ECG Quiz

A 65 year old woman presents with chest pain radiating to her jaw and down her left arm for 20 minutes. She took GTN spray which partially relived her symptoms but they are still present. This is her ECG in the emergency department. What is the most likely diagnosis?

• STEMI

• Acute Pericarditis

• NSTEMI

• Pulmonary embolism

A middle aged male presented to ER with complain of chest heaviness. He is a known hypertensive. BP on arrival are 200/110 mmHg. This is the ECG done in ER. What are the findings in this ECG?

• Left Bundle branch block

• Diffuse ST depressions

• Diffuse ST elevations

• LVH with strain pattern

65 years male patient, known hypertensive and diabetic, presented to ER with an episode sweating and chest heaviness lasting for an hour yesterday, relieved by taking sublingual angised. This is the ECG done in ER. What are the findings in this ECG?

• Normal ECG

• Wellen's Sign

• De Winters sign

• Anterior wall MI

30-year-old female patient, known case of rheumatic heart disease, presented to ER with complain of shortness of breath. On examination a diastolic rumbling murmur is heard at the apex. This is ECG obtained. Which cardiac chamber is enlarged as per this ECG?

• Left Atrium

• Right Atrium

• Left Ventricle

• None of the above

56-year-old female known diabetic and hypertensive presented to ER with sudden onset central chest pain associated with diaphoresis. What is the ECG diagnosis?

• Inferior wall MI

• Posterior wall MI

• Lateral wall MI

• Antero-lateral wall MI

35-year-old male patient, known smoker, presented to ER with complain of central chest pain, dizziness and altered sensorium. This is the ECG performed. What is the diagnosis?

• Anterior wall MI

• Posterior wall MI

• Complete heart block

• Inferoposterior wall MI with complete heart block

60 years male, known case of ESRD-HDx dependent twice weekly, c/o: abdominal discomfort, vomiting and ALOC (Confusion), following is his ECG. What is underlying abnormality?

• Anterior wall MI

• Hyperkalemia

• Hypokalemia

• Hypocalcemia

• Hypomagnesemia

26-year-old female patient, known case of disseminated tuberculosis, presented to ER with complain of progressively worsening shortness of breath for last 3 days. On examination, heart sounds are muffled, JVP is raised, BP is 80/40mmHg. This is the ECG performed. What is the most likely diagnosis?

• Cardiac Tamponade

• Acute respiratory decompensation

• Inferior wall MI

• Atrial Fibrillation

55 year old male patient, k/c IHD, presented to ER with c/o palpitations, shortness of breath, dizziness for 30 minutes. What is the likely diagnosis on the basis of ECG?

• Atrioventricular nodal reentrant Tachycardia

• Ventricular Tachycardia

• Atrial Fibrillation

• Ventricular Fibriilation

60 year old male patient, presented to ER with sudden loss of consciousness, BP and pulse were not recordable. What is the likely rhythm abnormality?

• Ventricular Tachycardia

• Ventricular Fibrillation

• Atrial Fibrillation

• Complete heart block