Of the cardiology questions in the Part II exam, a large proportion consists of ECG interpretation exercises. There really is no satisfactory way to short-cram in preparation for such questions. One might be tempted to make the facetious remark that people at this level of training would be confident in ECG interpretation, and that no further preparation would be required for the true ICU fellow in the final stages of their training. One might even say that good solid basic knowledge is the key to success in this ECG interpretation section. Of course, this would be complete bullshit. The College seem to have a database of perhaps twenty or thirty ECGs. The cynical trainee will focus on becoming familiar with this selection. If a repeat question comes up, the cynic will be rewarded for counting on the lazyness of question writers. If the ECG is brand-new, the cynic will not be disadvantaged any more than anybody else.
In the spirit of cheating and cynicism, this chapter offers a list of ECG abnormalities which have appeared prominently in the previous papers.