26th ECG Workshop Quiz | Daily Cardiology Academy

Question 1:

An elderly woman with a recent syncopal episode. What is the rhythm?

A) Multifocal atrial tachycardiaB) Atrial fibrillation with a rapid ventricular responseC) Atrial flutter with variable blockD) Sinus tachycardia with premature atrial complexesE) Paroxysmal supraventricular tachycardia

Question 2:

This ECG from an elderly woman shows which ONE of the following rhythms?

A) Sinus tachycardia at a rate of about 100/min with 2:1 AV blockB) Sinus bradycardia at a rate of about 50/min with prominent U wavesC) Sinus rhythm with 3:2 AV WenckebachD) Sinus rhythm with complete heart blockE) Multifocal atrial tachycardia

Question 3:

A 21-yr-old woman with severe dyspnea is scheduled for which of the following cardiac procedures?

A) Aortic valve replacement for critical aortic stenosisB) Mitral valvuloplasty for severe rheumatic mitral stenosisC) Atrial septal defect (ostium secundum) repairD) Mitral valve replacement for severe mitral regurgitation due to prolapseE) Pulmonic valvuloplasty for severe pulmonic valve stenosis

Question 4:

This ECG shows which ONE of the following?

A) Complete left bundle branch blockB) Accelerated idioventricular rhythmC) Left ventricular hypertrophy and an intraventricular conduction delayD) Wolff-Parkinson-White pre-excitation patternE) Acute anterior wall myocardial infarction with intraventricular conduction delay

Question 5:

This 38-year-old male alcoholic presented with a tonic-clonic seizure and this ECG. What is his echocardiogram most likely to show? (Note: serum levels: calcium 7.3mg/dl; magnesium 1.2mg/dl; albumin 3.3g/d.)

A) Marked left ventricular hypertrophyB) Focal wall motion abnormalities in the anterior septum, consistent with acute ischemiaC) Apical variant cardiomyopathy (Yamaguchi's syndrome)D) Marked right ventricular hypertrophy/dilationE) Structurally normal heart

Question 6:

63-year-old gentleman in the Emergency Department with the complaint of chest pain. What is the most likely diagnosis?

A) Sinus rhythm with anterior/subendocardial ischemia with prior inferior Q wave MIB) Acute pericarditisC) Aortic dissectionD) Tension pneumothoraxE) Acute pulmonary embolism

Question 7:

This ECG is most consistent with which of the following diagnoses?

A) Aortic stenosisB) Chronic obstructive pulmonary diseaseC) Mitral stenosisD) Acute anterior wall myocardial infarctionE) Brugada pattern

Question 8:

This ECG from a 53 year old woman is most consistent with which of the following diagnoses?

A) Right ventricular hypertrophyB) Posterior myocardial infarction and left posterior fascicular blockC) Wolff-Parkinson-White (WPW) preexcitation patternD) Simultaneous limb (left/right arm) and precordial lead reversal: normal ECGE) Dextrocardia with situs inversus

Question 9:

A 71-year-old woman in the Intensive Care Unit with end-stage renal disease developed mental status changes and had this ECG. The findings are consistent with all of the following EXCEPT?

A) Cerebrovascular accident, especially subarachnoid hemorrhage or other intracranial bleedB) Idiopathic global wave inversion syndromeC) Atypical myocardial ischemia pattern with left ventricular hypertrophyD) Stokes-Adams syncope with underlying left ventricular hypertrophyE) Class 1A antiarrhythmic drug toxicity

Question 10:

A 34-yr-old woman with a history of Hodgkin’s disease complains of severe dyspnea. What diagnosis is most consistent with the following ECG?

A) Critical mitral stenosisB) Severe pulmonary fibrosis with cor pulmonaleC) Critical aortic stenosisD) Left pneumothoraxE) Pericardial tamponade