This document contains an ECG test with multiple questions and answers. It discusses cases of: 1. A 60-year-old patient with diabetes, hypertension and chest pain, showing an anterior STEMI with inferior ischemia. 2. A 55-year-old woman with shortness of breath and fatigue, showing a low-voltage ECG and echocardiogram revealing pericardial effusion due to severe hypothyroidism. 3. A 60-year-old with chest pain, showing an anteroseptal STEMI with diffuse ischemia.

1. ECG Test
Dr Ihab Suliman
7/11/2013

2. Q1 60 years old DM,HTN Severe
CP

3. A1- The ECG shows ?
• A- Acute anterior STEMI with inferior
ischemia.
• B- Acute Inferior STEMI with anterior
ischemia.

4. • A- Acute Ant STEMI in Sinus with inferior
Ischemia (reciprocal)

5. Q2 55 Years old lady with SOB &
fatigability

6. Q2
• A- NSR ,Low voltage ECG on Limb leads
& pre cordial leads.
• B- Atrial Fibrillation with diffuse ischemia

7. A2
• A- NSR ,Low voltage ECG on Limb leads
& pre cordial leads.

9. A2
• Echo showed Pericardial Effusion

10. A2

11. A2
• Severe Hypothyroidism

12. Q3- 60 years old with CP

13. Q3 ECG showed ?
• A- Diffuse Myocardial ischemia.
• B- Extensive inferolateral STEMI.
• C-Anteroseptal STEMI with diffuse
ischemia.

14. A3
• C-Anteroseptal STEMI with diffuse
ischemia.

15. Q4 what type of MI

16. Q4
• A- Extensive Inferoposterior STEMI
• B- Extensive Anterior STEMI

17. A4
• A- Extensive Inferoposterior STEMI

18. Q5 84 years old male with S/P
CABG
and cardiac devise, EF >55%

19. Q5

20. Q5
•
•
•
•
ECG showed ??
A-Dual camber pacemaker
B-AICD
C- Single lead pace maker

21. A5
• A-Dual camber pacemaker

22. Q 6 ECG of a patient with Fallots who
had previous surgery

23. Q6
• ECG showed ??
• A- RBBB.
• B-LBBB

24. A6
• A- RBBB.

25. Left Bundle Branch Block

26. Q 7 what type of Rhythm

27. Q7
• A-Atrial Flutter
• B-AVNR/SVT

28. Q 8 What Syndrome ??

29. Q8
• A- WPW Syndrome.
• B-Brugada Syndrome

30. A8
• A- WPW Syndrome.

31. 60 years old male with Multiple Co-Morbid issues.
Base line ECG

32. 60 years old male with Multiple COMORBID
ISSUES, came 2 ER with CP
ECG at Time of CP

33. 60 years old male with Multiple COMORBID ISSUES
ECG side by Side

34. A8

36. Peaked T waves ( > 1/3 QRS)
Prolonged PR interval
Hyperkalemia
Sine Wave
Widening of QRS

38. Q9

39. Q9
• A- SVT
• B-VT

40. A9
• B-VT

41. 55 years old male with Previous
cardiac history

46. • What 2 procedures done.