28th ECG Workshop Quiz

Question 1:

Young adult male with palpitations. The ECG shows which of the following?

A) Left ventricular hypertrophyB) Right ventricular hypertrophyC) Posterior myocardial infarctionD) Brugada patternE) Intermittent Wolff-Parkinson-White pattern

Question 2:

35-year-old woman with recurrent palpitations recorded at rest. What is likely diagnosis of this narrow complex, regular tachycardia?

A) Sinus tachycardia (ST)B) Atrioventricular (AV) reentrant tachycardia (AVRT) - orthodromic-involving reentry over a concealed bypass tractC) AVRT (antidromic)D) AV nodal reentrant tachycardia (AVNRT) - typicalE) Atrial flutter with 2:1 conduction (and hidden flutter waves)

Question 3:

This ECG, from an 80-year-old woman, shows sinus rhythm with which of the following?

A) Acute inferior (posterior) ST elevation ischemia with ventricular bigeminyB) Acute pericarditis with ventricular bigeminyC) Wolff-Parkinson-White pattern with intermittent pre-excitationD) Intermittent right bundle branch block with alternating left and right axis deviationE) Intermittent ventricular pacing

Question 4:

Elderly woman admitted for peripheral vascular surgery is noted to have an irregular pulse. She has a history of severe coronary disease and an ICD/pacemaker device. The ECG is most consistent with which ONE of the following diagnoses?

A) HypokalemiaB) Digoxin excessC) HypocalcemiaD) Intermittent WPW pre-excitationE) Atrial fibrillation with complete heart block

Question 5:

What is the rhythm in this 82-year-old female? What is a possible culprit?

A) Sinus rhythm with Wolff-Parkinson-White patternB) Monomorphic ventricular tachycardiaC) Atrial tachycardia with 2:1 AV conduction (block) and right bundle branch blockD) Atrial flutter with 2:1 AV conduction (block) with right bundle branch blockE) AV nodal reentrant tachycardia with right bundle branch block

Question 6:

The ECG from a young adult man shows which ONE of the following mechanisms?

A) AV nodal reentrant tachycardia (AVNRT) with intermittent aberrancyB) Atrial flutter with variable block and a PVCC) Sinus tachycardia with artifact and a PVCD) Atrial fibrillation (AF) with right bundle branch block (RBBB) aberrancy (Ashman beat)E) Multifocal atrial tachycardia with RBBB aberrancy

Question 7:

The following ECG from a critically-ill middle-aged woman with shock indicates which diagnosis?

A) Acute pericarditisB) Acute pulmonary embolismC) HyperkalemiaD) Acute infero-postero-lateral myocardial infarctionE) Hypothermia

Question 8:

The ECG from an elderly woman is most consistent with which of the following diagnoses?

A) HypertensionB) Addison's diseaseC) Chronic obstructive lung diseaseD) Mitral stenosisE) Left anterior fascicular block

Question 9:

A middle-aged man was found at home in a confused mental state. The ECG strongly suggests what abnormality?

A) HypothyroidismB) HyperkalemiaC) HypothermiaD) HypocalcemiaE) Tricyclic antidepressant overdose

Question 10:

(Note: The chest leads in this tracing are right precordial -V1R to V6R!)
The following ECG shows all of the following EXCEPT:

A) Sinus bradycardia with first degree AV blockB) Sinus rhythm with 2:1 AV block causing bradycardiaC) Acute inferior myocardial infarctionD) Acute ST elevation right ventricular ischemia/myocardial infarctionE) Reciprocal ST depressions in leads I and aVL