#1
Which ECG lead is typically used to diagnose right ventricular hypertrophy?
Lead V1
ExplanationLead V1 is positioned to capture electrical activity from the right ventricle, making it useful for diagnosing right ventricular hypertrophy.
#2
Which of the following ECG findings is characteristic of atrial fibrillation?
Irregular rhythm and absent P waves
ExplanationAtrial fibrillation is characterized by irregular rhythm due to chaotic atrial electrical activity and absence of P waves due to lack of coordinated atrial depolarization.
#3
What does a prolonged QT interval on an ECG indicate?
Increased risk of ventricular arrhythmias
ExplanationProlonged QT interval suggests delayed ventricular repolarization, increasing the risk of ventricular arrhythmias like Torsades de Pointes.
#4
Which ECG finding is suggestive of myocardial infarction?
ST segment elevation in leads I, aVL, V5, and V6
ExplanationST segment elevation in these leads indicates myocardial injury or infarction affecting the lateral and/or anterior walls of the heart.
#5
Which arrhythmia is characterized by a wide QRS complex and absence of P waves?
Ventricular tachycardia
ExplanationVentricular tachycardia features wide QRS complexes due to abnormal ventricular depolarization and absence of P waves as atrial activity is dissociated from ventricular activity.
#6
What does the PR interval represent on an ECG?
Time taken for atrial depolarization and impulse conduction through the AV node
ExplanationPR interval represents the time taken for the electrical impulse to travel from the atria to the ventricles through the AV node, reflecting atrial depolarization and AV nodal conduction.
#7
Which arrhythmia is characterized by a narrow QRS complex and irregularly irregular rhythm?
Atrial fibrillation
ExplanationAtrial fibrillation presents with irregularly irregular rhythm due to disorganized atrial electrical activity, and narrow QRS complexes as the ventricular conduction remains normal.
#8
In which lead would you observe the inverted P waves in lead II and upright P waves in lead V1 on an ECG?
Lead aVR
ExplanationLead aVR often shows inverted P waves due to its positioning opposite to the direction of atrial depolarization, while lead V1 usually shows upright P waves.
#9
Which lead is used to evaluate the right ventricle on an ECG?
Lead V4R
ExplanationLead V4R is specifically positioned to capture electrical activity from the right ventricle, aiding in the evaluation of right ventricular function.
#10
In which arrhythmia does the QRS complex have a 'delta wave' appearance?
Wolff-Parkinson-White syndrome
ExplanationWolff-Parkinson-White syndrome presents with a 'delta wave' caused by abnormal accessory pathways, leading to pre-excitation of the ventricles and shortened PR intervals.
#11
Which lead should be examined to evaluate the inferior wall of the heart on an ECG?
Lead aVF
ExplanationLead aVF is positioned to view electrical activity from the inferior portion of the heart, including the inferior wall and the diaphragmatic surface of the left ventricle.
#12
Which arrhythmia is characterized by 'cannon A waves' in the jugular venous pulse?
Complete heart block
Explanation'Cannon A waves' occur in complete heart block due to atrial contraction against a closed tricuspid valve, leading to jugular venous distension and visible 'cannon A waves' on examination.