ECG Interpretation Flashcards

1
Q

Axis positive in lead 1 and 2

A

Normal

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2
Q

Axis positive in lead II, negative in I

A

RAD

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3
Q

Axis positive in 1, negative in 2

A

LAD

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4
Q

Negative in leads I and II

A

RAD/NW axis

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5
Q

P waves not associated with QRS

A

Heart block

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6
Q

Absent p waves

A

Atrial issue - a fib or flutter

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7
Q

Sawtooth baseline

A

Flutter waves

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8
Q

Chaotic baseline

A

Fibrillation

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9
Q

Flat line

A

No atrial activity at all

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10
Q

Broad QRS

A

Ventricular ectopic beat, BBB

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11
Q

T waves are due to

A

Repolarization of the ventricles

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12
Q

Tall T waves

A

Hyperkalemia, STEMI

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13
Q

Lateral leads

A

I, aVL, V5, V6

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14
Q

Inferior leads

A

II, III, aVF

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15
Q

Anterior septal eads

A

V1-4

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16
Q

Leads V1-V4 are

A

Anterior/septal

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17
Q

Leads I, AVL, V5 V6 are

A

Lateral

18
Q

Leads II, III, aVF are

A

Inferior

19
Q

No p wave produces a QRS in

A

Complete heart block

20
Q

Symptoms seen in patient with complete heart block

A

Syncope, angina, presyncope

21
Q

RBBB characteristic appearance on ECG

A

Anterioseptal leads have bunny ears “triphasic complexed”

22
Q

1st degree AV block

A

Long PR interval

23
Q

2nd degree AB block Wenckebach 1 presentation on ECG, and potential causes?

A

Progressive prolongation of PR then a dropped P wave.

Can be caused by BB, CCB, digoxin, inferior MI.

24
Q

2nd degree AV block mobitz type II

A

Intermittent non conducted P waves, without progressive prolongation

25
Q

Right atrial hypertrophy

A

Tall non M shaped P’s in lead II

26
Q

LVH signs on ECG

A

Tall R waves in lateral leads V5 V6

High voltage

27
Q

Signs of pericarditis on ECG

A

Diffuse ST segment elevation in all leads with PR depression and tachycardia

28
Q

PACs

A

Early odd shaped P wave

29
Q

Single beat with no P wave and wide QRS in odd locations on ECG

A

PVCs

30
Q

WPW syndrome

A

Delta waves, tachycardia

31
Q

V Tac

A

QRS constantly abnormally wide, p waves cant be seen

32
Q

SVT tachycardia

A

Has P waves

33
Q

Acute inferior MI

A

ST elevation in inferior leads (II, III, aVF)

34
Q

Septal MI on ECG

A

ST elevation in V2 and V3

35
Q

What percentage on PFT is abnormal

A

<70% FEV1

36
Q

Bronchodilator response

A

200mL difference and 12% change

37
Q

Low lung volume on PFT

A

Pulmonary fibrosis, neuromuscular, chest wall and pleural disorders

38
Q

Arrhythmias of sinus node origin

A

Sinus tachycardia, bradycardia, arrhythmia

39
Q

Multifocal atrial tachycardia is classically seen in patients with

A

COPD

40
Q

Differential of wide complex regular tachycardia

A

VTAC, SVT with abberancy

41
Q

DDx tachycardia narrow complex with regular rhythm

A

Sinus tac, atrial tac, AVNRT, AVRT, a flutter

42
Q

DDx tachycardia with narrow complexes, irregular rhythm

A

A fib, a flutter with variable conduction, MAT