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DR. JONES ECG CARDIO EXAM 4

Total questions: 36

Worksheet time: 18mins

Name
Class
Date
1.

What does ST-elevation suggest?

a)

Second degree heart block

 

 

 

b)

Myocardial infarction

c)

Bundle branch block

d)

Long QT syndrome

2.

Which of the following is a common cause of right axis deviation?

a)

Right ventricular MI

 

b)

Atrial fibrillation

c)

Left ventricular hypertrophy

d)

 

  Right ventricular hypertrophy

3.

An ECG is performed and reveals normal PR interval and dropping of QRS complexes at regular intervals. Which of the following is the most likely diagnosis?

a)

First-degree heart block

 

 

 

b)

Hyperkalemia

c)

Second-degree heart block

d)

Third-degree heart block

4.

What is the most likely rhythm in the following ECG trace? (hint: calculate R-R rate)

a)

PVC

 

 

 

b)

Sinus tachycardia

c)

Atrial fibrillation

d)

Atrial flutter

5.

What is the finding/condition on this ECG trace?

a)

Second-degree heart block

b)

Hypokalemia

c)

Hypocalcemia

d)

  Bundle branch block

6.

Apart from ventricular tachycardia, what is an important cause of wide QRS complexes?

a)

Atrial flutter

 

 

 

b)

Hypokalemia

c)

Bundle branch block

d)

AV nodal reentrant tachycardia

7.

What rhythm is present on the patient ECG trace?

a)

Second degree heart block

 

 

 

b)

First degree heart block

c)

Sinus rhythm

d)

STEMI

8.

What rhythm is present on the ECG below?

a)

Non-STEMI

 

 

 

b)

Atrial fibrillation

c)

Complete heart block

d)

Atrial flutter with 4:1 transmission

9.

Where does the following rhythm likely originate from?

a)

AV node

 

 

 

b)

Atria

c)

Ventricle

d)

SA node

10.

What rhythm is likely present on the following ECG trace?

a)

Second degree heart block

 

 

 

b)

Complete (third-degree) heart bloc

c)

Long QT syndrome

d)

Sinus tachycardia

11.

Which of following is most consistent with the ECG trace below?

a)

Severe MI several 2 days ago

 

 

 

b)

Current angina event

c)

Severe MI several minutes ago

d)

Myocardial infarction (MI) several weeks ago

12.

What electrical pathology is most likely responsible for the trace anomaly observe at the red arrow?

a)

Torsades de pointes

 

 

b)

PVC

c)

  Ventricular fibrillation

d)

Bundle branch block

13.

Which of the following could cause the ECG recording in the patient (choose all that apply)?

a)

Ectopic ventricular foci firing

 

 

 

 

b)

Hypomagnesemia (ECF)

c)

Pharmacological administration of a K+ channels blocker

d)

Hypercalcemia

e)

Reactivation of ventricular muscle Na+ channels

14.
a)

Supraventricular Tachycardia

b)

Atrial flutter

c)

Atrial Fibrillation

15.
a)

Atrial Flutter

b)

Supraventricular Tachycardia

c)

Atrial Fibrillation

16.
a)

Atrial fibrillation

b)

Atrial flutter

c)

Supraventricular Tachycradia

17.
a)

first degree block

b)

normal sinus rhythm

c)

second degree block

d)

third degree block

18.
a)

second degree block

b)

normal sinus rhythm

c)

first degree block

d)

third degree block

19.
a)

normal sinus rythm

b)

first degree block

c)

second degree block

d)

third degree block

20.
a)

normal sinus rythm

b)

first degree block

c)

second degree block

d)

third degree block

21.

What electrical pathology is most likely responsible for the trace anomaly observe at this image?

a)

bundle branch block

b)

premature ventricular contractions

c)

ventricular tachycardia

d)

long QT syndrome

22.

What electrical pathology is most likely responsible for the trace anomaly observe at this image?

a)

ventricular tachycardia

b)

ventricular fibrillation

c)

premature ventricular contractions

d)

long QT syndrome

23.

What electrical pathology is most likely responsible for the trace anomaly observe at this image?

a)

ventricular fibrillation

b)

long QT syndrome

c)

ventricular tachycardia

d)

premature ventricular contractions

24.

What electrical pathology is most likely responsible for the trace anomaly observe at this image?

a)

ventricular tachycardia

b)

premature ventricular contractions

c)

ventricular fibrillation

d)

long QT syndrome

25.

Which of the following will reentry and ectopic, much higher rate, P-waves not discernible?

a)

atrial flutter

b)

sinus tachycardia

c)

atrial fibrillation

26.

In which of the following SA node discharge at faster rate?

a)

atrial flutter

b)

sinus tachycardia

c)

atrial fibrillation

27.

In which of the following reentry typically the cause, not all conduct to AV node because of refractory period in AV node?

a)

sinus tachycardia

b)

atrial flutter

c)

atrial fibrillation

28.

No signals transmitted through AV node, other ventricular areas assume pacing role, P-waves and QRS are independent of each other.

 

a)

first degree block

b)

second degree block

c)

third degree block

29.

Slowed conduction through AV node

a)

first degree block

b)

second degree block

c)

third degree block

30.

Some but not all signals transmitted to through AV node (2:1, 3:1, 4:1)

a)

First degree block

b)

Second degree block

c)

Third degree block

31.

In which of the following we are going to see widened QRS, typically with a double R?

a)

bundle branch block

b)

premature ventricular contractions

c)

ventricular tachycardia

d)

long QT syndrome

32.

In which of the following we are going to see large amplitude, long duration deflections due to abnormal depolarization, followed by compensatory pause (missed beat)?

a)

ventricular tachycardia

b)

premature ventricular contractions

c)

long QT syndrome

d)

bundle branch block

33.

In which of the following we are going to see a prolonged repolarization (lengthening of plateau)?

a)

bundle branch block

b)

long QT syndrome

c)

premature ventricular contractions

d)

ventricular tachycardia

34.

Understand and Practice!!!

a)

Yes

b)

No

35.

Know this!

a)

Yes

b)

No

36.

Know this!

a)

Yes

b)

No