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Tachyarrhythmias

Total questions: 10

Worksheet time: 20mins

Name
Class
Date
1.

Which of the following is NOT a part of the baroreceptor control system?

a)

Carotid Sinus Nerve

b)

Sympathetic chain

c)

Vagal Motor Nucleus

d)

Nucleus Ambiguous

e)

Glossopharyngeal nerve

2.

The recommended intravenous dose of Adenosine is

a)

6 mg rapid IV bolus

b)

0.1 to 0.5 mg/kg rapid IV bolus

c)

Second dose is 12 mg rapid IV bolus, if only required

d)

All of the above

3.

Electrical conversion is performed using these techniques EXCEPT:

a)

Ensure adequate depth/ sedation/ analgesia

b)

Check for sync spikes on P-waves

c)

Start with adult dose of 50 Joules

d)

Start with 1 Joules per kg

e)

Remember to hold shock button until sync shock delivered

4.

You are asked to review a 2- year old child in recovery room, who is agitated and distressed after an elective myringotomy. ECG shows a regular narrow complex tachycardia at a rate of 300. You are told that the child is hemodynamically stable. You will give

a)

Amiodarone

b)

Esmolol

c)

Benzodiazepine

d)

Adenosine

5.

Drug of choice for Torsade de Pointes

a)

Magnesium

b)

Procainamide

c)

Sotalol

d)

Adenosine

6.

Dr. Soliven has a heart rate of more than 100bpm, QRS complex more than .12 seconds and R-R intervals are regular. No altered mental status, chest pain, hypotension or dyspnea. You will give

a)

Adenosine

b)

Labetalol

c)

Amiodarone

d)

Cardioversion

7.

Atrial flutter

a)

R waves have a “sawtooth” pattern

b)

Atrial rate is normally between 250 - 350 and irregular

c)

QRS measures less than .12 seconds

d)

All of the above

8.

A 79 year old individual is in SVT. BP is 80/50, and he is complaining of chest discomfort and feels like passing out. What is the next step?

a)

Carotid massage

b)

Synchronized cardioversion

c)

Amiodarone

d)

Lidocaine

9.

mechanism of action of adenosine

a)

Slows conduction time through A-V node

b)

Can interrupt the reentry pathways through the A-V node

c)

Can restore normal sinus rhythm in patients with paroxysmal supraventricular tachycardia

d)

Blocks potassium during phase 3 of cardiac action potential

10.

Indications to defibrillate the patient

4 lines