« ECG Clinical case quizz:Tétralogie de Fallot » : différence entre les versions
Merge sandbox: quizz |
m Merge sandbox: regenerate JSON |
||
| Ligne 1 : | Ligne 1 : | ||
{ | { | ||
"ecc_id": "2405", | |||
"eccq_base": "Entrainement", | |||
"ebt_id": "338", | |||
"eccq_difficulte": "1", | |||
"eccq_contexte": "Patient de 28 ans opéré d'une cardiopathie congénitale dans l'enfance. ECG après ablation de flutter.", | |||
"eccq_remarque": "", | |||
"eccq_admin_note": "", | |||
"clinical_exams": [ | |||
{ | |||
"ecg_id": "455", | |||
"ecg_comment": "", | |||
"ecg_speed": "25", | |||
"ecg_gain": "10", | |||
"ecg_quality": "4", | |||
"ecg_type": "ECG standard", | |||
"pages": [ | |||
{ | |||
"ep_id": "462", | |||
"ep_filename": "48ranuqfk8c.webp", | |||
"ep_pixels_cm": "129.263", | |||
"ep_caliper_color": "#00008b", | |||
"eccqp_svg_correction": "<defs><marker id=\"arrow-black-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-black-reverse-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"black\"></path></marker><marker id=\"arrow-red-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-red-reverse-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"red\"></path></marker><marker id=\"arrow-green-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-green-reverse-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"green\"></path></marker><marker id=\"arrow-blue-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"5\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 0 0 L 6 3 L 0 6 z\" fill=\"blue\"></path></marker><marker id=\"arrow-blue-reverse-340hnw\" markerWidth=\"6\" markerHeight=\"6\" refX=\"1\" refY=\"3\" orient=\"auto\" markerUnits=\"strokeWidth\"><path d=\"M 6 0 L 0 3 L 6 6 z\" fill=\"blue\"></path></marker></defs><text x=\"352.3196448390677\" y=\"29.43891970033299\" fill=\"rgb(0, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Tétralogie de Fallot</text><ellipse cx=\"610.3085460599334\" cy=\"53.984461709211985\" rx=\"32.95893451720315\" ry=\"47.165371809101\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><ellipse cx=\"617.1276359600445\" cy=\"196.0488346281909\" rx=\"36.368479467258624\" ry=\"71.03218645948947\" fill=\"none\" stroke=\"red\" stroke-width=\"2\" transform=\"scale(0.8798828125)\"></ellipse><text x=\"531.889012208657\" y=\"288.5643359045505\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Hypertrophie VD</text><text x=\"512.5682574916759\" y=\"315.84069550499436\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">Bloc de branche droit</text><line x1=\"176.15982241953387\" y1=\"187.52497225305214\" x2=\"204.57269700332964\" y2=\"186.3884572697003\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-340hnw)\" marker-start=\"url(#arrow-red-reverse-340hnw)\" transform=\"scale(0.8798828125)\"></line><line x1=\"512.568257491676\" y1=\"138.65482796892343\" x2=\"553.482796892342\" y2=\"138.65482796892343\" stroke=\"red\" stroke-width=\"2\" marker-end=\"url(#arrow-red-340hnw)\" marker-start=\"url(#arrow-red-reverse-340hnw)\" transform=\"scale(0.8798828125)\"></line><text x=\"75.00998890122082\" y=\"116.95057341842384\" fill=\"rgb(255, 0, 0)\" font-size=\"24px\" transform=\"scale(0.8798828125)\">QRS plus larges dans les précordiales droites</text>" | |||
} | |||
], | |||
"quizzes": [ | |||
{ | |||
"eqz_id": "430", | |||
"ecg_id": "455", | |||
"emdl_id": "-1", | |||
"eqz_contexte": "D'après cet ECG, quelle et la cardiopathie sous-jacente ?", | |||
"emdl_name": null, | |||
"eqz_bareme": "1", | |||
"eqz_remarque": "Une tétralogie de Fallot ! En effet, on observe un bloc de branche droit avec franche hypertrophie ventriculaire droite. On observe aussi une largeur maximale des QRS dans les dérivations précordiales droites comme souvent constaté dans les tétralogie de Fallot. On observe parfois aussi une déviation axiale droite non retrouvée ici. Aucune autre anomalie proposée ne pourrait se présenter avec un ECG comme celui là. Dans l'anomalie d'Ebstein par exemple, on observe un bloc de branche droit très atypique, souvent fragmenté dans la partie terminale, et l'amplitude des QRS est faible dans les précordiales droites (diminution du VD fonctionnel).", | |||
"eqz_wait_previous": "0", | |||
"questions": [ | |||
{ | |||
"eqstl_id": "322", | |||
"eqstl_weight": "1", | |||
"eqstl_question": "Canal atrioventriculaire", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "323", | |||
"eqstl_weight": "2", | |||
"eqstl_question": "D-TGV avec switch atrial", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "324", | |||
"eqstl_weight": "3", | |||
"eqstl_question": "Tétralogie de Fallot", | |||
"eqstl_answer": { | |||
"correct": 1 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "325", | |||
"eqstl_weight": "4", | |||
"eqstl_question": "Anomalie d'Ebstein", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
}, | |||
{ | |||
"eqstl_id": "326", | |||
"eqstl_weight": "5", | |||
"eqstl_question": "Double discordance", | |||
"eqstl_answer": { | |||
"correct": 0 | |||
} | |||
} | |||
] | |||
} | |||
] | |||
} | |||
] | |||
} | } | ||