ECG Skills Trainer, Part I

14 Questions | By Northwestern | Last updated: Jul 30, 2011 | Total Attempts: 365

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Welcome to the ECG Skills Trainer quiz, part 1. This quiz is comprised of 11 ECGs, 14 questions. After you submit your test, you will be able to review your replies and see explanations for the questions you missed. Please make sure to read feedback after completion. Contact Aashish Didwania, MD, with questions, comments, and concerns.

Questions and Answers

1.

Question 1 of 14:69 year old man with substernal chest discomfort. BP 70 mm Hg. History of HTN.This ECG strongly suggests:
- A.
  
  Acute Inferior Myocardial Infarction
- B.
  
  Acute Inferior and Posterior Myocardial Infarction
- C.
  
  Acute Inferior Myocardial Infarction and Posterior Myocardial Ischemia
- D.
  
  Acute Inferior Myocardial Infarction and Anterior Myocardial Ischemia
2.

Question 2 of 14:69 year old man with substernal chest discomfort. BP 70 mm Hg. History of HTN.Which is the most common artery involved in this distribution of infarction?
- A.
  
  Left Anterior Descending Coronary Artery
- B.
  
  Obtuse Marginal of Left Circumflex Coronary Artery
- C.
  
  Right Coronary Artery
- D.
  
  Left Main Artery
3.

Question 3 of 14:51 yr old male with no prior cardiac history presents with mid-sternal chest discomfort.This ECG strongly suggests:
- A.
  
  Acute Inferior Ischemia
- B.
  
  Acute Anteroseptal Infarct
- C.
  
  Acute Anteroseptal Infarct with Inferior Ischemia
- D.
  
  Acute Anteroseptal Infarct with reciprocal changes
4.

Question 4 of 14:51 yr old male with no prior cardiac history presents with mid-sternal chest discomfort.Which is the most common artery involved in this distribution of infarction?
- A.
  
  Left Anterior Descending Coronary Artery
- B.
  
  Obtuse Marginal of Left Circumflex Coronary Artery
- C.
  
  Right Coronary Artery
- D.
  
  Posterior Descending Artery
5.

Question 5 of 14:81 year old woman presents with substernal chest pain. History of hyperlipidemiaWhat are the defining features of Complete Left Bundle Branch Block?
- A.
  
  Monophasic large R-wave in I and V6 + Monophasic large S-wave in V1
- B.
  
  Monophasic large S-wave in I and V6 + Monophasic large R-wave in V1
- C.
  
  Monophasic large R-wave in I and V6 + Monophasic large Q-wave in V1
- D.
  
  Monophasic large Q-wave in I and V6 + Monophasic large R-wave in V1
6.

Question 6 of 14:81 year old woman presents with substernal chest pain. History of hyperlipidemiaThe ST segment shows:
- A.
  
  Secondary repolarization abnormalities in chest leads
- B.
  
  Acute lateral MI in chest leads (I, aVL, V4-6)
- C.
  
  Acute anterior MI in chest leads (V1-3)
- D.
  
  Acute anterolateral MI
7.

Question 7 of 14:61 year old man reports non-exertional burning in the chest intermittently for last 6 months.The ST segment shows:
- A.
  
  Secondary repolarization abnormalities in precordial and inferior leads
- B.
  
  Acute anteroseptal MI
- C.
  
  Lateral wall ischemia
- D.
  
  Anterior wall ischemia
8.

Question 8 of 14:77-year old woman with rheumatoid arthritis new onset chest pain, and dyspnea. The ECG suggests:
- A.
  
  Acute antero-lateral myocardial infarction
- B.
  
  Early repolarization variant
- C.
  
  Acute pericarditis with effusion
- D.
  
  Systemic hypothermia with Osborn waves
- E.
  
  Hyperkalemia
9.

Question 9 of 14:65-year old man brought in to ED with syncopal episode while practicing Aikido.The ECG suggests:
- A.
  
  Hyperkalemia
- B.
  
  Hyperacute anterolateral MI
- C.
  
  Intracranial Hemorrhage
- D.
  
  Acute anterior MI
10.

Question 10 of 14:A 55 year old man with 4 hours of "crushing" chest pain. The ECG suggests:
- A.
  
  Acute anterior MI
- B.
  
  Acute lateral MI
- C.
  
  Acute inferior MI
- D.
  
  Acute posterior MI
- E.
  
  Old MI
11.

Question 11 of 14:A 63 year old woman with 10 hours of chest pain and sweating. The ECG suggests:
- A.
  
  Acute anterior MI
- B.
  
  Acute lateral MI
- C.
  
  Acute inferior MI
- D.
  
  Acute posterior MI
- E.
  
  Old MI
12.

Question 12 of 14:A 60 year old woman with 3 hours of chest pain. The ECG suggests:
- A.
  
  Acute anterior MI
- B.
  
  Acute lateral MI
- C.
  
  Acute inferior MI
- D.
  
  Acute posterior MI
- E.
  
  Old MI
13.

Question 13 of 14:A 53 year old man with Ischemic Heart Disease. The ECG suggests:
- A.
  
  Acute anterior MI
- B.
  
  Acute lateral MI
- C.
  
  Acute inferior MI
- D.
  
  Acute posterior MI
- E.
  
  Old MI
14.

Question 14 of 14:70 year old man with chest discomfort. This ECG strongly suggests:
- A.
  
  Subendocardial ischemia
- B.
  
  Lesion of the circumflex artery
- C.
  
  Posterior wall transmural injury
- D.
  
  Acute pericarditis
- E.
  
  Early repolarization

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