Question 1

A 72-year-old woman with arterial hypertension complains of

lightheadedness.Select the predominant rhythm:

*Normal sinus rhythm

Sinus bradycardia
Sinus tachycardia
Ectopic atrial rhythm
Atrial flutter
Atrial fibrillation
Multifocal atrial
tachycardia
Supraventricular
tachycardia
Junctional rhythm
Ventricular rhythm
Ventricular tachycardia
Ventricular fibrillation
Torsades de pointes

Question 2
A 72-year-old woman with arterial hypertension complains of
lightheadedness. Select the correct level of conduction block, if

present:
Sinus pause
Sinus exit block
First-degree AV block
Type I, second-degree AV
block
*Type II, second-degree AV
block
2:1 AV block
High-degree AV block
Complete AV block
Normal AV conduction

***Question 3
A 72-year-old woman with arterial hypertension complains of
lightheadedness. Select the correct QRS morphology anomaly, if

present:

**Right bundle branch block

Left bundle branch block
Non-specific interventricular conduction
delay () = possible
Normal QRS morphology

Question 4
A 72-year-old woman with arterial hypertension complains of
lightheadedness. Select the correct mean QRS axis:

**Normal QRS axis

Left axis deviation
Right axis deviation
Extreme right axis
deviation

Question 5
A 72-year-old woman with arterial hypertension complains of
lightheadedness. Select the correct diagnosis, if present:

Left atrial enlargement

Right atrial enlargement
Biatrial enlargement
*No evidence of atrial
enlargement

Question 6
A 72-year-old woman with arterial hypertension complains of
lightheadedness. Select the correct diagnosis, if present:

Left ventricular hypertrophy

Right ventricular hypertrophy
*No evidence of ventricular
hypertrophy (no tiene sentido pq el
eje corre mas hacia left)

Question 7
A 72-year-old woman with arterial hypertension complains of
lightheadedness. Select the correct ST-segment changes, if present:

*ST segment changes secondary to ischemia

ST segment changes secondary to hypertrophy
ST segment changes suggestive of acute
pericarditis
ST segment changes suggestive of hypothermia
ST segment changes suggestive of early
repolarization
No significant ST segment changes

Question 8
A 72-year-old woman with arterial hypertension complains of
lightheadedness. Select the correct level of ischemia, if present:

Acute injury or ischemia involving the anterior wall

Acute injury or ischemia involving the anterolateral wall
Acute injury or ischemic involving the inferior wall
*******************

Recent myocardial infarction involving the anterior wall

(discutir, q waves)
Recent myocardial infarction involving the anterolateral
wall
Recent myocardial infarction involving the inferior wall
Old myocardial infarction involving the anterior wall
Old myocardial infarction involving the anterolateral wall

Old myocardial infarction involving the inferior wall

No ischemic changes present

Question 9
A 72-year-old woman with arterial hypertension complains of
lightheadedness. Select electrolyte disturbances suggested by this
tracing, if present:

Hypokalemia
Hyperkalemia
Hypocalcemia
Hypercalcemia
*No electrolyte disturbances are
suggested

Question 10
A 32-year-old man complains of palpitations. Select the predominant
rhythm:

Normal sinus rhythm

Sinus bradycardia
Sinus tachycardia
Ectopic atrial rhythm
*Atrial flutter
Atrial fibrillation
Multifocal atrial
tachycardia
Supraventricular
tachycardia
Junctional rhythm
Ventricular rhythm
Ventricular tachycardia
Ventricular fibrillation
Torsades de pointes

Question 11
A 32-year-old man complains of palpitations. Select the correct level
of conduction block, if present:

Sinus pause
Sinus exit block

First-degree AV block
Type I, second-degree AV
block
Type II, second-degree AV
block
***2:1 AV conduction
High-degree AV block
Complete AV block
Normal AV conduction
Question 12
A 32-year-old man complains of palpitations. Select the correct QRS
morphology anomaly, if present:

Right bundle branch block

Left bundle branch block
Non-specific interventricular conduction
delay
*Normal QRS morphology

Question 13
A 32-year-old man complains of palpitations. Select the correct mean
QRS axis:

*Normal QRS axis

Left axis deviation
Right axis deviation
Extreme right axis
deviation

Question 14
A 32-year-old man complains of palpitations. Select the correct
diagnosis, if present:

Left atrial enlargement

Right atrial enlargement
Biatrial enlargement
*No evidence of atrial
enlargement

Question 15
A 32-year-old man complains of palpitations. Select the correct

diagnosis, if present:

Left ventricular hypertrophy

Right ventricular hypertrophy
*No evidence of ventricular
hypertrophy

Question 16
A 32-year-old man complains of palpitations. Select the correct STsegment changes, if present:

ST segment changes secondary to ischemia

ST segment changes secondary to hypertrophy
ST segment changes suggestive of acute
pericarditis
ST segment changes suggestive of hypothermia
ST segment changes suggestive of early
repolarization

*No significant ST segment changes

Question 17
A 32-year-old man complains of palpitations. Select the correct level of
ischemia, if present:

Acute injury or ischemia involving the anterior wall

Acute injury or ischemia involving the anterolateral wall
Acute injury or ischemic involving the inferior wall
Recent myocardial infarction involving the anterior wall
Recent myocardial infarction involving the anterolateral
wall
Recent myocardial infarction involving the inferior wall
Old myocardial infarction involving the anterior wall
Old myocardial infarction involving the anterolateral wall
Old myocardial infarction involving the inferior wall
*No ischemic changes present

Question 18
A 32-year-old man complains of palpitations. Select electrolyte
disturbances suggested by this tracing, if present:

Hypokalemia
Hyperkalemia
Hypocalcemia
Hypercalcemia
*No electrolyte disturbances are
suggested

Question 19
An 82-year-old man with Alzheimers disease is brought to the
emergency department after suffering a fall from his own feet. Select
the predominant rhythm:

Normal sinus rhythm

Sinus bradycardia
Sinus tachycardia
Ectopic atrial rhythm

Atrial flutter
Atrial fibrillation
Multifocal atrial
tachycardia
Supraventricular
tachycardia
*Junctional rhythm
Ventricular rhythm
Ventricular tachycardia
Ventricular fibrillation
Torsades de pointes

****Question 20
An 82-year-old man with Alzheimers disease is brought to the
emergency department after suffering a fall from his own feet. Select
the correct level of conduction block, if present:

Sinus pause
Sinus exit block
First-degree AV block
Type I, second-degree AV
block
Type II, second-degree AV
block

2:1 AV block
High-degree AV block
Complete AV block
*********

**Normal AV conduction

Question 21
An 82-year-old man with Alzheimers disease is brought to the
emergency department after suffering a fall from his own feet. Select
the correct QRS morphology anomaly, if present:

*Right bundle branch block

Left bundle branch block
Non-specific interventricular conduction
delay
Normal QRS morphology

Question 22
An 82-year-old man with Alzheimers disease is brought to the
emergency department after suffering a fall from his own feet. Select
the correct mean QRS axis:

Normal QRS axis

*Left axis deviation
Right axis deviation
Extreme right axis
deviation

Question 23
An 82-year-old man with Alzheimers disease is brought to the
emergency department after suffering a fall from his own feet. Select
the correct diagnosis, if present:

Left atrial enlargement

Right atrial enlargement
Biatrial enlargement
*No evidence of atrial
enlargement

Question 24
An 82-year-old man with Alzheimers disease is brought to the

emergency department after suffering a fall from his own feet. Select
the correct diagnosis, if present:

Left ventricular hypertrophy

Right ventricular hypertrophy
*No evidence of ventricular
hypertrophy

Question 25
An 82-year-old man with Alzheimers disease is brought to the
emergency department after suffering a fall from his own feet. Select
the correct ST-segment changes, if present:

ST segment changes secondary to ischemia

ST segment changes secondary to hypertrophy
ST segment changes suggestive of acute
pericarditis
ST segment changes suggestive of hypothermia
ST segment changes suggestive of early

repolarization
*No significant ST segment changes

Question 26
An 82-year-old man with Alzheimers disease is brought to the
emergency department after suffering a fall from his own feet. Select
the correct level of ischemia, if present:

Acute injury or ischemia involving the anterior wall

Acute injury or ischemia involving the anterolateral wall
Acute injury or ischemic involving the inferior wall
Recent myocardial infarction involving the anterior wall
Recent myocardial infarction involving the anterolateral
wall
Recent myocardial infarction involving the inferior wall
Old myocardial infarction involving the anterior wall
Old myocardial infarction involving the anterolateral wall
Old myocardial infarction involving the inferior wall
***No ischemic changes present

Question 27
An 82-year-old man with Alzheimers disease is brought to the
emergency department after suffering a fall from his own feet. Select
electrolyte disturbances suggested by this tracing, if present:

Hypokalemia
Hyperkalemia
Hypocalcemia
Hypercalcemia
*No electrolyte disturbances are
suggested

Question 28
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select the predominant rhythm:

*Normal sinus rhythm

Sinus bradycardia
Sinus tachycardia

Ectopic atrial rhythm

Atrial flutter
Atrial fibrillation
Multifocal atrial
tachycardia
Supraventricular
tachycardia
Junctional rhythm
Ventricular rhythm
Ventricular tachycardia
Ventricular fibrillation
Torsades de pointes

Question 29
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select the correct level of conduction block, if present:

Sinus pause
Sinus exit block
First-degree AV block
*Type I, second-degree AV

block
Type II, second-degree AV
block
2:1 AV block
High-degree AV block
Complete AV block
Normal AV conduction

****Question 30
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select the correct QRS morphology anomaly, if

present:
***Right bundle branch block
Left bundle branch block
Non-specific interventricular conduction
delay
Normal QRS morphology

Question 31
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select the correct mean QRS axis:

Normal QRS axis

***Left axis deviation
Right axis deviation
Extreme right axis
deviation

Question 32
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select the correct diagnosis, if present:

***Left atrial enlargement

Right atrial enlargement

Biatrial enlargement
No evidence of atrial
enlargement

Question 33
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select the correct diagnosis, if present:

Left ventricular hypertrophy

Right ventricular hypertrophy
**No evidence of ventricular
hypertrophy

Question 34
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select the correct ST-segment changes, if present:

ST segment changes secondary to ischemia

ST segment changes secondary to hypertrophy
ST segment changes suggestive of acute
pericarditis
ST segment changes suggestive of hypothermia
ST segment changes suggestive of early
repolarization
*No significant ST segment changes

Question 35
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select the correct level of ischemia, if present:

Acute injury or ischemia involving the anterior wall

Acute injury or ischemia involving the anterolateral wall
Acute injury or ischemic involving the inferior wall
Recent myocardial infarction involving the anterior wall
Recent myocardial infarction involving the anterolateral
wall
Recent myocardial infarction involving the inferior wall
Old myocardial infarction involving the anterior wall

Old myocardial infarction involving the anterolateral wall

Old myocardial infarction involving the inferior wall
*No ischemic changes present

Question 36
A 32-year-old female athlete presents for routine evaluation. She has
no symptoms. Select electrolyte disturbances suggested by this
tracing, if present:

Hypokalemia
Hyperkalemia
Hypocalcemia
Hypercalcemia
*No electrolyte disturbances are
suggested

Question 37
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select the predominant rhythm:

Normal sinus rhythm

***Sinus bradycardia
Sinus tachycardia
Ectopic atrial rhythm
Atrial flutter
Atrial fibrillation
Multifocal atrial
tachycardia
Supraventricular
tachycardia
Junctional rhythm
Ventricular rhythm
Ventricular tachycardia
Ventricular fibrillation
Torsades de pointes

Question 38
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select the correct level of conduction
block, if present:

Sinus pause
Sinus exit block
First-degree AV block
Type I, second-degree AV
block
Type II, second-degree AV
block
2:1 AV block
High-degree AV block
Complete AV block
*Normal AV conduction

*****Question 39
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select the correct QRS morphology
anomaly, if present:

***Right bundle branch block

Left bundle branch block
Non-specific interventricular conduction
delay
Normal QRS morphology

Question 40
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select the correct mean QRS axis:

*Normal QRS axis

Left axis deviation

Right axis deviation
Extreme right axis
deviation

Question 41
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select the correct diagnosis, if
present:

Left atrial enlargement

Right atrial enlargement
Biatrial enlargement
*No evidence of atrial
enlargement

Question 42
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select the correct diagnosis, if
present:

Left ventricular hypertrophy

Right ventricular hypertrophy
***No evidence of ventricular
hypertrophy

Question 43
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select the correct ST-segment
changes, if present:

*ST segment changes secondary to ischemia

ST segment changes secondary to hypertrophy

ST segment changes suggestive of acute
pericarditis
ST segment changes suggestive of hypothermia
ST segment changes suggestive of early
repolarization
No significant ST segment changes

Question 44
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select the correct level of ischemia, if
present:

Acute injury or ischemia involving the anterior wall

*Acute injury or ischemia involving the anterolateral wall
Acute injury or ischemic involving the inferior wall
Recent myocardial infarction involving the anterior wall

Question 45
A 68-year-old man with arterial hypertension and type 2 diabetes
mellitus complains of chest pain. Select electrolyte disturbances
suggested by this tracing, if present:

Hypokalemia
Hyperkalemia
Hypocalcemia
* no electrolyte abnormalities

****Question 46
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
the predominant rhythm:

***Normal sinus rhythm

Sinus bradycardia
Sinus tachycardia
Ectopic atrial rhythm
Atrial flutter
Atrial fibrillation
Multifocal atrial
tachycardia
Supraventricular
tachycardia
Junctional rhythm
Ventricular rhythm
Ventricular tachycardia
Ventricular fibrillation
Torsades de pointes

Question 47
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
the correct level of conduction block, if present:

Sinus pause
Sinus exit block
First-degree AV block
Type I, second-degree AV
block
Type II, second-degree AV
block
2:1 AV block
High-degree AV block
Complete AV block
*Normal AV conduction

Question 48
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
the correct QRS morphology anomaly, if present:

Right bundle branch block

Left bundle branch block
Non-specific interventricular conduction
delay

*Normal QRS morphology

Question 49
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
the correct mean QRS axis:

*Normal QRS axis

Left axis deviation
Right axis deviation
Extreme right axis
deviation

Question 50
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
the correct diagnosis, if present:

Left atrial enlargement

Right atrial enlargement
Biatrial enlargement
*No evidence of atrial
enlargement

Question 51
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
the correct diagnosis, if present:

*Left ventricular hypertrophy

Right ventricular hypertrophy
No evidence of ventricular
hypertrophy

****Question 52
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
the correct ST-segment changes, if present:

ST segment changes secondary to ischemia

****ST segment changes secondary to hypertrophy
ST segment changes suggestive of acute
pericarditis
ST segment changes suggestive of hypothermia
ST segment changes suggestive of early
repolarization
No significant ST segment changes

Question 53
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
the correct level of ischemia, if present:

Acute injury or ischemia involving the anterior wall

Acute injury or ischemia involving the anterolateral wall
Acute injury or ischemic involving the inferior wall
Recent myocardial infarction involving the anterior wall
Recent myocardial infarction involving the anterolateral
wall
Recent myocardial infarction involving the inferior wall
Old myocardial infarction involving the anterior wall
Old myocardial infarction involving the anterolateral wall
Old myocardial infarction involving the inferior wall
*No ischemic changes present

Question 54
A 35-year-old man presents to the emergency department after
suffering transient loss of consciousness while playing soccer. Select
electrolyte disturbances suggested by this tracing, if present:

Hypokalemia
Hyperkalemia
Hypocalcemia
Hypercalcemia
*No electrolyte disturbances are
suggested

Question 55
A 56-year-old man with arterial hypertension complains of chest pain
and cough of two-day duration. Select the predominant rhythm:

*Normal sinus rhythm

Sinus bradycardia
Sinus tachycardia

Ectopic atrial rhythm

Atrial flutter
Atrial fibrillation
Multifocal atrial
tachycardia
Supraventricular
tachycardia
Junctional rhythm
Ventricular rhythm
Ventricular tachycardia
Ventricular fibrillation
Torsades de pointes

Question 56
A 56-year-old man with arterial hypertension complains of chest pain
and cough of two-day duration. Select the correct level of conduction
block, if present:

Sinus pause
Sinus exit block
First-degree AV block
Type I, second-degree AV
block

Type II, second-degree AV

block
2:1 AV block
High-degree AV block
Complete AV block
*Normal AV conduction

Question 57
A 56-year-old man with arterial hypertension complains of chest pain
and cough of two-day duration.Select the correct QRS morphology
anomaly, if present:

Right bundle branch block

Left bundle branch block
Non-specific interventricular conduction
delay
*Normal QRS morphology

Question 58
A 56-year-old man with arterial hypertension complains of chest pain
and cough of two-day duration.Select the correct mean QRS axis:

*Normal QRS axis

Left axis deviation
Right axis deviation
Extreme right axis
deviation

Question 59
A 56-year-old man with arterial hypertension complains of chest pain
and cough of two-day duration. Select the correct diagnosis, if
present:

Left atrial enlargement

Right atrial enlargement
Biatrial enlargement
*No evidence of atrial
enlargement

Question 60

A 56-year-old man with arterial hypertension complains of chest pain

and cough of two-day duration. Select the correct diagnosis, if
present:

Left ventricular hypertrophy

Right ventricular hypertrophy
**No evidence of ventricular
hypertrophy

Question 61
A 56-year-old man with arterial hypertension complains of chest pain
and cough of two-days duration. Select the correct ST-segment
changes, if present:

ST segment changes secondary to ischemia

ST segment changes secondary to hypertrophy
*ST segment changes suggestive of acute
pericarditis

ST segment changes suggestive of hypothermia

ST segment changes suggestive of early
repolarization
No significant ST segment changes

Question 62
A 56-year-old man with arterial hypertension complains of chest pain
and cough of two-days duration. Select the correct level of ischemia,
if present:

Acute injury or ischemia involving the anterior wall

Acute injury or ischemia involving the anterolateral wall
Acute injury or ischemic involving the inferior wall
Recent myocardial infarction involving the anterior wall
Recent myocardial infarction involving the anterolateral
wall
Recent myocardial infarction involving the inferior wall
Old myocardial infarction involving the anterior wall
Old myocardial infarction involving the anterolateral wall
Old myocardial infarction involving the inferior wall
*No ischemic changes present

Question 63

A 56-year-old man with arterial hypertension complains of chest pain

and cough of two-day duration. Select electrolyte disturbances
suggested by this tracing, if present:

Hypokalemia
Hyperkalemia
Hypocalcemia
Hypercalcemia
*No electrolyte disturbances are
suggested

Ventricular rhythm

Sinus pause
Sinus exit block
First-degree AV block
Type I, second-degree AV
block
Type II, second-degree AV
block
2:1 AV block
High-degree AV block
Complete AV block
Cannot evaluate******

LEFT AXIS DEVIATION