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Understanding Cardiac Arrhythmias and ECG Interpretation Quiz

#1

Which of the following represents a normal sinus rhythm on an ECG?

P wave before each QRS complex
Explanation

Normal rhythm characterized by atrial depolarization preceding ventricular depolarization.

#2

What is the typical heart rate range for sinus tachycardia?

100-150 beats per minute
Explanation

Elevated heart rate originating from the sinus node, often due to physiological stress or excitement.

#3

Which ECG lead placement is used to assess for right ventricular infarction?

Lead V1
Explanation

Provides a view of the right ventricle, crucial for detecting infarctions.

#4

Which ECG lead is commonly used to detect ST-segment changes indicative of myocardial ischemia?

Lead V4
Explanation

Provides a view of the left ventricle and is commonly used to assess for ischemic changes.

#5

Which ECG lead is commonly used to diagnose posterior wall myocardial infarction?

Lead V4R
Explanation

Provides a view of the right ventricular wall, useful for detecting posterior wall infarctions.

#6

What is the term for a delay in the electrical conduction between the atria and ventricles?

Heart block
Explanation

Impaired transmission of electrical signals from atria to ventricles.

#7

Which ECG finding is characteristic of atrial fibrillation?

Absence of P waves
Explanation

Irregular heart rhythm with chaotic atrial activity and no discernible P waves.

#8

Which ECG lead is commonly used to diagnose myocardial infarction?

Lead V1
Explanation

Provides a view of the septum and right ventricle, useful for detecting infarctions.

#9

What is the term for an abnormally slow heart rate?

Bradycardia
Explanation

Heart rate below normal, often below 60 beats per minute.

#10

What does the PR interval on an ECG represent?

Time taken for atrial depolarization
Explanation

Duration from onset of atrial depolarization to onset of ventricular depolarization.

#11

Which arrhythmia presents with a 'sine wave' pattern on ECG and is considered a medical emergency?

Ventricular fibrillation
Explanation

Chaotic, irregular ventricular rhythm leading to rapid cardiac collapse if not treated immediately.

#12

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

Hypokalemia
Explanation

Low potassium levels leading to delayed repolarization and QT interval prolongation.

#13

Which ECG finding is characteristic of ventricular tachycardia?

Wide, bizarre QRS complexes
Explanation

Rapid, regular heart rhythm originating in the ventricles with widened QRS complexes.

#14

Which ECG finding is characteristic of Wolff-Parkinson-White (WPW) syndrome?

Delta wave
Explanation

Pre-excitation syndrome characterized by a slurred upstroke of the QRS complex.

#15

In which condition would you typically find a 'sawtooth' pattern on an ECG?

Atrial flutter
Explanation

Regular atrial rhythm with a characteristic 'sawtooth' appearance.

#16

What does a peaked T wave indicate on an ECG?

Hyperkalemia
Explanation

High potassium levels leading to rapid repolarization and peaked T waves.

#17

Which ECG finding is characteristic of complete heart block?

Prolonged PR interval with dropped beats
Explanation

Atrioventricular dissociation with prolonged PR interval and dropped beats.

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