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The page instructs participants to provide full ECG interpretation and diagnosis rather than mere visual description, to interpret the ECG clinically, and to consider underlying conditions when suspected. Each scenario assigns point-based credit for specific diagnostic elements (e.g., rhythm identification, conduction blocks, ischemia patterns, T-wave changes) and assumes a cath lab is not immediately available.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/14th-annual-umem-residency-ecg-competition-sample-ecg-interpretation-practice-may-6-2026/657672/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/14th-annual-umem-residency-ecg-competition-sample-ecg-interpretation-practice-may-6-2026/657672.png","ImageObject",300,407,{"name":92,"@type":93},"Lucas Martin","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-10-26",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does the competition expect for a “FULL ECG diagnosis”?","Question",{"text":112,"@type":113},"Provide a complete clinical interpretation that includes the full diagnosis. Do not only describe what you see on the ECG; interpret the findings and state conditions you think are underlying (e.g., diffuse ischemia or a specific syndrome if suspected).","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How should participants handle the point system across multi-part diagnoses?",{"text":117,"@type":113},"Do not assume points equal the number of items to list. 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(circle one)  \nEM EM/Peds EM/IM EM/IM/CC  \nWhat is your PG year? (1-5)    \nPLEASE READ THIS PAGE BEFORE BEGINNING!  \nIn some of the following questions, I’ll ask you for a FULL ECG interpretation/diagnosis. Here’s what I am asking for:  \nSAMPLE QUESTION: A 58 yo M presents with chest pain and the ECG noted below.  \nWhat is the FULL ECG diagnosis? (5 points)  \nAnswer:  \nSinus tachycardia, complete heart block, junctional escape rhythm, RBBB, diffuse ischemia  \nIn this example, I would give you 1 point for identifying the atrial rhythm (ST), one point for identifying CHB, 1 point for identifying that there is a junctional escape, 1 point for identifying the RBBB, and one point for noting the ischemia (ST depression in multiple leads) . In other words...  \nbe complete in your interpretation!  \nBe sure that you don’t just describe what you see....interpret the ECG! For example, I don’t want you to say “ST depression in   leads.” I want you to say “diffuse ischemia.”  \nAlso, in your interpretation, if you think there’s an underlying issue, say it.  \nFor example, if you think the underlying dx is hyperK, or TCA OD, or Brugada, etc., say it.  \nDon’t assume that points correlate with the number of things I am looking for. For example, if something is worth 3 points, that does NOT mean there are 3 things you need to list! Points are allotted based on how important I think something is.  \nAlso, for all of the questions below, please assume that a cath lab is not immediately available to you.  \n1. A 75 yo M presents after an episode of near-syncope. His BP is 110/65 . He is awake and alert. What is the FULL ECG diagnosis? (4 points)  \n2. A 36 yo M presents with gradual progression of dyspnea on exertion, palpitations, and lower extremity (LE) edema over the past 2-3 weeks. He has a long history of exercise intolerance and intermittent atrial fibrillation.  \nWhat diagnosis is suggested by the ECG as the underlying cause of his symptoms? (2 points) What do you expect to find on his exam (aside from JVD & LE edema)? (2 points)  \n3. A 56 yo W presents w/chest tightness and dyspnea. BP is 125/75 . What is the FULL ECG diagnosis? (4 points)  \n4. A 35 yo M presents with vomiting and weakness. His BP is 105/58 .  \nWhat is the diagnosis? (2 points)  \nWhat is the most important therapy for this patient in the first hour? (2 points)  \n5. A 33 yo W presents with reproducible chest wall pain and clinically was considered to be lowrisk for ACS, but an ECG showed a T wave abnormality in leads V1-V3, seen below.  \nWhat is the diagnosis? (2 points)  \nName 4 other conditions that can produce T wave inversions in leads V1-V3 . (2 points)  \n6. A 65 yo M non-English-speaker presents to triage “not feeling well” and he looks sick. BP is 85/55 . An ECG is obtained in triage. People are trying to find the iPad translator for more hx… What is the most likely diagnosis? (2 points)  \nShortly after this ECG, the patient has a cardiac arrest. What is/are the most important medication(s) to call for? (2 points)  \n7. A 67 yo M presents with chest pain. BP is 105/65 .  \nWhat is the most likely diagnosis? (2 points)  \nAside from T wave inversions, what are 4 other ECG findings that are often found in this condition? (2 points)  \n8. A 34 yo M runner presents with vomiting and severe malaise after a tough cardio workout. BP is 110/65 .  \nWhat is the most likely diagnosis? (2 points)  \nWhat is the treatment? (2 points)  \n9. 56 yo W presents with chest pain. BP 89/55.  \nWhat is the FULL ECG diagnosis? (2 points)  \nBased on current U.S. (ACC) guidelines, identify which lead(s) is/are diagnostic for the condition you identified above. (2 points, but lose a point if you identify leads that are not diagnostic)  \n10. A 69 yo W presents with dyspnea and vomiting.  \nWhat is the diagnosis? (2 points)  \nFollowing this ECG, the patient had a cardiac arrest and died. What did the autopsy sh","cbCaicvGlwUVwyId","https://ap.wps.com/l/cbCaicvGlwUVwyId","pdf",1627777,"English","# Instructions\n## Full ECG interpretation requirements\n## Point-based scoring approach\n## Assumption: no immediate cath lab\n# Case Questions\n## Near-syncope with ECG diagnosis\n## Dyspnea, palpitations, edema and underlying cause\n## Chest tightness with dyspnea and ECG diagnosis\n## Vomiting and weakness: diagnosis and first-hour therapy\n## T-wave abnormality V1–V3: diagnosis and differential\n## Hypotension with impending arrest: most likely diagnosis and medications\n## Chest pain: likely diagnosis and additional ECG findings\n## Post-workout vomiting and malaise: diagnosis and treatment\n## Chest pain with shock: full ECG diagnosis and diagnostic leads\n## Dyspnea and vomiting with fatal arrest: diagnosis and autopsy findings\n# ECG Concepts and Criteria\n## Lead V6: early repolarization vs acute pericarditis and STEMI\n## Aslanger pattern criteria for acute coronary occlusion\n## T wave alternans definition and significance\n## Barcelona criteria for acute coronary occlusion with LBBB","[{\"question\":\"What does the competition expect for a “FULL ECG diagnosis”?\",\"answer\":\"Provide a complete clinical interpretation that includes the full diagnosis. Do not only describe what you see on the ECG; interpret the findings and state conditions you think are underlying (e.g., diffuse ischemia or a specific syndrome if suspected).\"},{\"question\":\"How should participants handle the point system across multi-part diagnoses?\",\"answer\":\"Do not assume points equal the number of items to list. Points are awarded based on the importance the question writer assigns to each diagnostic element.\"},{\"question\":\"What key assumption is stated for answering the questions?\",\"answer\":\"Assume a cath lab is not immediately available, so responses should fit that constraint.\"}]","14th Annual UMEM Residency ECG Competition - Sample ECG Interpretation Practice - May 6, 2026 | PDF"]