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ECG quiz

Total questions: 20

Worksheet time: 7mins

Name
Class
Date
1.

Normal P wave is always positive in except

a)

Lead aVF

b)

Lead aVR

c)

Lead III

d)

Lead II

2.

Following are the features of Myocardial Ischemia except

a)

ST segment elevation

b)

Abnormality in U wave

c)

T wave inversion, deep and symmetrical

d)

Tall R wave

3.

Which coronary arteries are most likely occluded if there are ST-segment elevations in leads II, III, and aVF?

a)

 Left anterior descending artery

b)

Left Circumflex artery

c)

Right coronary artery

d)

Left main coronary artery

4.

In a patient with a suspected posterior MI, which additional ECG leads should be placed to confirm the diagnosis?

a)

V7, V8, V9

b)

V3R, V4R

c)

I, aVL

d)

V1, V2

5.

Following are the features of LBBB

a)

QRS duration ≥ 120ms

b)

Broad monophasic R wave in lateral leads (I, aVL, V5-6)

c)

Wide, slurred S wave in lateral leads (I, aVL, V5-6)

d)

RSR' pattern in V1-3 ("M-shaped" QRS complex)

6.

Which ECG finding is most characteristic of a Right bundle branch block (RBBB)

a)

Monophasic R wave in lead V1

b)

RSR' pattern in lead V1

c)

Wide S wave in leads V1-V3

d)

ST-segment elevation in leads I and aVL

7.

Which pharmacological treatment is indicated for symptomatic bradycardia in the context of hemodynamic instability?

a)

Beta-blockers

b)

Calcium channel blockers

c)

Atropine

d)

ACE inhibitors

8.

Given ECG belongs to which Degree of AV Block

a)

First-degree AV block

b)

Second-degree AV block

Mobitz type I

c)

Second-degree AV block

Mobitz type II

d)

Third-degree AV block

9.

Which of the following is a common feature of first-degree atrioventricular (AV) block on ECG?

a)

 PR interval less than 120 ms

b)

Dropped QRS complexes

c)

Variable PR intervals

d)

PR interval greater than 200 ms

10.

Decremental conduction is a property of

a)

Purkinje fibres

b)

AV node

c)

HIS bundle

d)

SA node

11.

Following are the features seen in KATZ WACHTEL PHENOMENON except

a)

Increased amplitude of QRS Complex

b)

Wide T wave

c)

Tall R wave

d)

Deep S wave

12.

Which of the following is a typical ECG finding in atrial fibrillation?

a)

Regularly spaced QRS complexes

b)

Absence of P waves

c)

PR interval greater than 200 ms

d)

Delta waves

13.

Which arrhythmia is suggested by a narrow QRS complex tachycardia with a rate of 150-250 beats per minute and sudden onset and termination?

a)

Atrial flutter

b)

Paroxysmal supraventricular tachycardia (PSVT)

c)

Ventricular tachycardia

d)

Sinus tachycardia

14.

Which of the following characteristics of the P wave are seen in

Right Atrial Abnormality

a)

Tall and peaked P wave in lead II

b)

The amplitude is ≤2.5mm in height

c)

the duration is ≤2.5mm wide or ≤100ms

d)

Smooth and well rounded P wave

15.

Type C RVH is seen in

a)

Mitral stenosis

b)

Atrial septal defect

c)

Severe pulmonary stenosis

d)

COPD

16.
  1. Which ECG criterion is used to diagnose left ventricular hypertrophy (LVH)?

a)
  •  S wave in V1 + R wave in V5 or V6 > 35 mm

b)

S wave in V1 + R wave in V5 or V6 > 25 mm

c)

 S wave in V1 + R wave in V2 > 25 mm

d)

S wave in V2 + R wave in V6 > 35 mm

17.

Which additional ECG finding can support the diagnosis of RVH in the presence of tall R waves in V1?

a)

Right axis deviation

b)

Left axis deviation

c)

Tall R waves in V5 and V6

d)

Deep S waves in V1 and V2

18.

A patient presents with tall, tented T waves, and widened QRS complexes. Which electrolyte disturbance should be suspected?

a)

 Hypokalemia

b)

Hyperkalemia

c)
  • Hypercalcemia

d)
  •  Hypocalcemia

19.

Given image shows the serial ECG changes of which condition

a)

Hypercalcemia

b)

Hypocalcemia

c)

Hypermagnesemia

d)

Hypokalemia

20.

Which of the following ECG findings is most characteristic of Wolff-Parkinson-White syndrome?

a)

Prolonged PR interval

b)

Shortened PR interval with delta wave

c)

ST-segment elevation in leads II, III, and aVF

d)

Deep S waves in leads V1-V2