Scenario 1:
A 65-year-old man with chest pressure. ECG shows ST elevation of 3mm in V2–V4 with reciprocal ST depression in III and aVF. What artery is likely occluded?
Answer: LAD (anterior STEMI)
Scenario 2:
ECG: Regular rhythm, no P waves, narrow QRS, rate 150. Carotid massage does nothing.
Answer: AV nodal reentrant tachycardia (AVNRT) – most common regular narrow complex tachycardia.
Scenario 3:
ECG: Long PR interval (280ms), no dropped beats.
Answer: First-degree AV block – no specific treatment.
The ECG Academy Level 2 course is the second tier of the popular online ECG education platform founded by Dr. James Kelley. It builds on the foundational knowledge covered in Level 1 and pushes students toward interpreting complex arrhythmias, ischemic patterns, and advanced rhythm‑management concepts.
The final exam is the culminating assessment that determines whether a student can be awarded the ECG Academy Level 2 Certification. While many learners search for “Level 2 final exam answers,” the most sustainable path to success lies in understanding the material, practicing with similar cases, and applying a systematic interpretation strategy. Ecg Academy Level 2 Final Exam Answers
This article explains:
NOTE: The following items are not actual exam questions. They are crafted to mirror the style and difficulty level you can expect, allowing you to practice the thought process without violating any copyright or academic‑integrity policies.
You will need to differentiate:
Torsade de Pointes: Twisting QRS axis, long QT, often pause-dependent Scenario 1: A 65-year-old man with chest pressure
Wolff-Parkinson-White (WPW): Delta wave, short PR (<0.12s), wide QRS. Be aware of antidromic vs. orthodromic AVRT.
Second-degree AV block:
Left Ventricular Hypertrophy (LVH):
Use Cornell criteria (S V3 + R aVL > 28 mm men, > 20 mm women) or Sokolow-Lyon (S V1 + R V5/V6 > 35 mm).
Add strain pattern (asymmetric T inversion in lateral leads).
Right Ventricular Hypertrophy (RVH):
RAD, R in V1 > 7mm, R/S V1 >1, S in V5/V6 deep. The ECG Academy Level 2 course is the
Atrial enlargement:
About 40% of the Level 2 final exam covers ischemic changes. You must recognize:
Key patterns by territory:
| Territory | Leads Involved | Coronary Artery | |-----------|---------------|------------------| | Anterior | V2–V4 | LAD | | Inferior | II, III, aVF | RCA (often) | | Lateral | I, aVL, V5–V6 | LCx | | Posterior | Tall R waves, ST depression V1–V3 | RCA or LCx | | Right Ventricular | V4R (ST elevation) | RCA proximal |
Final exam must-know: