sinus tachycardia
-Presence of a slow and fast refractory circuit within the AV node
-Presence of an accessory pathway, causing early activation of the ventricles
-Hypertrophic cardiomyopathy
-Panic attacks

Answer 10

Question 11

Answer 11

Question 12

A 22-year old man presents to the Emergency Department with palpitations and dizziness that started after exercising in the gym. He has previously had similar palpitations after exercise but has not paid much attention to them. He is otherwise fit and well. His observations are stable. His ECG is below. What is the most likely diagnosis?

Answer 12

Question 13

A 25-year-old lady, with a known past medical history of Wolff-Parkinson-White syndrome and waiting for definitive treatment, develops sudden-onset palpitations. She also reported chest pain and momentarily lost consciousness and was brought to A&E by ambulance. The attending physician performed an ECG which showed a regular rhythm with narrow QRS complexes with a heart rate of 140 beats per minute. P-waves are not seen. On examination, her blood pressure is 125/85 mmHg, her JVP is not raised and no pedal oedema was noted. What is the single most initial appropriate management in this patient?

Synchronised electrical cardioversion
Unsynchronised electrical cardioversion
Valsava manoeuvre
Carotid sinus massage
Adenosine

Answer 13

Question 14

A 32-year-old lady, with a known past medical history of Wolff-Parkinson-White syndrome and waiting for definitive treatment, develops sudden-onset palpitations. The attending physician performed an ECG which showed a regular rhythm with narrow QRS complexes with a heart rate of 140 beats per minute. P-waves are not seen. On examination, her blood pressure is 125/85 mmHg, her JVP is not raised and no pedal oedema was noted. She does not report any chest pain or lost of consciousness.

What is the single most initial appropriate management in this patient?

Adenosine
Synchronised electrical cardioversion
Verapamil
Valsava manoeuvre
Unsynchronised electrical cardioversion

Answer 14

Question 15

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Question 16

Answer 16