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Ecg Test

This document contains 20 multiple choice questions about ECG interpretations. The questions assess the ability to identify cardiac rhythms, conduction abnormalities, myocardial infarctions, and other cardiac pathologies based on ECG tracings. Answer options are provided for each question. The questions cover a range of topics including identifying rhythms in patients of different ages presenting with various symptoms such as swelling, seizures, chest pain and palpitations. Conduction abnormalities, myocardial infarctions, effects of drugs and diseases are also assessed.

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Em Kay
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40 views

Ecg Test

This document contains 20 multiple choice questions about ECG interpretations. The questions assess the ability to identify cardiac rhythms, conduction abnormalities, myocardial infarctions, and other cardiac pathologies based on ECG tracings. Answer options are provided for each question. The questions cover a range of topics including identifying rhythms in patients of different ages presenting with various symptoms such as swelling, seizures, chest pain and palpitations. Conduction abnormalities, myocardial infarctions, effects of drugs and diseases are also assessed.

Uploaded by

Em Kay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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ECG Examples

Q)1 What is the rhythm in this 70 year old man with swelling of the ankles?  *
a)    Multifocal atrial tachycardia
b)    Wandering atrial pacemaker
c)    Atrial fibrillation
d)    Atrial flutter
e)    Sinus arrhythmia with tremor artefact
Q2) A 21-year-old man presents to the Emergency Department after having a witnessed
seizure. All of the following statements about this ECG are true EXCEPT:
a)    The QRS axis is within normal limits
b)    The rhythm is sinus
c)    There is normal progression of the ‘R’ wave across chest leads
d)    There is no evidence of left ventricular hypertrophy
e)    There is a complete right bundle branch block
Q3) ECG diagnosis is sinus rhythm with what conduction abnormality?  
a)    Complete right bundle branch block
b)    Complete left bundle branch block
c)    Wolff-Parkinson-White pre-excitation (right-sided bypass tract)
d)    Left anterior fascicular block
e)    Left posterior fascicular block
Q4) 80 year-old man presented to emergency department complaining of fatigue and
shortness of breath? What is the rhythm?  
a)    Sinus tachycardia
b)    Atrial tachycardia
c)    AV nodal reentrant tachycardia (AVNRT)
d)    Atrial flutter with 2:1 conduction
e)    Atrial fibrillation
Q5) What is the mechanism of the bradycardia in this 61-year-old man. 
a)    Sinus bradycardia with left bundle branch block (LBBB)
b)    Sinus rhythm with 2:1 AV block and LBBB
c)    Sinus rhythm with complete (third degree) AV heart block
d)    Atrial tachycardia with block
e)    Idioventricular escape rhythm
Q6) 21 year-old female seen in the emergency department with complaints of chest pain
and shortness of breath. What does this ECG show?  
a)    Right atrial abnormality
b)    Left ventricular hypertrophy (LVH)
c)    Left atrial abnormality (LAA)
d)    No abnormality
e)    Right ventricular hypertrophy
Q7) What is the cardiac rhythm?  
a)    Sinus with a single premature ventricular complex
b)    Sinus with SA exit block
c)    Sinus with A-V Wenckebach
d)    Sinus with a single premature atrial complex
e)    Respiratory sinus arrhythmia
Q8) What is the rhythm in this 68 year-old female?  
a)    Multifocal atrial tachycardia
b)    Wandering atrial pacemaker
c)    Atrial fibrillation with rapid ventricular response
d)    Atrial flutter with rapid ventricular response
e)    Sinus arrhythmia with tremor artefact
Q9) The ECG from this 81-yr-old woman shows which of the following?  

a)    Sinus rhythm with Mobitz I second degree (Wenckebach) AV block

b)    Sinus rhythm with Mobitz II AV block

c)    Sinus rhythm with no AV dissociation

Sinus rhythm with third degree (complete) AV block and a junctional


d)   
escape pacemaker

e)    Atrial tachycardia with complete heart block


Q10) 66 year old woman presents with chest pain. The ECG is consistent with which ONE of
the following diagnoses?  
a)    Acute pericarditis
b)    Acute ST elevation inferior (and possibly posterior) MI
Acute anterior ST depression MI with reciprocal inferior ST
c)   
elevation
d)    Brugada pattern
e)    Benign early repolarization
Q11) A middle-aged woman with recent onset palpitations. This arrhythmia is most
consistent with which endocrine disorder? 
a)    Hyperthyroidism
b)    Hypothyroidism
c)    Hyperparathyroidism
d)    Addison's disease
e)    Cushing's disease
Q12) ECG from an elderly man with a rapid heartbeat. What is the diagnosis?
a)    Coarse atrial fibrillation with a regularized response
b)    Atrial flutter with 2:1 AV conduction (block)
c)    AV nodal reentrant tachycardia (AVNRT)
d)    Sinus tachycardia
e)    Focal left atrial tachycardia
Q13) Middle-aged woman with altered mental status and suspected drug overdose. What
is the rhythm?
a)    Normal sinus rhythm
b)    Atrial flutter
c)    Atrial fibrillation with a regularized ventricular response
d)    Atrial fibrillation/flutter
e)    Atrial tachycardia with block
Q14) Elderly woman with known coronary artery disease, status post bypass surgery, is
admitted for chest pain. What is the major diagnosis? 
a)    Acute pulmonary embolism
b)    Acute pericarditis
c)    Brugada syndrome
d)    Acute anterolateral ST elevation MI
e)    Acute inferior ST depression MI
Q15) Why is this young cocaine abuser in the emergency department ?

a) Evolving antero-septal myocardial infarction


b) Left ventricular hypertrophy
c) Ventricular Tachycardia
d) Inferior myocardial infarction
e) Complete heart block
Q16) 85-year-old male without symptoms and on no pertinent cardiac medications. What
is the rhythm here?
a)    Atrial tachycardia with AV block
b)    Sinus bradycardia (marked) conistent with sick sinus syndrome
c)    Sinus rhythm with 2:1 AV block
d)    Sinus rhythm with complete (third degree) AV block
e)    Sinus rhythm with 3:2 AV Wenckebach
Q17) 54 year-old male status post mitral valve replacement with complaint of
palpitations. What is the rhythm?  
a)    Sinus tachycardia
Paroxysmal supraventricular tachycardia (PSVT), probable
b)   
atrial tachycardia
c)    Atrial flutter
d)    Multifocal atrial tachycardia (MAT)
e)    Atrial fibrillation (AF)
Q18) Young adult male with palpitations and syncope. The diagnosis is: 
a)    Left ventricular hypertrophy
b)    Biventricular hypertrophy
c)    Duchenne's muscular dystrophy
d)    Inferior-posterior myocardial infarction
e)    Wolff-Parkinson-White syndrome
Q19) What does this ECG show?
a)    Anterior myocardial infarct
b)    Right bundle branch block
c)    Left bundle branch block
d)    Inferior myocardial infarct
e)    Wolff-Parkinson-White syndrome
 Q20) What is the Heart Rate ?
a)    30 bpm
b)    60 bpm
c)    75 bpm
d)    100 bpm
e)    150 bpm
Dr Nick Robinson
07973 437009
ANGINA

Latin: angina
‘infection of the throat’

Greek: ankhone
‘strangling’
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Coronary Anatomy- Segments
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n

Monoclonal antibody inactivating


proprotein convertase subtilisin–kexin type 9 (PCSK9)

Increases LDL receptor expression


Lowers LDL
Subcutaeous injection. Monthly

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Dr Nick Robinson
07973 437009

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