Axis aligned and non aligned ellipses and semi definite programming

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Let's say I have a equation

$$X_1^T \Omega X_1 =1 $$

$X_1$ is a $2\times 1$ matrix. $\Omega$ is a $2\times 2$ matrix. This defines an ellipse. $\Omega$ is a positive, semi definite, symmetric matrix. I have the following questions:

1. Is the ellipse defined by $\Omega$ axis aligned or non aligned or we cannot say?

2. If $\Omega$ only contains non zero elements in the diagonal is it definitely axis aligned?

3. If $\Omega$ contains non zero elements on and off the diagonal (still being symmetric) is it non-axis aligned?

4. If an ellipse is non axis aligned whats the link with semi definite programming?