HY USMLE Q #1036 – ECGs

A 60-year-old woman is brought to the physician by her husband for a follow-up examination. An ECG is shown. She is currently asymptomatic.

Which of the following is the most likely explanation for these findings, and what is the treatment?

  1st degree heart block; no treatment acutely
  1st degree heart block; pacemaker
  Mobitz I; no treatment acutely
  Mobitz I; pacemaker
  Mobitz II; no treatment acutely
  Mobitz II; pacemaker
  Third degree heart block; flecainide
  Third degree heart block; pacemaker
  Wolff-Parkinson White; procainamide
  Wolff-Parkinson White; pacemaker