ECG

Question 1

ST wave elevation

Answer 1

STEMI

Question 2

Tall T waves

Answer 2

Hyperkalaemia - increased extracellular potassium

Hyper-acute STEMI

Question 3

Inferior STEMI

Answer 3

Leads II, III and aVF

Question 4

Anteroseptal

Answer 4

V1-4

Question 5

Anterior

Answer 5

V1-V6

Question 6

Lateral

Answer 6

I, aVL

Question 7

Anterolateral (Extensive Anterior)

Answer 7

I, aVL and V1-V6

Question 8

Posterior

Answer 8

V1 and V2

These are mirror image changes

Question 9

Polymorphic VT

Answer 9

VT from multiple sources, meaning that they move around the heart

Question 10

Characteristics of Ventricular Tachycardia

Answer 10

Rapid and wide QRS complexes

T waves with large deflection

Regular Ventricular Rhythm

P waves not visible

A-V dissociation

Question 11

Supraventricular Tachycardia

Answer 11

Regular, fast, narrow QRS complexes

Question 12

Hyperkalaemia changes on ECG

Answer 12

Tall T waves

Small P waves

Widened QRS complex

Question 13

AVNRT on ECG

Answer 13

• Normal QRS
• P waves are either not seen or visible immediately before or after QRS complex

Question 14

Atrial Fibrillation

Answer 14

Fine oscillations of the baseline

No clear P waves

QRS rhythm is rapid and regular

Question 15

Atrial Flutter

Answer 15

Regular sawtooth waves between QRS complexes

Question 16

Torsades de Pointes

Answer 16

Rapid, irregular, sharp complexes that continuously change from upright > inverted

Question 17

Reverse Tick

T Wave Inversion

Sloping ST segments

Answer 17

Digoxin