Palpitations Case 1
A 32-year-old man presents having experienced a 2 hour episode of palpitations which he describes as fast and regular. During the episode he felt anxious but not otherwise unwell. He is not on any medication and denies recreational drug use. There is no significant family history, he smokes and works in a pub/nightclub.
Examination is normal at presentation.
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Question 1 of 6
1. Question
Which one of the following is the key initial investigation?
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Question 2 of 6
2. Question
What is the likely underlying diagnosis?
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Question 3 of 6
3. Question
List the two key abnormalities on the ECG above which indicate this?
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Question 4 of 6
4. Question
Which arrhythmia is the most likely cause of this patient’s palpitations?
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Question 5 of 6
5. Question
This patient requires admission for observation, investigation and control of symptoms; is this true or false?
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Question 6 of 6
6. Question
You decide to discharge the patient with cardiology follow-up for further investigation.
What 3 pieces of advice would you give the patient on discharge?
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