Q-1.

What will the expected s2 (second heart sound) in this patient with this ECG findings

a.Single S2

b.Wide variable split of S2

c.Reverse split of S2

d.Wide fixed split of S2

Q-2. This ECG is most likely seen in associated with

a.Conn's syndrome

b.Multiple myeloma

c.Renal failure

d.SIADH
Q-3. what is the QRS axis in this ECG

a.0 degree

b.-30 degree

c.+ 30 degree

d.-45 degree

Q-4. A 30 year old male patient presents with dyspnea.His ECG is done as shown in the figure.What
is the likely diagnosis

a.Anterior wall MI

b.Dilated cardiomyopathy

c.Yamaguchi syndrome

d.Bicuspid aortic valve

Q-5. What is the heart rate(per minute) in this ECG

a.50

b.70

c.90

d.110

Q-6. A patient presents with palpitations and ECG done showed these changes.What is the diagnosis

a.sinus tachycardia

b.atrial tachycardia

c.atrial flutter

d.psvt
Q-7. The most likely diagnosis of this ECG tracing is

a.Atrial flutter with variable av block

b.multifocal atrial tachycardia

c.Atrial fibrillation with variable av block

d.Sinus arrythmia

Answers-

Ans-1.B, Correct answer is wide variable splitting of S2.This ECG shows RBBB ie right ventricle will be
depolarised late causing late P2--leading to wide variable split.

Ans-2.C, If we focus on any one lead like lead 2 ,tall tented t waves are seen.T wave is said to be tall
when its amplitude is more than 50% of R wave.Cause is hyperacute mi or hyperkalemia.out of these
options conn's syndrome will cause hypokalemia(t waves short or absent or inverted)multiple
myeloma will lead to hypercalcemia(qt interval short in ECG)renal failure is mostly associated with
hyperkalemia,while SIADH causes hyponatremia(normal ECG or decreased qrs amplitude but no t
wave abnormality)

Ans-3.B,This is left axis deviation as QRS is positive in lead I and negative in lead aVf.In lead II its
isoelectric hence net voltage is perpendicular to lead II which will be -30.

Ans-4.C,This ecg is showing voltage criteria of LVH with giant inverted T waves in lateral leads
suggestive of apical hypertrophy variant of HOCM known as Yamaguchi Syndrome.

Ans-5.C, Correct answer is 90/min.Here HR is irregular hence formula to calculate is no. of qrs in 6sec
of ECG paper(in 150mm) and then multiply by 10.
Ans- 6.B, this is sinus tachycardia.Each normal p wave is followed by normal qrs.Heart rate is 125.

Ans-7.B, First see qrs-they r normal.so it's something supra ventricular.now look at p wave.The first
three p waves all are morphological different.That is characteristic of multifocal atrial tachycardia.It
is one of the tachy arrythmia where heart rate will be irregular (the other one is atrial fibrillation but
in af there is no definitive p wave)