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CVS Respi Case 2

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

Which of the following is incorrect?

a)

 Intermittent palpitations- premature atrial contraction

b)

 Irregular, sustained palpitations- supraventricular tachycardia

c)

 Regular, sustained palpitations- ventricular tachycardia

d)

Rapid regular beating of sudden onset and offset- possible paroxysmal supraventricular tachycardia

2.

The following electrophysiologic disturbances are seen on resting ECG, except:

a)

Delta waves Wolf Parkinson White (WPW) syndrome

b)

Brugada syndrome

c)

Epsilon waves in Arrhythmogenic Right Ventricular Dysplasia/ Cardiomyopathy (ARVD/C)

d)

Myocardial demand ischemia

3.

P wave is negatively deflected in a normal sinus rhythm in the following leads, except:

a)

aVR

b)

V1

c)

    V2

d)

Lead I

4.

A patient showing with tachycardia with ECG showing narrow QRS (<0.12), regular rhythm, not clear p waves, and tachycardia persists with AV block in  response to carotid sinus massage or adenosine. The patient’s condition is possibly, except:

a)

 Atrial flutter

b)

Atrial tachycardia

c)

Ventricular tachycardia

d)

 Sinoatrial Nodal Reentry Tachycardia (SANRT)

5.

ECG leads that view the lateral surface of the heart, except:

a)

 Lead I

b)

 Lead II

c)

V5

d)

V6

6.

Which of the following is incorrectly paired?

a)

 Class III-Verapamil

b)

Class IA- Quinidine

c)

 Class IB- Mexiletine

d)

 Class IC-Flecainide

7.

Which of the following antiarrhythmic drugs inhibit phase 4 depolarization in SA and AV node and thus depress automaticity, prolong AV conduction and decrease heart rate and contractility?

a)

Class I

b)

Class II

c)

Class III

d)

  Class IV

8.

 Drugs that do not reduce Vmax and shortens the action potential duration

a)

Quinidine

b)

 Disopyramide

c)

Lidocaine

d)

Propranolol

9.

   Drugs with an adverse effect of cinchonism

a)

Quinidine

b)

 Procainamide

c)

Lidocaine

d)

Propranolol

10.

Most common supraventricular tachycardia

a)

  Sinus tachycardia

b)

 Atrial tachycardia

c)

 AV node reentry

d)

PSVT

11.

Causes of physiologic sinus tachycardia, except

a)

 Exercise

b)

 Acute illness with fever, infection, pain

c)

 Hyperthyroidism

d)

Hypervolemia, anemia

12.

 Most common form of  paroxysmal supraventricular tachycardia (PSVT)

a)

    AVNRT

b)

 AVRT

c)

Preexcited tachycardia

d)

Junctional tachycardia

13.

 A 39-year-old man was brought by the HEMS to BRTTH ER due to loss of consciousness after collapsing in SM Legazpi City. His vital signs: 80/60 (palpatory), 250bpm, RR=10cpm. His ECG results: Rate: too rapid to count; Rhythm: grossly irregular; No identifiable P waves; PR interval: none; QRS complex: bizarre, varying in shape and direction. Which of the following is most likely the diagnosis?

a)

Atrial fibrillation

b)

Atrial flutter

c)

Ventricular tachycardia

d)

Ventricular fibrillation

14.

 Which of the following best describe the underlying mechanism of paroxysmal supraventricular tachycardia?

a)

AV junction block impulses coming from the SA node

b)

  AV junction can fire continuously due to a looping re-entrant circuit

c)

  Atrial cells can also fire continuously from multiple foci

d)

Atrial cells fire continuously due to multiple micro re-entrant wavelets.

15.

Useful in evaluation of patients with syncope in whom there is a suspicion that exaggerated vagal tone or vasodepression may play a causal role

a)

  Electrophysiologic testing

b)

Exercise electrocardiography

c)

Event recording

d)

Head up tilt testing