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Cardiac Arrhythmias and Electrocardiogram Interpretation Quiz

#1

Which of the following ECG leads is commonly used to diagnose myocardial infarction?

Lead II
Explanation

Lead II is commonly used due to its sensitivity to changes in the inferior wall of the heart.

#2

What does the P wave represent in an ECG?

Atrial depolarization
Explanation

P wave represents atrial depolarization, indicating the spread of electrical activity through the atria.

#3

What does the QRS complex represent in an ECG?

Ventricular depolarization
Explanation

QRS complex reflects the depolarization of the ventricles, signifying their contraction.

#4

What does the T wave represent in an ECG?

Ventricular repolarization
Explanation

T wave signifies the repolarization of the ventricles, preparing them for the next cardiac cycle.

#5

What does the QT interval represent on an ECG?

Atrial repolarization to ventricular repolarization
Explanation

The QT interval represents the total duration of ventricular depolarization and repolarization, including atrial repolarization.

#6

Which of the following arrhythmias is characterized by an irregularly irregular rhythm?

Atrial fibrillation
Explanation

Atrial fibrillation presents with chaotic, irregular atrial electrical activity resulting in an irregular ventricular rhythm.

#7

What is the treatment of choice for ventricular tachycardia with a pulse?

Amiodarone
Explanation

Amiodarone is often used as it helps stabilize the heart's rhythm, particularly in ventricular arrhythmias.

#8

Which of the following medications is known to prolong the QT interval on an ECG?

Amiodarone
Explanation

Amiodarone can lengthen the QT interval, potentially leading to arrhythmias.

#9

In which lead is the ST segment typically analyzed for ischemic changes?

Lead V5
Explanation

Lead V5 is commonly used for assessing ischemic changes in the anterior and lateral walls of the heart.

#10

Which arrhythmia is characterized by a regular rhythm with a 'sawtooth' pattern of atrial activity?

Atrial flutter
Explanation

Atrial flutter exhibits a distinctive 'sawtooth' pattern of atrial contractions with a regular ventricular response.

#11

Which electrolyte imbalance is associated with a prolonged QT interval on an ECG?

Hypomagnesemia
Explanation

Hypomagnesemia can prolong the QT interval due to its impact on cardiac repolarization.

#12

Which of the following ECG findings is consistent with hyperkalemia?

Peaked T waves
Explanation

Peaked T waves are a hallmark ECG finding in hyperkalemia, indicating delayed repolarization of the ventricles.

#13

What is the characteristic ECG finding in ventricular fibrillation?

Fine or coarse ventricular fibrillatory waves
Explanation

Ventricular fibrillation presents as chaotic, disorganized electrical activity in the ventricles.

#14

What is the most appropriate treatment for atrial fibrillation with rapid ventricular response in a hemodynamically unstable patient?

Synchronized cardioversion
Explanation

Synchronized cardioversion is necessary in unstable patients to restore normal sinus rhythm promptly.

#15

What is the hallmark ECG finding in ventricular fibrillation?

Fine or coarse ventricular fibrillatory waves
Explanation

Ventricular fibrillation is characterized by chaotic, disorganized electrical activity in the ventricles, leading to ineffective pumping.

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