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Atrial Rhythms

Total questions: 58

Worksheet time: 1hrs 8mins

Name
Class
Date
1.
Which of the following has zigzag looking waves, rather than P waves?
a)
PACs
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
SVT
2.
What rhythm is this?
a)
Sinus Rhythm with PAC
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
Supraventricular Tachycardia
3.
What rhythm is this?
a)
Sinus Rhythm with PAC
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
Supraventricular Tachycardia
4.
What rhythm is this?
a)
Sinus Rhythm with PAC
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
Supraventricular Tachycardia
5.
What rhythm is this?
a)
Sinus Rhythm with PAC
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
Supraventricular Tachycardia
6.
What rhythm is this?
a)
Sinus Rhythm with PAC
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
Supraventricular Tachycardia
7.
What rhythm is this?
a)
Sinus Rhythm with PAC
b)
Atrial Flutter
c)
Atrial Fibrillation
d)
Supraventricular Tachycardia
8.
Which rhythm has random squiggly lines instead of a P wave?
a)
Atrial Fibrillation
b)
Atrial Flutter
c)
PAC
d)
SVT
9.

What is the heart rate of this ECG rhythm?

a)

40

b)

70

c)

100

d)

130

10.

This ECG strip illustrates ____________.

a)

Premature Atrial Contraction

b)

Premature Ventricular Contraction

c)

Atrial Fibrulation

d)

Tachycardia

11.

This ECG illustrates _______________.

a)

Premature Atrial Contraction

b)

Atrial Flutter

c)

Atrial Fibrillation

d)

Ventricular Fibrillation

12.

What is the HR of this ECG?

a)

105pbm

b)

135bpm

c)

75bpm

d)

165bpm

13.

This ECG illustrates ____________________.

a)

Atrial Flutter

b)

Bradycardia

c)

Atrial Fibrillation

d)

Myocardial Infarct

14.

What is the ECG showing (Red Arrow)

a)

Atrial Fibrillation

b)

Ventricular Fibrillation

c)

Asystole

d)

Premature Ventricular Contraction

e)

Heart Block

15.
what is the name of the arrhythmia in the EKG tracing ?
a)
sinus arrhythmia
b)
ventricular fibrillation
c)
wandering atrial pacemaker
d)
atrial fibrillation
16.
Which rhythm has random squiggly lines instead of a P wave?
a)
Atrial Fibrillation
b)
Atrial Flutter
c)
PAC
d)
SVT
17.

which atrial abnormality results in an atrial rate of 130-250 bpm with a normal ventricular rate

a)

atrial tachycardia

b)

atrial flutter

c)

atrial fibrillation

d)

atrial bigeminy

18.

on an ECG when the ventricular heart rate is regular, the rate can be determined by counting the number of large squares between two consecutive QRS complexes then

a)

dividing 600 by that number of large squares

b)

dividing 300 by that number of large squares

c)

dividing 400 by that number of large squares

d)

dividing 200 by that number of large squares

19.

which abnormal atrial mechanism is often one of the first signs of CHF ?

a)

atrial fibrillation

b)

atrial bigeminy

c)

atrial tachycardia

d)

atrial flutter

20.
a)
Sinus Arrest
b)
Sinus Block
c)
A-Fib with slow ventricular response
d)
Wandering Atrial Pacemaker
21.
a)
Atrial fibrillation 
b)
Atrial flutter
22.

What is this rhythm?

a)

Atrial Tachycardia

b)

Atrial Fibrilation

c)

Wandering Atrial Pacemaker.

d)

Atrial Flutter

23.

Identify the following rhythm.

a)

Atrial flutter

b)

Atrial fibrillation

c)

Supraventricular tachycardia

d)

Sinus tachycardia

24.

Identify the following rhythm.

a)

Atrial flutter

b)

Atrial fibrillation

c)

Supraventricular tachycardia

d)

Junctional tachycardia

25.
A 74-year-old man is having a preoperative ECG performed. What is your interpretation of his ECG?
a)
Atrial fibrillation
b)
Atrial flutter
c)
Normal sinus rhythm 
d)
Sins tachycardia
26.

This strip is interpreted as:

a)

Atrial fibrillation

b)

Normal Sinus Rhythm

c)

Atrial Flutter

d)

Ventricular Fibrillation

27.

Identify what the waveform that is circled?

a)

Premature atrial contraction

b)

Premature ventricular contraction

c)

Sinus bradycardia

d)

Sinus tachycardia

28.

Identify what is occurring at the red circled areas?

a)

Asystole

b)

Normal Sinus Rhythm

c)

Premature Ventricular Contraction

d)

Premature Atrial Contraction

29.

Identify the cardiac rhythm strip seen above:

a)

Ventricular Fibrillation

b)

Atrial Flutter

c)

Ventricular Tachycardia

d)

Normal Sinus Rhythm

30.

Identify the cardiac rhythm strip pictured above

a)

Ventricular Tachycardia

b)

Atrial Fibrillation

c)

Normal Sinus Rhythm

d)

Ventricular Fibrillation

31.

This ECG illustrates _______________.

a)

Premature Atrial Contraction

b)

Atrial Flutter

c)

Atrial Fibrillation

d)

Ventricular Fibrillation

32.

What is the Heart Rate of this ECG?

a)

105pbm

b)

135bpm

c)

75bpm

d)

165bpm

33.

This ECG illustrates ____________________.

a)

Atrial Flutter

b)

Bradycardia

c)

Atrial Fibrillation

d)

Myocardial Infarct

34.
If the p-wave is "quivering" what medical condition is occurring? 
a)
Myocardial infarction 
b)
Damaged AV valves 
c)
Hyperkalemia 
d)
Atrial fibrillation (Afib)
35.
What do the letters EKG stand for?
a)
Electrocardiograph
b)
Electromagneticgraph
c)
Electrocardiogram 
d)
Electrolytes
36.
What surrounds the heart and acts as a tough, protective sac
a)
pericardium
b)
myocardium
c)
epicardium
d)
endocardium
37.
The outer layer of the heart is called
a)
myocardium
b)
endocardium
c)
atria
d)
epicardium
38.
The ability of a cell to transmit an electrical impulse to another cardiac cell is
a)
automaticity
b)
conductivity
c)
excitability
d)
contractility 
39.
What pacemaker has a firing rate of 40-60 times per minute?
a)
Purkinje fibers
b)
SA node
c)
Bundle of His
d)
AV node
40.
This records information from 12 different views of the heart and provides a complete picture of the electrical activity.
a)
rhythm strip
b)
12-lead ECG
c)
V leads
d)
Six precordial leads
41.
This provides a continuous cardiac rhythm display and transmits the ECG tracing.
a)
monitor
b)
lead
c)
complex
d)
electrode
42.
What's the difference between diastole and systole?
a)
closure of the tricuspid and mitral valves at the beginning
b)
closure of the aortic and pulmonary valves at the end
c)
relaxation and contraction
d)
an abnormal heart sound caused by improper valve closure
43.
The largest artery of the body is the
a)
renal artery
b)
femoral artery
c)
carotid artery
d)
aorta
44.

Select all of the options which are true of atrial systole.

a)

Atria contract

b)

Blood is pumped from ventricles into atria

c)

AV valve is open

d)

SL valve is open

45.
An EKG is actually
a)
A ratio
b)
An equation
c)
A time frame
d)
A graph 
46.
An electrocardiogram measures what?
a)
The amount of pressure exerted on blood vessels.
b)
The electrical activity of the heart.
c)
How many times the heart contracts over time.
d)
The body's temperature caused by friction of blood in vessel.
47.

A common cardiac dysrhythmia characterized by premature heartbeats originating in the atria.

a)

A-Fib

b)

A-Flutter

c)

PAC's

d)

SA Block

48.

Medical condition where SA node ceases to generate the electrical impulses that normally stimulate the tissues for heart conduction.

a)

Sinus Arrhythmia

b)

1st Degree AV Block

c)

Sinus Arrest

d)

Sino-Atrial Block

49.

Lead II is the standard lead in viewing the EKG.

a)

True

b)

False

50.

Common in elderly and is associated with exacerbations of chronic obstructive pulmonary disease (COPD).

a)

V-Tach

b)

PAC's

c)

MAT

d)

PJC's

51.

Causes: alcohol, medications/drugs, caffeine, tobacco, exercise, anxiety, or any chemical imbalances

a)

PAC's

b)

PJC's

c)

PVC's

d)

MAT

52.

Occurs when the natural pacemaker site shifts between SA node, the atria, and/or the AV node.

a)

1st Degree AV Block

b)

SA Block

c)

Sinus Pause

d)

Wandering Atrial Pacemaker

53.

An atrial pacemaker site that changes from location to location has

a)

P waves that continually change in appearance

b)

One pacemaker site from which the impulse arise

c)

Inverted P’ waves

d)

A chaotic baseline preceding each QRS complex

54.

When the atria fire faster than 350 beats per minute, the P waves

a)

are indiscernible; instead, there is a chaotic looking baseline

b)

appear in a saw-toothed pattern

c)

are inverted (in lead II)

d)

are buried in the T wave of the preceding beat

55.
Each small square on the EKG paper running horizontally represents _____ seconds in duration.
a)
0.01
b)
0.04
c)
0.12
d)
0.20
56.

__________, __________. & _________ place pressure on the atria and cause atrial dysrhythmias to occur. Select all that apply

a)

Myocardial infarction

b)

valvular problems

c)

neurological influences

d)

angina

57.

MAT (multifocal atrial tachycardia) is sometimes confused with which dysrhythmia?

a)

WAP (wondering atrial pacemaker)

b)

Atrial Flutter

c)

PAC (premature atrial complexes)

d)

Atrial Fibrillation

58.

What is the rate of WAP?

a)

40-60 BPM

b)

60-100 BPM

c)

100-150 BPM

d)

Greater than 150 BPM

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