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Week 5

 

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Quiz 5 Context:

A 79-year-old woman is brought to the emergency room with a complaint of left arm weakness. Her family reports they noted the patient had difficulty moving her arm this morning when the patient awoke. Additionally they report the patient has had some confusion.

The patient’s medical history is significant for hypertension and hyperlipidemia.

The physical exam confirms hypertension, with blood pressure 150/76 mmHg. The patient has demonstrable hemiparesis and sensory disturbance of the left arm. The cardiac exam is abnormal. An EKG is obtained.

The EKG is shown to the right.

This is most consistent with which of the following?

  1. Atrial fibrillation
  2. Complete heart block
  3. Wolf-Parkinson-White Syndrome
  4. Normal sinus rhythm
  5. Wandering atrial pacemaker

 

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Copyright © 2000-2011 The Cleveland Clinic Foundation. All Rights Reserved.
Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195