final_answers of ekg quiz

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  • Question 1 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select the predominant rhythm:

    *Normal sinus rhythm

    Sinus bradycardia

    Sinus tachycardia

    Ectopic atrial rhythm

    Atrial flutter

    Atrial fibrillation

    Multifocal atrial tachycardia

    Supraventricular tachycardia

    Junctional rhythm

    Ventricular rhythm

    Ventricular tachycardia

    Ventricular fibrillation

    Torsades de pointes

    Question 2 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select the correct level of conduction block, if

  • present:

    Sinus pause

    Sinus exit block

    First-degree AV block

    Type I, second-degree AV block

    *Type II, second-degree AV block

    2:1 AV block

    High-degree AV block

    Complete AV block

    Normal AV conduction

    ***Question 3 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select the correct QRS morphology anomaly, if

    present:

  • **Right bundle branch block

    Left bundle branch block

    Non-specific interventricular conduction delay () = possible

    Normal QRS morphology

    Question 4 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select the correct mean QRS axis:

    **Normal QRS axis

    Left axis deviation

    Right axis deviation

    Extreme right axis deviation

    Question 5 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select the correct diagnosis, if present:

  • Left atrial enlargement

    Right atrial enlargement

    Biatrial enlargement

    *No evidence of atrial enlargement

    Question 6 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select the correct diagnosis, if present:

    Left ventricular hypertrophy

    Right ventricular hypertrophy

    *No evidence of ventricular hypertrophy (no tiene sentido pq el eje corre mas hacia left)

    Question 7 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select the correct ST-segment changes, if present:

  • *ST segment changes secondary to ischemia

    ST segment changes secondary to hypertrophy

    ST segment changes suggestive of acute pericarditis

    ST segment changes suggestive of hypothermia

    ST segment changes suggestive of early repolarization

    No significant ST segment changes

    Question 8 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select the correct level of ischemia, if present:

    Acute injury or ischemia involving the anterior wall

    Acute injury or ischemia involving the anterolateral wall

    Acute injury or ischemic involving the inferior wall

    ******************* Recent myocardial infarction involving the anterior wall (discutir, q waves)

    Recent myocardial infarction involving the anterolateral wall

    Recent myocardial infarction involving the inferior wall

    Old myocardial infarction involving the anterior wall

    Old myocardial infarction involving the anterolateral wall

  • Old myocardial infarction involving the inferior wall

    No ischemic changes present

    Question 9 A 72-year-old woman with arterial hypertension complains of lightheadedness. Select electrolyte disturbances suggested by this tracing, if present:

    Hypokalemia

    Hyperkalemia

    Hypocalcemia

    Hypercalcemia

    *No electrolyte disturbances are suggested

    Question 10 A 32-year-old man complains of palpitations. Select the predominant rhythm:

  • Normal sinus rhythm

    Sinus bradycardia

    Sinus tachycardia

    Ectopic atrial rhythm

    *Atrial flutter

    Atrial fibrillation

    Multifocal atrial tachycardia

    Supraventricular tachycardia

    Junctional rhythm

    Ventricular rhythm

    Ventricular tachycardia

    Ventricular fibrillation

    Torsades de pointes

    Question 11 A 32-year-old man complains of palpitations. Select the correct level of conduction block, if present:

    Sinus pause

    Sinus exit block

  • First-degree AV block

    Type I, second-degree AV block

    Type II, second-degree AV block

    ***2:1 AV conduction

    High-degree AV block

    Complete AV block

    Normal AV conduction

    Question 12

    A 32-year-old man complains of palpitations. Select the correct QRS morphology anomaly, if present:

    Right bundle branch block

    Left bundle branch block

    Non-specific interventricular conduction delay

    *Normal QRS morphology

    Question 13 A 32-year-old man complains of palpitations. Select the correct mean QRS axis:

  • *Normal QRS axis

    Left axis deviation

    Right axis deviation

    Extreme right axis deviation

    Question 14 A 32-year-old man complains of palpitations. Select the correct diagnosis, if present:

    Left atrial enlargement

    Right atrial enlargement

    Biatrial enlargement

    *No evidence of atrial enlargement

    Question 15 A 32-year-old man complains of palpitations. Select the correct

  • diagnosis, if present:

    Left ventricular hypertrophy

    Right ventricular hypertrophy

    *No evidence of ventricular hypertrophy

    Question 16 A 32-year-old man complains of palpitations. Select the correct ST-segment changes, if present:

    ST segment changes secondary to ischemia

    ST segment changes secondary to hypertrophy

    ST segment changes suggestive of acute pericarditis

    ST segment changes suggestive of hypothermia

    ST segment changes suggestive of early repolarization

  • *No significant ST segment changes

    Question 17 A 32-year-old man complains of palpitations. Select the correct level of ischemia, if present:

    Acute injury or ischemia involving the anterior wall

    Acute injury or ischemia involving the anterolateral wall

    Acute injury or ischemic involving the inferior wall

    Recent myocardial infarction involving the anterior wall

    Recent myocardial infarction involving the anterolateral wall

    Recent myocardial infarction involving the inferior wall

    Old myocardial infarction involving the anterior wall

    Old myocardial infarction involving the anterolateral wall

    Old myocardial infarction involving the inferior wall

    *No ischemic changes present

    Question 18 A 32-year-old man complains of palpitations. Select electrolyte disturbances suggested by this tracing, if present:

  • Hypokalemia

    Hyperkalemia

    Hypocalcemia

    Hypercalcemia

    *No electrolyte disturbances are suggested

    Question 19 An 82-year-old man with Alzheimers disease is brought to the emergency department after suffering a fall from his own feet. Select the predominant rhythm:

    Normal sinus rhythm

    Sinus bradycardia

    Sinus tachycardia

    Ectopic atrial rhythm

  • Atrial flutter

    Atrial fibrillation

    Multifocal atrial tachycardia

    Supraventricular tachycardia

    *Junctional rhythm

    Ventricular rhythm

    Ventricular tachycardia

    Ventricular fibrillation

    Torsades de pointes

    ****Question 20 An 82-year-old man with Alzheimers disease is brought to the emergency department after suffering a fall from his own feet. Select the correct level of conduction block, if present:

    Sinus pause

    Sinus exit block

    First-degree AV block

    Type I, second-degree AV block

    Type II, second-degree AV block

  • 2:1 AV block

    High-degree AV block

    Complete AV block

    ********* **Normal AV conduction

    Question 21 An 82-year-old man with Alzheimers disease is brought to the emergency department after suffering a fall from his own feet. Select the correct QRS morphology anomaly, if present:

    *Right bundle branch block

    Left bundle branch block

    Non-specific interventricular conduction delay

    Normal QRS morphology

    Question 22 An 82-year-old man with Alzheimers disease is brought to the emergency department after suffering a fall from his own feet. Select the correct mean QRS axis:

  • Normal QRS axis

    *Left axis deviation

    Right axis deviation

    Extreme right axis deviation

    Question 23 An 82-year-old man with Alzheimers disease is brought to the emergency department after suffering a fall from his own feet. Select the correct diagnosis, if present:

    Left atrial enlargement

    Right atrial enlargement

    Biatrial enlargement

    *No evidence of atrial enlargement

    Question 24 An 82-year-old man with Alzheimers disease is brought to the

  • emergency department after suffering a fall from his own feet. Select the correct diagnosis, if present:

    Left ventricular hypertrophy

    Right ventricular hypertrophy

    *No evidence of ventricular hypertrophy

    Question 25 An 82-year-old man with Alzheimers disease is brought to the emergency department after suffering a fall from his own feet. Select the correct ST-segment changes, if present:

    ST segment changes secondary to ischemia

    ST segment changes secondary to hypertrophy

    ST segment changes suggestive of acute pericarditis

    ST segment changes suggestive of hypothermia

    ST segment changes suggestive of early

  • repolarization

    *No significant ST segment changes

    Question 26 An 82-year-old man with Alzheimers disease is brought to the emergency department after suffering a fall from his own feet. Select the correct level of ischemia, if present:

    Acute injury or ischemia involving the anterior wall

    Acute injury or ischemia involving the anterolateral wall

    Acute injury or ischemic involving the inferior wall

    Recent myocardial infarction involving the anterior wall

    Recent myocardial infarction involving the anterolateral wall

    Recent myocardial infarction involving the inferior wall

    Old myocardial infarction involving the anterior wall

    Old myocardial infarction involving the anterolateral wall

    Old myocardial infarction involving the inferior wall

    ***No ischemic changes present

    Question 27 An 82-year-old man with Alzheimers disease is brought to the emergency department after suffering a fall from his own feet. Select electrolyte disturbances suggested by this tracing, if present:

  • Hypokalemia

    Hyperkalemia

    Hypocalcemia

    Hypercalcemia

    *No electrolyte disturbances are suggested

    Question 28 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select the predominant rhythm:

    *Normal sinus rhythm

    Sinus bradycardia

    Sinus tachycardia

  • Ectopic atrial rhythm

    Atrial flutter

    Atrial fibrillation

    Multifocal atrial tachycardia

    Supraventricular tachycardia

    Junctional rhythm

    Ventricular rhythm

    Ventricular tachycardia

    Ventricular fibrillation

    Torsades de pointes

    Question 29 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select the correct level of conduction block, if present:

    Sinus pause

    Sinus exit block

    First-degree AV block

    *Type I, second-degree AV

  • block

    Type II, second-degree AV block

    2:1 AV block

    High-degree AV block

    Complete AV block

    Normal AV conduction

    ****Question 30 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select the correct QRS morphology anomaly, if

    present:

    ***Right bundle branch block

    Left bundle branch block

    Non-specific interventricular conduction delay

    Normal QRS morphology

    Question 31 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select the correct mean QRS axis:

  • Normal QRS axis

    ***Left axis deviation

    Right axis deviation

    Extreme right axis deviation

    Question 32 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select the correct diagnosis, if present:

    ***Left atrial enlargement

    Right atrial enlargement

  • Biatrial enlargement

    No evidence of atrial enlargement

    Question 33 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select the correct diagnosis, if present:

    Left ventricular hypertrophy

    Right ventricular hypertrophy

    **No evidence of ventricular hypertrophy

    Question 34 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select the correct ST-segment changes, if present:

  • ST segment changes secondary to ischemia

    ST segment changes secondary to hypertrophy

    ST segment changes suggestive of acute pericarditis

    ST segment changes suggestive of hypothermia

    ST segment changes suggestive of early repolarization

    *No significant ST segment changes

    Question 35 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select the correct level of ischemia, if present:

    Acute injury or ischemia involving the anterior wall

    Acute injury or ischemia involving the anterolateral wall

    Acute injury or ischemic involving the inferior wall

    Recent myocardial infarction involving the anterior wall

    Recent myocardial infarction involving the anterolateral wall

    Recent myocardial infarction involving the inferior wall

    Old myocardial infarction involving the anterior wall

  • Old myocardial infarction involving the anterolateral wall

    Old myocardial infarction involving the inferior wall

    *No ischemic changes present

    Question 36 A 32-year-old female athlete presents for routine evaluation. She has no symptoms. Select electrolyte disturbances suggested by this tracing, if present:

    Hypokalemia

    Hyperkalemia

    Hypocalcemia

    Hypercalcemia

    *No electrolyte disturbances are suggested

    Question 37 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select the predominant rhythm:

  • Normal sinus rhythm

    ***Sinus bradycardia

    Sinus tachycardia

    Ectopic atrial rhythm

    Atrial flutter

    Atrial fibrillation

    Multifocal atrial tachycardia

    Supraventricular tachycardia

    Junctional rhythm

    Ventricular rhythm

    Ventricular tachycardia

    Ventricular fibrillation

    Torsades de pointes

    Question 38 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select the correct level of conduction block, if present:

  • Sinus pause

    Sinus exit block

    First-degree AV block

    Type I, second-degree AV block

    Type II, second-degree AV block

    2:1 AV block

    High-degree AV block

    Complete AV block

    *Normal AV conduction

    *****Question 39 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select the correct QRS morphology anomaly, if present:

  • ***Right bundle branch block

    Left bundle branch block

    Non-specific interventricular conduction delay

    Normal QRS morphology

    Question 40 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select the correct mean QRS axis:

    *Normal QRS axis

  • Left axis deviation

    Right axis deviation

    Extreme right axis deviation

    Question 41 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select the correct diagnosis, if present:

    Left atrial enlargement

    Right atrial enlargement

    Biatrial enlargement

    *No evidence of atrial enlargement

    Question 42 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select the correct diagnosis, if present:

  • Left ventricular hypertrophy

    Right ventricular hypertrophy

    ***No evidence of ventricular hypertrophy

    Question 43 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select the correct ST-segment changes, if present:

    *ST segment changes secondary to ischemia

  • ST segment changes secondary to hypertrophy

    ST segment changes suggestive of acute pericarditis

    ST segment changes suggestive of hypothermia

    ST segment changes suggestive of early repolarization

    No significant ST segment changes

    Question 44 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select the correct level of ischemia, if present:

    Acute injury or ischemia involving the anterior wall

    *Acute injury or ischemia involving the anterolateral wall

    Acute injury or ischemic involving the inferior wall

    Recent myocardial infarction involving the anterior wall

    Question 45 A 68-year-old man with arterial hypertension and type 2 diabetes mellitus complains of chest pain. Select electrolyte disturbances suggested by this tracing, if present:

  • Hypokalemia

    Hyperkalemia

    Hypocalcemia

    * no electrolyte abnormalities

    ****Question 46 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select the predominant rhythm:

  • ***Normal sinus rhythm

    Sinus bradycardia

    Sinus tachycardia

    Ectopic atrial rhythm

    Atrial flutter

    Atrial fibrillation

    Multifocal atrial tachycardia

    Supraventricular tachycardia

    Junctional rhythm

    Ventricular rhythm

    Ventricular tachycardia

    Ventricular fibrillation

    Torsades de pointes

    Question 47 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select the correct level of conduction block, if present:

  • Sinus pause

    Sinus exit block

    First-degree AV block

    Type I, second-degree AV block

    Type II, second-degree AV block

    2:1 AV block

    High-degree AV block

    Complete AV block

    *Normal AV conduction

    Question 48 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select the correct QRS morphology anomaly, if present:

    Right bundle branch block

    Left bundle branch block

    Non-specific interventricular conduction delay

  • *Normal QRS morphology

    Question 49 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select the correct mean QRS axis:

    *Normal QRS axis

    Left axis deviation

    Right axis deviation

    Extreme right axis deviation

    Question 50 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select the correct diagnosis, if present:

  • Left atrial enlargement

    Right atrial enlargement

    Biatrial enlargement

    *No evidence of atrial enlargement

    Question 51 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select the correct diagnosis, if present:

  • *Left ventricular hypertrophy

    Right ventricular hypertrophy

    No evidence of ventricular hypertrophy

    ****Question 52 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select the correct ST-segment changes, if present:

    ST segment changes secondary to ischemia

    ****ST segment changes secondary to hypertrophy

    ST segment changes suggestive of acute pericarditis

    ST segment changes suggestive of hypothermia

    ST segment changes suggestive of early repolarization

    No significant ST segment changes

    Question 53 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select the correct level of ischemia, if present:

  • Acute injury or ischemia involving the anterior wall

    Acute injury or ischemia involving the anterolateral wall

    Acute injury or ischemic involving the inferior wall

    Recent myocardial infarction involving the anterior wall

    Recent myocardial infarction involving the anterolateral wall

    Recent myocardial infarction involving the inferior wall

    Old myocardial infarction involving the anterior wall

    Old myocardial infarction involving the anterolateral wall

    Old myocardial infarction involving the inferior wall

    *No ischemic changes present

    Question 54 A 35-year-old man presents to the emergency department after suffering transient loss of consciousness while playing soccer. Select electrolyte disturbances suggested by this tracing, if present:

  • Hypokalemia

    Hyperkalemia

    Hypocalcemia

    Hypercalcemia

    *No electrolyte disturbances are suggested

    Question 55 A 56-year-old man with arterial hypertension complains of chest pain and cough of two-day duration. Select the predominant rhythm:

    *Normal sinus rhythm

    Sinus bradycardia

    Sinus tachycardia

  • Ectopic atrial rhythm

    Atrial flutter

    Atrial fibrillation

    Multifocal atrial tachycardia

    Supraventricular tachycardia

    Junctional rhythm

    Ventricular rhythm

    Ventricular tachycardia

    Ventricular fibrillation

    Torsades de pointes

    Question 56 A 56-year-old man with arterial hypertension complains of chest pain and cough of two-day duration. Select the correct level of conduction block, if present:

    Sinus pause

    Sinus exit block

    First-degree AV block

    Type I, second-degree AV block

  • Type II, second-degree AV block

    2:1 AV block

    High-degree AV block

    Complete AV block

    *Normal AV conduction

    Question 57 A 56-year-old man with arterial hypertension complains of chest pain and cough of two-day duration.Select the correct QRS morphology anomaly, if present:

    Right bundle branch block

    Left bundle branch block

    Non-specific interventricular conduction delay

    *Normal QRS morphology

    Question 58 A 56-year-old man with arterial hypertension complains of chest pain and cough of two-day duration.Select the correct mean QRS axis:

  • *Normal QRS axis

    Left axis deviation

    Right axis deviation

    Extreme right axis deviation

    Question 59 A 56-year-old man with arterial hypertension complains of chest pain and cough of two-day duration. Select the correct diagnosis, if present:

    Left atrial enlargement

    Right atrial enlargement

    Biatrial enlargement

    *No evidence of atrial enlargement

    Question 60

  • A 56-year-old man with arterial hypertension complains of chest pain and cough of two-day duration. Select the correct diagnosis, if present:

    Left ventricular hypertrophy

    Right ventricular hypertrophy

    **No evidence of ventricular hypertrophy

    Question 61 A 56-year-old man with arterial hypertension complains of chest pain and cough of two-days duration. Select the correct ST-segment changes, if present:

    ST segment changes secondary to ischemia

    ST segment changes secondary to hypertrophy

    *ST segment changes suggestive of acute pericarditis

  • ST segment changes suggestive of hypothermia

    ST segment changes suggestive of early repolarization

    No significant ST segment changes

    Question 62 A 56-year-old man with arterial hypertension complains of chest pain and cough of two-days duration. Select the correct level of ischemia, if present:

    Acute injury or ischemia involving the anterior wall

    Acute injury or ischemia involving the anterolateral wall

    Acute injury or ischemic involving the inferior wall

    Recent myocardial infarction involving the anterior wall

    Recent myocardial infarction involving the anterolateral wall

    Recent myocardial infarction involving the inferior wall

    Old myocardial infarction involving the anterior wall

    Old myocardial infarction involving the anterolateral wall

    Old myocardial infarction involving the inferior wall

    *No ischemic changes present

    Question 63

  • A 56-year-old man with arterial hypertension complains of chest pain and cough of two-day duration. Select electrolyte disturbances suggested by this tracing, if present:

    Hypokalemia

    Hyperkalemia

    Hypocalcemia

    Hypercalcemia

    *No electrolyte disturbances are suggested

    Ventricular rhythm

  • Sinus pause

    Sinus exit block

    First-degree AV block

    Type I, second-degree AV block

    Type II, second-degree AV block

    2:1 AV block

    High-degree AV block

    Complete AV block

    Cannot evaluate******

  • LEFT AXIS DEVIATION