ECG Quiz Home Cardiology 0% 19 votes, 0 avg 141 ECG Quiz This quiz will test your knowledge of ECGs. 15 ECGs are included in this test. Please contact us for a complete test in case you are interested. 1 / 25 1. The ECG shows A. Sinus Bradycardia B. Prolonged QT interval C. Complete heart block D. Sinus rhythm 2 / 25 2. What is the ECG diagnosis? A. Atrial Fibrillation with coarse fibrillatory waves B. Atrial Flutter with variable block C. Patient with Parkinsonian tremors D. Atrial Flutter Explanation: This ECG shows sawtooth waves (flutter waves) in the majority of leads with irregularly placed QRS waves. Therefore it is suggestive of Atrial Flutter with variable block. Tremors will show abnormal baseline only in limb leads. 3 / 25 3. A young patient presented syncope. What is the ECG suggestive of? A. Acute Anterior MI B. Brugada Syndrome C. RBBB D. Early Repolarization 4 / 25 4. What does this ECG show? A. Polymorphic VT B. Torsades de pointes C. Monomorphic VT D. VF 5 / 25 5. The ECG was done on a patient with vomiting & diarrhoea, complaining of lethargy. What is your ECG diagnosis? A. AF B. Long QT syndrome C. Atrial Flutter D. Hypokalemia 6 / 25 6. What abnormality is present in this ECG? A. Sinus Arrhythmia B. Atrial Ectopics C. No abnormality D. Junctional Ectopics 7 / 25 7. What type of ECG rhythm is this? A. Mobitz-II Block B. Normal Sinus Rhythm C. Junctional Ectopics D. Atrial Ectopics 8 / 25 8. Elderly patient with IHD. ECG diagnosis? A. Atrial Fibrillation B. Sinus Arrhythmia C. Sick Sinus Syndrome D. Multifocal Atrial Ectopics 9 / 25 9. What does this ECG show? A. Right Ventricular Hypertrophy B. WPW syndrome – Type A C. RBBB D. Acute Posterior wall STEMI This ECG test your knowledge for causes of predominant R wave in lead V1. There are mainly 5 causes: RBBB (in emergency cases, this may indicate Pulmonary Embolism in an appropriate clinical context) Acute Posterior wall MI (Do not miss to look for it in patients with typical symptoms) Right Ventricular Hypertrophy (RVH) WPW syndrome – Type A Dextrocardia 10 / 25 10. This ECG is suggestive of A. Hyperkalemia B. Normal ECG C. Acute Anterior STEMI D. Left Ventricular Hypertrophy 11 / 25 11. What is the ECG diagnosis here? A. Rate controlled AF B. Complete AV Block C. Mobitz-I AV Block D. Mobitz-II AV Block 12 / 25 12. This elderly male patient, a known case of IHD, presented with dizziness and syncope. What does this ECG reveal? A. Mobitz II AV Block B. Sick Sinus Syndrome C. Sinus Bradycardia D. Complete Heart Block 13 / 25 13. What to consider in this ECG A. Do Chest x-ray to look for pericardial effusion B. Repeat ECG on standard calibrations C. If patient is obese, this ECG is normal for him D. Do Thyroid Function Tests to exclude Hypothyroidism ECG show low amplitude waves. The ECG was taken at 0.5 mV. Standard calibration is 1 mV which is equal to 10 mm (10 small squares). Every ECG has an initial bar, as shown in fig with arrows, representing the voltage calibration of that ECG. 14 / 25 14. What is the ECG diagnosis? A. Idioventricular Rhythm B. LBBB C. Sinus Bradycardia D. Acute Anterior MI 15 / 25 15. Patient with severe chest pain and diaphoresis. What is this ECG suggestive of? A. Pericarditis B. Anterolateral MI C. Lateral MI D. Anterior MI 16 / 25 16. What abnormality? A. Ventricular Premature Contractions (VPCs) B. Ventricular Bigeminy C. Ventricular Trigeminy D. Electrical Alternans 17 / 25 17. What does this ECG show? A. AF B. Atrial Flutter C. SVT D. Sinus Tachycardia 18 / 25 18. What is this ECG consistent with? A. RBBB B. Lateral wall MI C. Hypothermia D. Brugada syndrome The ECG shows J-wave or Osborn waves, more typically seen here in anterior leads. 19 / 25 19. What is the ECG Rhythm here? A. Atrial Flutter B. SVT C. VT D. AF with Fast Ventricular response 20 / 25 20. What is the positive finding in this ECG? A. First Degree AV Block B. Sinus Bradycardia C. Atrial Ectopics D. Sinus Rhythm 21 / 25 21. This ECG is showing A. AF with bradycardia B. Normal ECG C. Atrial flutter D. AF Apparently, there are fibrillation waves, however by looking closely on ECG, QRS complexes are preceded by P waves, Heart rate is around 60 so no bradycardia. 22 / 25 22. This ECG was taken in a patient with DVT and acute chest pain with shortness of breath. What is the possible diagnosis? A. Acute Anterior MI (new RBBB) B. Pulmonary Embolism C. NSTEMI D. Unstable Angina The ECG shows typical S1Q3T3 changes, Right axis deviation and RBBB. 23 / 25 23. This 68-years-old patient, a known diabetic and IHD case, presented with syncope. What does the ECG show? A. Right Bundle Branch Block B. Bifascicular Block C. First Degree AV Block D. Trifascicular Block The ECH shows RBBB, LAD and First degree AV block. This is trifascicular block and is equivalent to a complete heart block. The treatment of choice is Pacemaker. 24 / 25 24. A 60-year-old female with severe epigastric pain presented to you. What else you will look for in this patient? A. Pansystolic Murmur B. Acute pancreatitis C. Perforated Duodenal Ulcer D. Right Ventricular Infarction Explanation: Inferior MI is caused due to involvement of the Right Coronary Artery in the majority of cases. Right ventricular infarction may be associated with inferior MI. Therefore do an ECG by placing V3 and V4 leads in the same intercostal positions of the chest but on the right side. These are called RV3 and RV4. If there is right ventricular infarction, there ECG will show STEMI in RV3 & RV4. 25 / 25 25. What is the ECG diagnosis? A. Mobitz-II AV Block B. Complete Heart Block C. Sinus Bradycardia D. 2:1 AV Block LinkedIn Facebook Twitter VKontakte Visit our FB page Restart Quiz Send Feedback Previous Post Rheumatology Next Post Endocrinology
