Male, 60 years old, with precardiac pain for 1 month, mostly at night, unrelated to activities.The ecg ii, iii, A v F le
Posted: Fri Jun 10, 2022 11:30 am
Male, 60 years old, with precardiac pain for 1 month, mostly at
night, unrelated to activities.The ecg ii, iii,
A v F lead
segment was elevated during each attack of 10-15 minutes.The
most likely diagnosis is ()
A Stable angina
B Worsening angina pectoris
C Acute myocardial infarction
D recumbent angina
E Variant angina pectoris
Female, 26 years old, with paroxysmal palpitation for 2 years,
each palpitation occurred suddenly and lasted from half an hour to
2 hours.When the attack, the heart rhythm is even, 200 times/min,
massage carotid sinus heart rhythm can suddenly slow down to
normal;QRS of ecg was normal, P wave was not obvious.A diagnosis of
()
A Atrial flutter
B Sinus tachycardia
C Atrial fibrillation
D paroxysmal supraventricular tachycardia
E Paroxysmal ventricular tachycardia
A 62-year-old female with hypertension presented with sudden
palpitations, shortness of breath, and pink foaming sputum.Physical
examination: blood pressure 200/126mmHg, heart rate 146
beats/min.In addition to other treatments, which of the following
groups of drugs should be used ()
A acanthocyanin C, nitroglycerin, isoproterenol
B Toxanin K, sodium nitroprusside, propranolol
C Guanidine, phentolamine, canaloside C
D Furosemide
E Sodium nitroprusside
F Nitroglycerin, canthocyanin
C, dopamine
Male, 79 years old, presented with acute precardiac pain that
did not resolve for 6 hours. Emergency ecg revealed extensive
anterior wall myocardial infarction.Physical examination: BP
100/60mmHg, tachypnea, 30 beats/min, cyanosis, small blisters on
both lungs, heart rate 120 beats/min, weakened first heart sound in
apex area, diastolic galloping rhythm can be heard.The most likely
diagnosis is ()
A Acute extensive anterior wall myocardial infarction with
pulmonary infection
B Acute extensive anterior wall myocardial infarction with
arrhythmia
C Acute extensive anterior wall myocardial infarction with
heart failure
D Acute extensive anterior wall myocardial infarction with
cardiogenic shock
E Acute extensive anterior wall myocardial infarction with
pulmonary embolism
Female, age 60.For one month, palpitation without inducement was
paroxygenic, which could be relieved spontaneously for 1-2 hours.
The palpitation occurred again half an hour ago and came to the
hospital.In the past six months, I have been emaciated, tired,
sweating, good appetite, poor sleep and high blood
pressure.Physical examination: T 37.2°C, P 90 times/min, BP
140/70mmHg, skin sweating, no vascular murmur in neck, normal
lungs, small cardiac boundary, arrhythmia, hand fibrillation
(±).Ecg showed that the ventricular rate was 136 beats/min, P wave
disappeared, f wave of unequal shape was visible, QRS wave time
limit was 0.08s, interval was not equal.The patient's most likely
diagnosis is ()
A Paroxysmal supraventricular tachycardia
B Frequent atrial premature contractions
C Paroxysmal atrial fibrillation
D Paroxysmal atrial flutter
E Frequent preventricular contractions
A male 60 years old, hypertension for 20 years, the treatment of
unknown, because of sudden dyspnea into the emergency, nearly a
week of connuous night bout dyspnea, nocturia, lower limb
edema
What's not important in the history is ()
A Whether there has been A similar episode in the past
B Whether there has been antihypertensive therapy in the
past
C whether digitalis preparations are used in daily
life
D Whether antibiotic drugs are used in daily life
Physical examination found that the jugular vein was filled and
both lungs were full of dry and wet rales.Enlarged cardiac
boundary, galloping rhythm can be heard, mild edema of the lower
limbs,BP:210/130mmHg, the most appropriate initial diagnosis
is()
A Total heart failure with acute pulmonary edema
B acute pulmonary embolism
C hypertensive crisis
D acute myocardial infarction
Female, 60 years old.Palpitation without inducement for 1 month
was episodic and could be relieved spontaneously for 1- 2 hours,
and then half an hour before the second attack came to the
hospital.In the past six months, I have been emaciated, tired,
sweating, good appetite, poor sleep and high blood
pressure.Physical examination: T 37.2°C, P 90 times/min, BP
140/70mmHg, skin sweating, no vascular murmur in neck, normal
lungs, heart boundary No, arrhythmia, hand fibrillation (±).Ecg
showed that the ventricular rate was 136 beats/min, P wave
disappeared, and the morphology was unequal F Wave, QRS time limit
0.08 ", spacing is not equal.
The patient's most likely diagnosis is()
A paroxysmal supraventricular tachycardia
B frequent atrial premature contractions
C paroxysmal atrial fibrillation
D Paroxysmal atrial flutter
A 48-year-old male worker, in the past three days, often felt
chest tightness and chest pain on the way to work by bicycle,which
could be relieved after getting off the bike and taking a rest. He
went to the health clinic of the factory to see a doctor. Chest
X-ray and electrocardiogram showed no abnormal findings.
A oral analgesics
B Electrocardiogram load test
C Echocardiography
D Limit physical labor
One week later, when I was watching TV at home in the evening,
my chest pain suddenly increased, accompanied by excessive sweating
and cold limbs, so I was hospitalized immediately. The ecg showed
that STV1-V3 was raised more than 30mV.()
A Acute pericarditis
B Variant angina
C Acute myocardial infarction
D Stable angina
A month later, the patient recovered and was discharged from the
hospital. Since then, the wife has been to the hospital several
times to consult the doctor about her condition. The doctor advised
which of the following would be most appropriate:()
A Can smoke A little
B can drink A little beer
C actively participate in running and other sports
D Long-term use of small amounts of anticoagulan
(Hypothetical information) If the patient has had irregular
fever (T37.5-39 degrees Celsius), pallor, fatigue, hemiplegia,
aphasia, and grade 3/6 systolic murmurs in the apical region for
the last 1 month, the most likely diagnosis is:()
A rheumatic activity
B pulmonary infection
C pyelonephritis
D Infective endocarditis
A 68-year-old man was admitted to the hospital with shortness of
breath, palpitations, right upper abdominal pain and lower
extremity edema for 2 weeks. He was diagnosed as dilated
cardiomyopathy with heart failure.
After hospitalization, digitalis was used for treatment, and
digitalis poisoning occurred. Besides digitalis withdrawal, which
ecg manifestations need immediate treatment?()
A grade I ATrioventricular block
B non-paroxysmal ventricular tachycardia
C Sinus bradycardia, heart rate 54 beats/min
D Paroxysmal ventricular tachycardia
A male, 65 years old, nearly a month from time to time when
fatigue chest pain attack.Admitted an hour ago with post-sternum
crush pain, dyspnea, sweating, nausea and vomiting.Blood pressure
is 90/75 MMHG.Double lung scattered rales, heart rate 108
times/min, can hear the third heart sound.
The fastest and most helpful test is()
A Chest radiography
B Electrocardiogram
C Blood collection and serum enzyme test
D Coronary angiography
(Hypothesis information) If the patient suddenly loses
consciousness and convulses, the ELECTRO cardiogram shows that the
QRST wave completely disappear, and the wave group with different
shapes and sizes and uneven frequency of 350 minutes is replaced,
the preferred treatment is:()
A lidocaine
B sodium bicarbonate
C synchronized cardioversion
D asynchronized electrical cardioversion
night, unrelated to activities.The ecg ii, iii,
A v F lead
segment was elevated during each attack of 10-15 minutes.The
most likely diagnosis is ()
A Stable angina
B Worsening angina pectoris
C Acute myocardial infarction
D recumbent angina
E Variant angina pectoris
Female, 26 years old, with paroxysmal palpitation for 2 years,
each palpitation occurred suddenly and lasted from half an hour to
2 hours.When the attack, the heart rhythm is even, 200 times/min,
massage carotid sinus heart rhythm can suddenly slow down to
normal;QRS of ecg was normal, P wave was not obvious.A diagnosis of
()
A Atrial flutter
B Sinus tachycardia
C Atrial fibrillation
D paroxysmal supraventricular tachycardia
E Paroxysmal ventricular tachycardia
A 62-year-old female with hypertension presented with sudden
palpitations, shortness of breath, and pink foaming sputum.Physical
examination: blood pressure 200/126mmHg, heart rate 146
beats/min.In addition to other treatments, which of the following
groups of drugs should be used ()
A acanthocyanin C, nitroglycerin, isoproterenol
B Toxanin K, sodium nitroprusside, propranolol
C Guanidine, phentolamine, canaloside C
D Furosemide
E Sodium nitroprusside
F Nitroglycerin, canthocyanin
C, dopamine
Male, 79 years old, presented with acute precardiac pain that
did not resolve for 6 hours. Emergency ecg revealed extensive
anterior wall myocardial infarction.Physical examination: BP
100/60mmHg, tachypnea, 30 beats/min, cyanosis, small blisters on
both lungs, heart rate 120 beats/min, weakened first heart sound in
apex area, diastolic galloping rhythm can be heard.The most likely
diagnosis is ()
A Acute extensive anterior wall myocardial infarction with
pulmonary infection
B Acute extensive anterior wall myocardial infarction with
arrhythmia
C Acute extensive anterior wall myocardial infarction with
heart failure
D Acute extensive anterior wall myocardial infarction with
cardiogenic shock
E Acute extensive anterior wall myocardial infarction with
pulmonary embolism
Female, age 60.For one month, palpitation without inducement was
paroxygenic, which could be relieved spontaneously for 1-2 hours.
The palpitation occurred again half an hour ago and came to the
hospital.In the past six months, I have been emaciated, tired,
sweating, good appetite, poor sleep and high blood
pressure.Physical examination: T 37.2°C, P 90 times/min, BP
140/70mmHg, skin sweating, no vascular murmur in neck, normal
lungs, small cardiac boundary, arrhythmia, hand fibrillation
(±).Ecg showed that the ventricular rate was 136 beats/min, P wave
disappeared, f wave of unequal shape was visible, QRS wave time
limit was 0.08s, interval was not equal.The patient's most likely
diagnosis is ()
A Paroxysmal supraventricular tachycardia
B Frequent atrial premature contractions
C Paroxysmal atrial fibrillation
D Paroxysmal atrial flutter
E Frequent preventricular contractions
A male 60 years old, hypertension for 20 years, the treatment of
unknown, because of sudden dyspnea into the emergency, nearly a
week of connuous night bout dyspnea, nocturia, lower limb
edema
What's not important in the history is ()
A Whether there has been A similar episode in the past
B Whether there has been antihypertensive therapy in the
past
C whether digitalis preparations are used in daily
life
D Whether antibiotic drugs are used in daily life
Physical examination found that the jugular vein was filled and
both lungs were full of dry and wet rales.Enlarged cardiac
boundary, galloping rhythm can be heard, mild edema of the lower
limbs,BP:210/130mmHg, the most appropriate initial diagnosis
is()
A Total heart failure with acute pulmonary edema
B acute pulmonary embolism
C hypertensive crisis
D acute myocardial infarction
Female, 60 years old.Palpitation without inducement for 1 month
was episodic and could be relieved spontaneously for 1- 2 hours,
and then half an hour before the second attack came to the
hospital.In the past six months, I have been emaciated, tired,
sweating, good appetite, poor sleep and high blood
pressure.Physical examination: T 37.2°C, P 90 times/min, BP
140/70mmHg, skin sweating, no vascular murmur in neck, normal
lungs, heart boundary No, arrhythmia, hand fibrillation (±).Ecg
showed that the ventricular rate was 136 beats/min, P wave
disappeared, and the morphology was unequal F Wave, QRS time limit
0.08 ", spacing is not equal.
The patient's most likely diagnosis is()
A paroxysmal supraventricular tachycardia
B frequent atrial premature contractions
C paroxysmal atrial fibrillation
D Paroxysmal atrial flutter
A 48-year-old male worker, in the past three days, often felt
chest tightness and chest pain on the way to work by bicycle,which
could be relieved after getting off the bike and taking a rest. He
went to the health clinic of the factory to see a doctor. Chest
X-ray and electrocardiogram showed no abnormal findings.
A oral analgesics
B Electrocardiogram load test
C Echocardiography
D Limit physical labor
One week later, when I was watching TV at home in the evening,
my chest pain suddenly increased, accompanied by excessive sweating
and cold limbs, so I was hospitalized immediately. The ecg showed
that STV1-V3 was raised more than 30mV.()
A Acute pericarditis
B Variant angina
C Acute myocardial infarction
D Stable angina
A month later, the patient recovered and was discharged from the
hospital. Since then, the wife has been to the hospital several
times to consult the doctor about her condition. The doctor advised
which of the following would be most appropriate:()
A Can smoke A little
B can drink A little beer
C actively participate in running and other sports
D Long-term use of small amounts of anticoagulan
(Hypothetical information) If the patient has had irregular
fever (T37.5-39 degrees Celsius), pallor, fatigue, hemiplegia,
aphasia, and grade 3/6 systolic murmurs in the apical region for
the last 1 month, the most likely diagnosis is:()
A rheumatic activity
B pulmonary infection
C pyelonephritis
D Infective endocarditis
A 68-year-old man was admitted to the hospital with shortness of
breath, palpitations, right upper abdominal pain and lower
extremity edema for 2 weeks. He was diagnosed as dilated
cardiomyopathy with heart failure.
After hospitalization, digitalis was used for treatment, and
digitalis poisoning occurred. Besides digitalis withdrawal, which
ecg manifestations need immediate treatment?()
A grade I ATrioventricular block
B non-paroxysmal ventricular tachycardia
C Sinus bradycardia, heart rate 54 beats/min
D Paroxysmal ventricular tachycardia
A male, 65 years old, nearly a month from time to time when
fatigue chest pain attack.Admitted an hour ago with post-sternum
crush pain, dyspnea, sweating, nausea and vomiting.Blood pressure
is 90/75 MMHG.Double lung scattered rales, heart rate 108
times/min, can hear the third heart sound.
The fastest and most helpful test is()
A Chest radiography
B Electrocardiogram
C Blood collection and serum enzyme test
D Coronary angiography
(Hypothesis information) If the patient suddenly loses
consciousness and convulses, the ELECTRO cardiogram shows that the
QRST wave completely disappear, and the wave group with different
shapes and sizes and uneven frequency of 350 minutes is replaced,
the preferred treatment is:()
A lidocaine
B sodium bicarbonate
C synchronized cardioversion
D asynchronized electrical cardioversion