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Electrocardiogram Practice Quiz: Test Your Skills

Master Basic ECG Concepts with Comprehensive Answers

Difficulty: Moderate
Grade: Other
Study OutcomesCheat Sheet
Paper art promoting ECG Essentials Quiz for nursing and medical students.

What does an ECG measure?
Blood pressure
Respiratory rate
Muscle contractions
Electrical activity of the heart
An ECG records the heart's electrical signals, which are essential for assessing the heart's rhythm and function. It does not measure blood pressure, respiratory rate, or general muscle activity.
Which wave on an ECG represents atrial depolarization?
P wave
R wave
T wave
Q wave
The P wave reflects the electrical activity associated with atrial depolarization. This is a fundamental aspect of ECG interpretation.
Which component of the ECG corresponds to ventricular depolarization?
T wave
U wave
P wave
QRS complex
The QRS complex represents ventricular depolarization, initiating the contraction of the ventricles. It is larger and more complex than the P wave, making it a key component in ECG analysis.
What does a normal sinus rhythm indicate on an ECG?
A regular rhythm originating from the sinoatrial node
An irregular rhythm with multiple pacemaker sites
A heart rate that is always above 100 beats per minute
A heart rate that is consistently below 60 beats per minute
Normal sinus rhythm means the heart's electrical impulses originate from the sinoatrial node in a regular pattern. This is indicative of proper conduction and normal heart function.
What does the T wave on an ECG represent?
Atrial repolarization
Atrial depolarization
Ventricular repolarization
Ventricular depolarization
The T wave represents ventricular repolarization, which is the process of recovery following ventricular contraction. Recognizing this wave is important for evaluating cardiac recovery and rhythm.
What is the normal duration of the QRS complex on an ECG?
Less than 0.12 seconds
Greater than 0.30 seconds
0.20 to 0.30 seconds
0.12 to 0.20 seconds
A normal QRS complex duration is less than 0.12 seconds. A prolonged duration may indicate a conduction delay or block within the heart.
What does a prolonged QT interval on an ECG indicate?
A measurement error
An increased risk of ventricular arrhythmias
Normal cardiac function
A sign of atrial enlargement
A prolonged QT interval is associated with delays in ventricular repolarization and can predispose the patient to life-threatening arrhythmias such as torsades de pointes. It requires careful evaluation and management.
Which lead is most useful in assessing the lateral wall of the left ventricle?
Lead V1
Lead II
Lead I
Lead III
Lead I provides a view of the lateral wall of the left ventricle. Along with other lateral leads (aVL, V5, and V6), it is essential for evaluating lateral myocardial infarctions and other abnormalities.
What is the normal PR interval range on an ECG?
0.20 to 0.24 seconds
0.08 to 0.12 seconds
0.04 to 0.08 seconds
0.12 to 0.20 seconds
The normal PR interval ranges between 0.12 and 0.20 seconds. This interval reflects the conduction time from the atria to the ventricles through the AV node.
What might a notched R wave in lead V1 suggest on an ECG?
Normal variation in all individuals
Left bundle branch block
Myocardial infarction
Incomplete right bundle branch block
A notched R wave in lead V1 may indicate an incomplete right bundle branch block, suggesting a mild delay in right ventricular conduction. This finding warrants further clinical evaluation to rule out underlying pathology.
What does ST-segment elevation on an ECG most commonly indicate?
Normal heart function
Acute myocardial infarction
Pericarditis
Electrolyte imbalance
ST-segment elevation is a critical marker for acute myocardial infarction, indicating transmural ischemia. It is an emergency finding that requires immediate attention.
Which interval on an ECG is used to assess atrioventricular conduction?
ST segment
PR interval
QRS duration
QT interval
The PR interval reflects the conduction time from the atria through the AV node to the ventricles. Assessing this interval is essential for diagnosing atrioventricular conduction delays.
How does improper electrode placement affect an ECG reading?
It only affects the heart rate measurement
It can alter the amplitude and orientation of waves
It only changes the PR interval
It has no impact on the tracing
Incorrect electrode placement can lead to misrepresentation of wave amplitudes and axes. This can result in misdiagnosis, which is why proper electrode placement is critical for accurate ECG interpretation.
What does the initial small Q wave in the QRS complex represent?
Ventricular repolarization
Atrial repolarization
Septal depolarization
A conduction delay
The initial Q wave is due to septal depolarization, where the electrical impulse passes through the interventricular septum. Recognizing normal Q waves is important to differentiate them from pathological Q waves seen in infarctions.
Which condition is most likely associated with T wave inversions on an ECG?
Normal physical activity
Myocardial ischemia
Left atrial enlargement
Sinus tachycardia
T wave inversions are often a sign of myocardial ischemia, indicating abnormal repolarization of the ventricles. This finding is significant in diagnosing ischemic heart conditions.
Which electrolyte imbalance is most commonly associated with peaked T waves on an ECG?
Hypokalemia
Hypocalcemia
Hyperkalemia
Hypercalcemia
Hyperkalemia leads to characteristic peaked T waves due to its effect on myocardial membrane potentials. Recognizing these changes quickly is important for prompt management of the condition.
What are the typical ECG findings in a left bundle branch block (LBBB)?
Shortened PR interval throughout the tracings
Peaked T waves in the precordial leads
Narrow QRS complexes with inverted T waves in all leads
Broad, notched R waves in leads I, V5, and V6 with deep S waves in V1
Left bundle branch block is characterized by a widened QRS complex with a typical pattern of broad, notched R waves in the lateral leads and deep S waves in V1. These findings help differentiate LBBB from other conduction abnormalities.
How can an ectopic atrial rhythm be distinguished on an ECG?
By a consistently prolonged QRS duration
By the absence of P waves
By an abnormal P wave axis differing from the normal sinus rhythm
By an increased heart rate only
An ectopic atrial rhythm is identified by differences in the P wave morphology and axis compared to normal sinus rhythm. This deviation helps clinicians pinpoint the source of the rhythm outside of the sinoatrial node.
What progressive ECG change is most indicative of severe hyperkalemia?
ST-segment depression
Prolongation of the QT interval
Shortening of the PR interval
Widening of the QRS complex
In severe hyperkalemia, as potassium levels rise further, the QRS complex begins to widen due to impaired myocardial conduction. This is a critical warning sign that can precede life-threatening arrhythmias.
Which ECG measurement is critical for assessing the timing of ventricular electrical activity?
P wave duration
ST segment
PR interval
QT interval
The QT interval represents the total time for ventricular depolarization and repolarization, making it vital for assessing the timing of ventricular electrical activity. Abnormalities in this interval can increase the risk of arrhythmias.
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Study Outcomes

  1. Understand the fundamental components of an ECG waveform.
  2. Interpret normal and abnormal ECG patterns.
  3. Analyze ECG interval measurements for clinical assessment.
  4. Apply theoretical knowledge to diagnose common cardiac conditions.

Electrocardiogram Quiz with Answers Cheat Sheet

  1. Systematic ECG Interpretation - Break down your ECG into rate, rhythm, axis, intervals, and segments to avoid missing hidden clues. This clear roadmap turns complex tracings into a confident, step-by-step adventure. Healio ECG Interpretation Tutorial
  2. Heart Rate Calculation - Count R waves over a 6‑second strip and multiply by 10 for a lightning‑fast heart rate estimate. This trick helps you spot bradycardia or tachycardia in seconds and keeps you ahead in the game. LibreTexts: Quick ECG Rate Calculation
  3. Rhythm Regularity - Measure consecutive R‑R intervals to see if your rhythm is marching in lockstep or dancing freestyle. A uniform pattern means "regular," while wild swings shout "irregular." LibreTexts: Rhythm Regularity Guide
  4. P Wave Assessment - Ensure P waves are present, upright in leads I, II, and V2 - V6, and cheerfully precede each QRS complex. Spotting abnormal P waves is your first clue to atrial mischief! Wikipedia: Electrocardiography
  5. PR Interval Measurement - The PR interval should lake between 0.12 and 0.20 seconds; any stretch beyond signals a first‑degree heart block. Timing this interval helps you catch conduction delays early. Wikipedia: Electrocardiography
  6. QRS Duration Determination - A normal QRS stays under 0.12 seconds; anything wider hints at bundle branch blocks or ventricular origins. Precision here separates innocent beats from warning signs. Wikipedia: Electrocardiography
  7. ST Segment Analysis - The ST segment should hug the isoelectric line; any elevation or depression could be an SOS from ischemia or infarction. Watching this segment is like reading the heart's urgent telegrams. Wikipedia: Electrocardiography
  8. T Wave Evaluation - T waves should stand proud and upright in leads I, II, and V2 - V6; flipped T waves might mean ischemia or other cardiac drama. This step helps you catch subtle signs before they escalate. Wikipedia: Electrocardiography
  9. QT Interval Importance - The QT interval covers ventricular depolarization and repolarization; a prolonged QT can set the stage for dangerous arrhythmias. Keeping an eye on this interval is a life‑saving habit. Manual of Medicine: ECG Interpretation
  10. QRS Axis Recognition - A normal axis falls between −30° and +90°; shifts can spotlight hypertrophy or conduction blocks. Axis checks let you map the heart's electrical highway in one quick glance. Manual of Medicine: ECG Interpretation
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