[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-446015-105":59,"doc-detail-446015-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","sample-case-electrocardiogram-ecg","SAMPLE CASE - Electrocardiogram (ECG)","","Sample Cases provides three practice case examples for the Electrocardiogram (ECG), echocardiogram, and coronary angiogram components of the Cardiovascular Disease Certification Examination. It explains how the exam uses fixed answer option lists and scoring based on selecting clinically significant findings shown on the provided images. Guidance covers reviewing the option lists before the timed exam, interpreting cases as in everyday practice, and understanding rules for valid selections, conflicting codes, and how gray-area findings are handled via the answer key. Correct answers are referenced on pages 7–9.",{"@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":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/sample-case-electrocardiogram-ecg/446015/",{"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/sample-case-electrocardiogram-ecg/446015.png","ImageObject",300,407,{"name":92,"@type":93},"Rizky","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How is the ECG, echocardiogram, or angiogram part scored in these sample cases?","Question",{"text":112,"@type":113},"Scoring depends on selecting the option(s) that correctly describe the findings that are apparent and clinically significant on the images. Selections can become incorrect if they lead to an incorrect interpretation or include conflicting answers.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What should test-takers do before starting the timed exam?",{"text":117,"@type":113},"Familiarize themselves with the answer option lists before the timed section. The document recommends reading the full sample cases and completing the online tutorial to gain full familiarity with the exact same lists used on exam day.",{"name":119,"@type":110,"acceptedAnswer":120},"Why might a single clinical diagnosis not be possible from the images alone?",{"text":121,"@type":113},"The instructions note that a clinical diagnosis often requires additional clinical data beyond what is shown on the image(s). The exam focuses on identifying findings that are clearly visible and clinically important rather than minor or unimportant details.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},446015,1791095933,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","This Sample Cases document contains three examples of cases on the Electrocardiogram (ECG) and Imaging Studies component of the Cardiovascular Disease Certification Examination. The first is an ECG case, the second is an echocardiogram case, and the third is a coronary angiogram case. Correct answers for these sample cases are discussed on pages 7-9.  \nPlease read these instructions carefully. It is crucial to perform well on this exam.  \nInstructions  \n1. It is very important to understand ahead of time how this part of the exam works, because this portion of the exam is not given as a typical multiple-choice exam. Instead, you will be asked to score your answers on an ECG, Echocardiogram, or Angiogram answer options list, representing a comprehensive list of findings that may be obtained on an ECG, an echocardiogram, or an angiogram. The answer options lists used in this Sample Cases document and in the tutorial are exactly the same lists you will use on the exam.  \n2. Familiarize yourself with the answer option lists BEFORE starting the timed exam. Although you have time allotted on test day before starting the timed section, it is highly recommended that you familiarize yourself with the answer option lists before test day by reading this entire document and by taking the online tutorial.  \n3. Each case has a patient description at the top of the answer option list and associated image(s) . For each case, your focus should be to identify and select on the answer options list the findings that are apparent to you and are significant to patient management.  \n4. Interpret the images as you would in everyday practice. The one-line summary of the case often includes important context, so be sure to read it.  \n5. As in real life, a clinical diagnosis frequently is not possible without additional clinical data. You should focus on identifying those findings that are well shown on the image(s) and that you consider clinically important. The exam is not an exercise in identifying minutiae or clinically unimportant details; rather, it is an exercise in identifying those findings that are clearly apparent and significant to patient management.  \n6. Correct answers for some cases will include options from several sections; within a section, it may be appropriate to select more than one option. However, a selection of options from all sections is not required for each case. Your score for each case depends on selection of the option(s) that correctly describe(s) the findings. A correct selection may be invalidated by 1) selecting options that could lead to an incorrect interpretation, or 2) coding for conflicting answers. For example, if you code sinus rhythm and atrial fibrillation for the same ECG, you will get the point wrong even if the ECG shows atrial fibrillation.  \n7. If there is gray area or redundancy in answer possibilities, then the exam committee will have set the answer key to accept the possibilities on either side of the gray area. For example, an echocardiogram showing LV dilation and severely reduced EF will likely give full credit for a combination of (“enlarged LV” AND “severely reduced EF”) or simply “dilated cardiomyopathy.”If you code for all three you of course also get credit.  \n8. For the ECGs, it is true that an ECG alone is often inadequate to make a clinical disorder diagnosis with certainty. For the listed Clinical Disorders on the answer key, choosing one is equivalent to writing on the ECG to “Consider” this clinical diagnosis.  \nNote: This document contains only still-frame images; however, the actual Imaging Studies component of the exam and the Exam Tutorial contain moving images. In addition, the answer options in this document are not selectable. The online tutorial will have full functionality that will be similar to what you will see on the actual exam. It is recommended that you go through the online tutorial and practice with the actual answer option lists.  \nCopyright and Examination Non-Disclosure Policy ","cbCaiqGrLEc92GGc","https://ap.wps.com/l/cbCaiqGrLEc92GGc","pdf",1902924,"English","# Instructions\n## Sample cases overview\n## Exam format and scoring rules\n## Answer option lists and selection strategy\n## Clinical interpretation focus\n# Copyright and non-disclosure policy\n## Confidentiality of ABIM materials\n## Restrictions on copying and disclosure\n# Sample case - Electrocardiogram (ECG)\n## Purpose of the ECG section\n## Structure of answer options","[{\"question\":\"How is the ECG, echocardiogram, or angiogram part scored in these sample cases?\",\"answer\":\"Scoring depends on selecting the option(s) that correctly describe the findings that are apparent and clinically significant on the images. Selections can become incorrect if they lead to an incorrect interpretation or include conflicting answers.\"},{\"question\":\"What should test-takers do before starting the timed exam?\",\"answer\":\"Familiarize themselves with the answer option lists before the timed section. The document recommends reading the full sample cases and completing the online tutorial to gain full familiarity with the exact same lists used on exam day.\"},{\"question\":\"Why might a single clinical diagnosis not be possible from the images alone?\",\"answer\":\"The instructions note that a clinical diagnosis often requires additional clinical data beyond what is shown on the image(s). The exam focuses on identifying findings that are clearly visible and clinically important rather than minor or unimportant details.\"}]","SAMPLE CASE - Electrocardiogram (ECG) | PDF",1790713680,23]