ECG

Question 1

Right leads

Answer 1

V1
V2
aVR

Question 2

Inferior leads

Answer 2

V1
V2
avF

Question 3

Lateral leads

Answer 3

V1
V5
V6
aVL

Question 4

Anterior leads

Answer 4

V1 - V4

Question 5

Bad lead positioning

Answer 5

aVR ➕

V1-V6 NL

Question 6

Which leads shld be always ➖

Answer 6

V1

aVR

Question 7

Small square duration

Answer 7

0.04 s

Question 8

Big square duration

Answer 8

0.2 s

Question 9

Rate assessment

Answer 9

1500/RR SS

300/RR BS

Question 10

Define sinus rhytme

Answer 10

P ➕

In V1 & V2

Question 11

Define NL axis

And how to assess

Answer 11

-30 to +90

QRS (V1 + V2) ➡️➕

Question 12

Define left axis

And how to assess

Answer 12

-30 to -90
V1 ➕
V2 ➖

Question 13

PR interval

Answer 13

0.1-0.2s
(Lesser than 1 BS)

AV block

Question 14

QRS interval

Answer 14

Lesser than 3 SS
(0.12 s)

L/RBBB

Question 15

QT interval
QTc

Answer 15

Lesser than 2 BS
(0.34-0.44)

QT/<[RR
Lesser than 0.44

Arrest if Prolonged

Question 16

QT prolonged causes

Answer 16

با پتک KMC (K, Mg, Ca(➖in hyprCa) میزنیم توی سر گربه‌ی تکاور(TCA) میگیم هال (هالوپریدول) کردی؟ پوکیدی؟(پروکایین آمید، کینیدین، دیزوپرامید)
گربه میگه آمیو(آمیودارون)
گربه چیا میکشه ؟
متادون، ترامادول، کوکایین، قهوه

Question 17

NL Invert T

Answer 17

V1- V3 in
Children
Young obess women

Question 18

Ventricular pathogenic effect on QRS

Answer 18

Deppressed S each side

Question 19

Define
SA exit block
SA arrest(pause)

Answer 19

Sudden lack of P & QRS
1 2 3
1.5

No treatment needed

Question 20

Define & Rx

Sick sinus syndrome (SSS)

Answer 20

Periodic tachy/bradycardia

Permanent pace maker

Question 21

Regular ECG WO P

Answer 21

PSVT

Question 22

Regular ECG With P

Answer 22

Sinus tachycardia

Question 23

Define MAT

Answer 23

Polymorphic P >3

Irregular ECG With P

In COPD

Question 24

Irregular ECG WO P
Rx

Answer 24

AF

BB (Metoral)
CCB (Verapamil)
Digoxin 0.5mg (first line for Low BP & CHF)

Question 25

Irregular ECG With P

Answer 25

MAT

Question 26

Rx Ir/regular ECG with P

Answer 26

درمان بیماری زمینه ای

Question 27

Rx Regular ECG WO P

Answer 27

``` IV antecubital 3 ampula(6mg) + 20cc NS shoot ``` اخطار سرگیجه دستشو ‌میگیریم‌ بالا

Question 28

Rx Regular ECG WO P | Not responded to first step

Answer 28

12mg adenosin

Question 29

Rx Regular ECG WO P | Not responded to second step

Answer 29

Verapamil 5mg

Question 30

Rx Regular ECG WO P | Not responded to third step

Answer 30

Amiodarun

Question 31

Verapamil (CCB/B blocker) conterindication

Answer 31

1. Polmunary edema | 2. Low EF

Question 32

Rx Irregular ECG WO P

Answer 32

``` زمینه ای If HR > 120 B Blocker If not Digoxin ```

Question 33

LBBB

Answer 33

Wide QRS ST elevation V1 ➖

Question 34

RBBB

Answer 34

Wide QRS ST elevation V1 ➕

Question 35

Scarbosa +2

Answer 35

Non concordance (T & QRS خلاف جهت هم) ST elevation > 5mm

Question 36

Scarbosa +5

Answer 36

Concordance (T & QRS جهت هم) ST elevation (whatever)

Question 37

Scarbosa +3

Answer 37

ST elevation V1-V3

Question 38

Name AV node arrhythmia

Answer 38

1 2 Mobitz 1 (Wenckebach) Mobitz 2 3 (Compelete Heart Block) P woman QRS man

Question 39

Define AV block I | Rx

Answer 39

``` Prolonged PR (More than 1 BS) ``` زن سر خونشه مرد دیر میاد اما همیشه توی ساعت معین میاد Not needed

Question 40

Define Mobitz I | Rx

Answer 40

Progressive PR prolongation untill a P wo QRS زن سر خونشه مرد هر شب دیرتر میاد تا یه شب کلن نمیاد Not needed

Question 41

Define Mobitz II | Rx

Answer 41

Regular P Irregular wide groupy QRS ۳شب هست ۲شب نیست Pace maker

Question 42

Define AV node arrhythmia III | Rx

Answer 42

Regular P Regular QRS but not related to each other Complete Heart Block طلاق گرفتن Pace maker

Question 43

Scarbosa score for MI Dx

Answer 43

Score > 3

Question 44

Anterior MI ECG

Answer 44

ST elevation V1-V4 LAD Reciprocal changes in Posterior/Inferior

Question 45

Inferior MI ECG

Answer 45

ST elevation V2, V3, avF RCA Reciprocal changes in Lateral

Question 46

Lateral MI ECG

Answer 46

ST elevation V1, V5, V6, avL Reciprocal changes in Inferior

Question 47

Right MI ECG & manifestation

Answer 47

``` V1 anormal (➕ or not completely ➖) avR ➕ ``` Chest pain + BP ⬇️ / PR ⬇️ Needs right ECG

Question 48

Right ECG Indication

Answer 48

Chest pain + BP ⬇️ / PR ⬇️

Question 49

Posterior ECG Indication

Answer 49

``` V1-V3 ST depression Or Inverted T + Chest pain ```

Question 50

Reciprocal changes in ECG

Answer 50

ST depression | Inverted T

Question 51

Tall T def

Answer 51

> 2BS

Question 52

Tall T def

Answer 52

> 2BS