 | Brain Food is a project to drip feed clinical knowledge (in the form of mock SAQs) to satisfy those hungry neurons. Sources are SA/NT Trial Exam 2021.2 and Monash 2022.1. Answers are prone to ageing. Leave a comment if you don't understand or something doesn't seem right... PS we don't use the mock questions uploaded to ACEMs official mocks |
A 55 year old man presents to ED after a resolved episode of chest pain. His EGC is shown.
1. List three (3) abnormal findings on the ECG (3 marks)
- Biphasic T waves V2-3
- LVH
- VE
2. What is your diagnosis? (1 mark)
Wellens type A - critical LAD stenosis-reperfusion
3. List four (4) differential diagnoses (4 marks)
- PE/RV strain
- RBBB
- HCM
- Raised ICP
- Normal paediatric variant
- Persistent juvenile T wave inversion
- Vasospasm/cocaine
- Brugada
4. List four (4) steps in your management of this patient (4 marks)
- Mx as per ACS; clopidogrel/aspirin or ticagrelor/heparin
- Admit CCU
- Urgent angiogram within 24 hours and reperfusion of presumed critical LAD stenosis, emergent if symptoms develop
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