Review Question - QID 212749

A 22-year-old immigrant presents to his primary care physician for a general checkup. This is his first time visiting a physician, and he has no known past medical history. The patient’s caretaker states that the patient has experienced episodes of syncope and what seems to be seizures before but has not received treatment. His temperature is 98.1°F (36.7°C), blood pressure is 121/83 mmHg, pulse is 83/min, respirations are 14/min, and oxygen saturation is 98% on room air. Physical exam is notable for sensorineural deafness. Which of the following ECG changes is most likely to be seen in this patient?