1. Arrange students into groups. Each group needs at least ONE person who has a mobile device.
2. If their phone camera doesn't automatically detect and decode QR codes, ask students to
4. Cut them out and place them around your class / school.
1. Give each group a clipboard and a piece of paper so they can write down the decoded questions and their answers to them.
2. Explain to the students that the codes are hidden around the school. Each team will get ONE point for each question they correctly decode and copy down onto their sheet, and a further TWO points if they can then provide the correct answer and write this down underneath the question.
3. Away they go! The winner is the first team to return with the most correct answers in the time available. This could be within a lesson, or during a lunchbreak, or even over several days!
4. A detailed case study in how to set up a successful QR Scavenger Hunt using this tool can be found here.
Question | Answer |
1. Q1. Sudden onset of retrosternal chest pain exacerbated by inspiration, activity, and supine position; and relieved by leaning forward or sitting up; pericardial friction rub; tachycardia and tachypnea; low grade fever are all signs of what? | Pericarditis | 2. Q2. Jugular venous distention, hypotension, and muffled or distant heart sounds are commonly referred to as this triad. | Becks Triad | 3. Q3. Sudden onset of tearing, ripping pain to chest, shoulders, flank, or back not relieved by analgesics; difference of 20mmHg in systolic blood pressure between arms; potentially stroke-like symptoms, Horner’s Syndrome, or loss of distal pulses, lower extremity weakness, and decreased urinary output are signs and symptoms of what life-threatening emergency? | Aortic dissection | 4. Q4. Cardiac medications such as Sotalol or Procainamide, antibiotics such as Erythromycin, Levofloxacin, and Ciprofloxacin, and psychiatric medications such as Haldol, Lithium, and tricyclic antidepressants (ex. Elavil, Tofranil) can all cause what EKG changes? | Prolonged QT interval | 5. Q5. What medication will be ineffective for bradycardia caused by high-degree heart block or heart transplant? | Atropine | 6. Q6. Pericardial tamponade causes which type of shock? | Obstructive shock | 7. Q7. What is the most common cause of pediatric cardiac arrest? | Respiratory arrest | 8. Q8. This disorder causes pallor of the digits, ears, or nose, and is more common in women, especially those with Lupus and scleroderma. | Raynaud’s disease | 9. Q9. Fever, pleuritic chest pain, new onset heart murmur, Janeway lesions, and Roth spots, especially in drug users or those with tattoos or piercings, are signs and symptoms of what disorder? | Endocarditis | 10. Q10. Peaked T waves are indicative of which metabolic disorder? | Hyperkalemia | 11. Q11. What are the shockable cardiac rhythms? | Ventricular tachycardia and ventricular fibrillation | 12. Q12. Connective tissue diseases such as Marfan’s Syndrome and Ehlers Danlos make a patient more susceptible to what cardiac emergency? | Aortic dissection | 13. Q13. What is the goal from door to needle when a patient requires percutaneous catheterization intervention (PCI)? | 90 minutes | 14. Q14. What are the missing H’s and T’s from this list: Hypovolemia, Hypoxemia, _________, Hyper- or Hypokalemia, ________, Toxins, ________, Tension pneumothorax, _________, and Thrombosis? | Hydrogen ions, hypothermia, trauma, tamponade | 15. Q15. Post cardiac arrest, what is the goal for targeted temperature management? ______ degrees for at least ______ hours. | 32-36C/89.6-95F; 24 hours | 16. Q16. What heart block does this describe: consistent R to R intervals, consistent P to P intervals, but there is not an association between the P wave and the QRS? | 3rd Degree Heart Block | 17. Q17. What heart block does this describe: prolonged PR interval (>0.20 sec), consistent PR and R to R intervals? | First degree heart block | 18. Q18. Diffuse ST segment elevation in most leads without reciprocal changes could be indicative of what? | Pericarditis | 19. Q19. Which of the following characterizes chronic arterial insufficiency of the lower extremities: a. pitting edema; b. bounding pedal pulses; c. dilated tortuous veins; or d. intermittent claudication? | D. Intermittent claudication | 20. Q20. A patient arrives in the emergency department with complaints of sudden onset of chest pain and shortness of breath. The EKG reveals a normal sinus rhythm with ST-segment elevation in leads V2, V3, and V4. What area of the heart has sustained injury? | Anterior | 21. Q21. Which cardiac syndrome displays T-wave changes plus a history of anginal chest pain without serum marker abnormalities? | Wellens’ Syndrome | 22. Q22. Of the following labs, if elevated, which supports the diagnosis of congestive heart failure: lactic acid, troponin, B-type natriuretic peptide (BNP), or creatine kinase (CK)? | B-type natriuretic peptide | 23. Q23. In right ventricular myocardial infarction (RVMI), right ventricular dilation and decreased contractility lead to what complication, especially in if nitrates are administered? | Decreased preload and cardiac output | 24. Q24. Which medication would be indicated for an emergency department patient with a plasma digoxin (Lanoxin) level of 5.2ng/mL? | Digoxin immune fab (Digibind) | 25. Q25. A patient presents with a chief complaint of chest palpitations and shortness of breath. The cardiac monitor displays a narrow-complex rhythm with visible P waves and regular R to R intervals at a a rate of 170 beats per minute. What is the cardiac rhythm? | SVT | 26. Q26. A 4-month-old infant presents to the ED for irritability and poor feeding. The infant is lethargic and has circumoral cyanosis. Capillary refill is 4 to 5 seconds. The EKG shows a regular, narrow-complex rhythm with a rate of 230 beats per minute. Is it more appropriate to: a. insert an IO needle and administer adenosine at 0.1mg/kg, or b. estimate the infant’s weight using a length-based system and perform immediate synchronized cardioversion at 0.5 joules/kg? | B. estimate the infant’s weight using a length-based system and perform immediate synchronized cardioversion at 0.5 joules/kg | 27. Q27. This laboratory test is used to evaluate for the presence of clots in the body; if it is negative (level is within normal limits), the patient is not suffering from a pulmonary embolism. | D-dimer | 28. Q28. Will heart transplant patients experience chest pain during an acute myocardial infarction? Yes or no? | No – the pain receptors are interrupted during transplantation | 29. Q29. Transcutaneous pacing has been initiated at a rate of 70 bpeats per minute for a patient in a complete heart block. The nurse notes there is a wide-complex beat after each pacer spike. How does the nurse know that the patient is being successfully paced? | There is mechanical capture, a palpable central pulse at 70 beats/minute | 30. Q30. What syndrome is characterized by a shortened PR interval and widened QRS complex with a delta wave? | Wolff-Parkinson-White (WPW) |
Question 1 (of 30)
Question 2 (of 30)
Question 3 (of 30)
Question 4 (of 30)
Question 5 (of 30)
Question 6 (of 30)
Question 7 (of 30)
Question 8 (of 30)
Question 9 (of 30)
Question 10 (of 30)
Question 11 (of 30)
Question 12 (of 30)
Question 13 (of 30)
Question 14 (of 30)
Question 15 (of 30)
Question 16 (of 30)
Question 17 (of 30)
Question 18 (of 30)
Question 19 (of 30)
Question 20 (of 30)
Question 21 (of 30)
Question 22 (of 30)
Question 23 (of 30)
Question 24 (of 30)
Question 25 (of 30)
Question 26 (of 30)
Question 27 (of 30)
Question 28 (of 30)
Question 29 (of 30)
Question 30 (of 30)