ECG Quiz

A 35 year old man presents with palpitations. He has been drinking

heavily with friends over the weekend. This is his ECG. Present your
findings and give a diagnosis.

A 75 year old man with a history of COPD presents with fever and
increased sputum production. An ECG is taken in the emergency
department. What does it show?

A 65 year old man is found unresponsive. He has no central pulse and

is making no respiratory effort. Surprisingly someone has done an
ECG. What would you do?

A fit and well 31 year old man presents for a routine insurance medical.
This is his ECG. Present your findings and give the diagnosis.

A 65 year old man with a history of ischaemic heart disease is found

unresponsive. He has no central pulse and is making no respiratory
effort. This is his ECG. What is the diagnosis and what will you do?

A 40 year old lady comes to the emergency department from her

husbands funeral with a sensation of fluttering in her chest. She is
feeling very anxious. An ECG is performed. What is the diagnosis?

A 58 year old man who attends the emergency department with chest
pain loses consciousness whilst he is having his initial ECG. He has no
central pulse and is taking occasional deep breaths. What is going on?

A 72 year old lady presents with collapse. This is her ECG. Present
your findings. How would you proceed?

A 60 year old man presents with tight central chest pain radiating to his
left shoulder. This is his initial ECG. Present your findings and give a
diagnosis.

A 55 year old renal dialysis patient presents to the emergency

department having missed his last session of dialysis due to feeling
dizzy and unwell. This is his ECG. Present your findings and give a
diagnosis.

A 65 year old woman presents with chest pain radiating to her jaw and
down her left arm. It feels like her normal angina but on this occasion
it has not eased with GTN spray. This is her ECG. Present your
findings and give the diagnosis.

A 25 year old man presents with a collapse which occurred as he was

playing in a football match. He has suffered episodes of fainting in the
past. This is his ECG. What is the diagnosis?

An 18 year old man signs up to join the army. He is fit and well. This is
his ECG taken at his medical examination. Is it normal?

A 58 year old smoker presents with tight epigastric pain. He looks

sweaty and unwell. One of the nurses shows you his routine ECG.
What is the diagnosis?

A 29 year old presents with central chest pain. She has a history of
recent flu-like illness but no significant past medical history. This is her
ECG. What is the diagnosis?

A 70 year old woman presents with sudden onset of chest pain. The
pain is crushing in nature and radiates up to her jaw. This is her ECG.
Present your findings and give the diagnosis.

A 45 woman has just stepped off a flight from Japan when she
develops severe pleuritic chest pain and shortness of breath. On
examination her chest is clear. Present your findings. What is the most
likely diagnosis?

It is early January and a middle-aged man is found lying in a park in

Scottland. He is surrounded by bottles of wine and has a GCS of 9. An
ECG is performed in the ambulance. What is going on?

A 61 year old woman presents to the emergency department with

diarrhoea and vomiting. She has recently been started on furosemide
by her GP for hypertension. What has happened?

An 18 year old lady is found collapsed at home. When you see her she
has a GCS of 10 and you notice that her pupils are dilated. This is her
ECG. Present your findings and give the diagnosis.

A 45 year old man is found collapsed at home. There is no history

available. This is his ECG. What is the diagnosis?

A 50 year old man presents with collapse. He has been unwell recently
with a chest infection for which he has been prescribed clarithromycin
from his GP. He also takes medication for his hayfever at this time of
year. What is most concerning here?

70 year old male with history of diabetes mellitus and hypertension

occasionally feels lightheaded. He recently fainted while standing.

58 year old female with no significant past medical history presents

with fatigue, lightheadedness and shortness of breath.

78-year-old female with history of HTN, DM, Hyperlipidaemia, CAD

admitted for syncope complains of palpitations and lightheadedness.

67 year old male with history of diabetes, hypertension, COPD

presents with chest pain.

38 year old female with history of DM, HTN, CKD presents with 2 days
of nausea and abdominal pain.

60 year-old man with history of HTN, Hyperlipidaemia, CAD presents

with nausea, shortness of breath and chest pain.