QuestionSBA
QuestionChoice
A beta blocker is not the correct treatment for Mobitz type II heart block.
10007590
e
Bisoprolol
QuestionChoice
This may be an option if the patient was presenting with a second STEMI within 12 hours of symptoms. However, this ECG shows a type of second degree heart block called Mobitz type II. Therefore, the most appropriate management would be to insert a pacemaker.
10007589
d
Percutaneous Coronary Intervention
QuestionChoice
This would be an appropriate treatment if the patient was presenting with a Type A aortic dissection. However, this patient has no clinical features of this, and their ECG shows a type of heart block known as Mobitz type II.
10007587
b
Aortic graft
QuestionChoice
This may be an option if the ECG was showing first-degree heart block. First-degree heart block can be identified on an ECG by finding a PR interval over 200ms. However, this patient demonstrates Mobitz type II  heart block, the treatment of which is with a permanent pacemaker as these patients are at risk of going into complete heart block
10007588
c
No treatment needed
QuestionChoice
This patient’s ECG describes a type of heart block called Mobitz type II. This is a type of second degree AV block where there are intermittent non-conducted P waves but the PR interval remains constant. It is commonly caused by a conduction system failure at the His-Purkinje system. The management of Mobitz type II is with a permanent pacemaker as these patients are at risk of going into complete heart block.
10007586
a
Pacemaker
Concept
Chapter
2693
3699
Heart Block
Topic
134
Cardiology
14064
A 77-year-old female is reviewed in cardiology clinic after suffering an anterior myocardial infarction two months ago. Her ECG shows intermittent non-conducted P waves with constant PR intervals.

Which of the following is the most appropriate management?
a