Common cardiac presentations, ECG recognition, and management decisions tested on the PANCE.
40 cards · mixed cards · AI-written, checked twice. Edit anything.
- What ECG finding defines a STEMI?
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ST-segment elevation in two or more contiguous leads- What is the door-to-balloon time goal for STEMI treated with PCI?
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90 minutes- In suspected acute coronary syndrome, ____ should be given immediately unless contraindicated.
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aspirin- What distinguishes NSTEMI from unstable angina?
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Elevated cardiac troponin, indicating myocardial necrosis- How soon after myocardial injury does troponin typically become detectable?
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About 3 to 6 hours- What is the hallmark ECG finding of atrial fibrillation?
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Irregularly irregular rhythm with no discrete P waves- What class of drugs is first-line for rate control in atrial fibrillation?
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Beta blockers or non-dihydropyridine calcium channel blockers- What scoring system estimates stroke risk in atrial fibrillation to guide anticoagulation?
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CHA2DS2-VASc score- What ECG pattern characterizes ventricular tachycardia?
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A wide QRS complex tachycardia with a regular rhythm- What is the immediate treatment for pulseless ventricular fibrillation?
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Defibrillation with an unsynchronized shock- Torsades de pointes is a polymorphic ventricular tachycardia associated with a prolonged ____.
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QT interval- What is the first-line treatment for torsades de pointes?
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Intravenous magnesium sulfate- How is first-degree AV block defined on ECG?
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PR interval greater than 200 milliseconds, with every P wave followed by a QRS- What ECG pattern is seen in Mobitz type I (Wenckebach) second-degree AV block?
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Progressive PR interval lengthening until a QRS is dropped- How does Mobitz type II second-degree AV block appear on ECG?
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Constant PR interval with intermittently dropped QRS complexes
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