This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: ECG and Arrhythmias 1, Subject name: Medicine
Pseudo- P- pulmonale is seen in? 
Select and explain. 
A. Hypokalemia, B. Hyperkalemia, C. Hypomagnesemia, D. Hypercalcemia
A: Hypokalemia
Answer: A: Hypokalemia 
Explanation: P-Pulmonale = Height of P wave > 2.5 mm in limb leads of patient seen in patient of PAH. Pseudo P-Pulmonale= Height of P wave > 2.5 mm in limb leads in absence of PAH Option Electrolyte imbalance ECG findings Option A Hypokalemia T becomes smaller, inveed P becomes veically higher, seems like P pulmonale Option B Hyperkalemia Tall tented T wave Option C Hypomagnesemia QT Prolongation Option D Hypercalcemia QT shoening