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ECG Quiz for PAKAR 2025 (II)

Total questions: 11

Worksheet time: 8mins

Name
Class
Date
1.

The ER referred a 66-year-old male for further investigation of frequent dizzy spells. Each dizzy episode lasted a few minutes & persisted both at rest and during activities. What is the conduction disorder of the ECG rhythm strip?

a)

AV block II mobitz II with RBBB

b)

AV block II mobitz I with alternating BBB

c)

High degree AV block

d)

complete heart block

2.

ECG of a 48 yo male with hypertensive heart disease during routine outpatient visit. She has long history of palpitation. What is the ECG abnormality

a)

Atrial flutter with 2:1 conduction

b)

Orthodromic atrioventricular reentrant tachycardia

c)

Multifocal atrial tachycardia

d)

Sinus tachycardia with PAC bigeminy

3.

A 61-year-old lady with a history of inferior wall myocardial infarction has an irregular pulse on routine examination. Aside from it, she is asymptomatic. What abnormalities are shown in her ECG?

a)

Sinus rhythm with complete heart block & RBBB

b)

Sinus rhythm, Mobitz I AVB, with RBBB

c)

Sinus rhythm with RBBB and intermittent non conducted PAC

d)

Sinus rhythm with RBBB and SA exit block

4.

A 43-year-old male without any personal or family history of heart disease had s sudden onset of palpitation and dyspnea. What is the most likely diagnosis?

a)

Orthodromic atrioventricular reentrant tachycardia

b)

Atrial tachycardia

c)

Ventricular tachycardia

d)

Antidromic atrioventricular reentrant tachycardia

5.

A 69-old female patient with history of permanent pacemaker implantation complaining of epigastric pain went to general practitioner. Lower rate interval of PPM is 60 bpm. Which is following is correct?

a)

Ventricular pacing with intermittent loss of capture

b)

Normal pacemaker function

c)

Undersensing problem

d)

Oversensing problem

6.

A 66-year-old lady consults her doctor with generalized bone pain, tiredness, & significant body weight loss. Routine blood tests revealed an increased calcium level of 12 mg/dl. The other examination results are consistent with a diagnosis of multiple myeloma. Which is this following is correct?

a)

Sinus bradycardia with anterior ST segment elevation

b)

PCI is needed as soon as possible

c)

ICD implantation is urgently needed despite the correction of hypercalcemia

d)

Junctional rhythm, ST elevation in V1-V3, short QT interval

7.

83-year-old man, with severe mitral regurgitation awating surgery. Three syncopes in two days at home with facial trauma and fracture of the malar bone. What does this ECG show?

a)

Bifascicular block

b)

Trifascicular block

c)

Left bundle branch block

d)

Normal ECG

8.

67 years old female post DDR pacemaker, presented with recurrent palpitation. What is the most likely diagnosis?

a)

Pacemaker mediated tachycardia

b)

Ventricular tachycardia

c)

Atrial tachycardia with abberancy

d)

Normal pacemaker function

9.

39-year-old man with no particular prior history; hospitalization following the occurrence of a traumatic syncopal episode. ECG in ED showed this tracing below. Which of the statement is correct?

a)

ECG showed bigeminy PVC

b)

Feature of the VPCs is bening

c)

High risk of polymorphic VT

d)

VPC is most likely RVOT origin

10.

48 years old male admitted with near syncope episode. What the ECG told us?

a)

Multifocal PVCs

b)

Sinus node dysfunction

c)

Alternating bundle branch block

d)

Wandering atrial pacemaker

11.

75 years old post PPM DDR implantation. PPM check showed the recording below. What does the EGM show?

a)

Atrial undersensing

b)

Ventricular oversensing

c)

Atrial lead dislodgement

d)

Ventricular lead dislodgement