WorksheetsCVS Respi Case 2
Total questions: 15
Worksheet time: 8mins
Which of the following is incorrect?
Intermittent palpitations- premature atrial contraction
Irregular, sustained palpitations- supraventricular tachycardia
Regular, sustained palpitations- ventricular tachycardia
Rapid regular beating of sudden onset and offset- possible paroxysmal supraventricular tachycardia
The following electrophysiologic disturbances are seen on resting ECG, except:
Delta waves Wolf Parkinson White (WPW) syndrome
Brugada syndrome
Epsilon waves in Arrhythmogenic Right Ventricular Dysplasia/ Cardiomyopathy (ARVD/C)
Myocardial demand ischemia
P wave is negatively deflected in a normal sinus rhythm in the following leads, except:
aVR
V1
V2
Lead I
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:
Atrial flutter
Atrial tachycardia
Ventricular tachycardia
Sinoatrial Nodal Reentry Tachycardia (SANRT)
ECG leads that view the lateral surface of the heart, except:
Lead I
Lead II
V5
V6
Which of the following is incorrectly paired?
Class III-Verapamil
Class IA- Quinidine
Class IB- Mexiletine
Class IC-Flecainide
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?
Class I
Class II
Class III
Class IV
Drugs that do not reduce Vmax and shortens the action potential duration
Quinidine
Disopyramide
Lidocaine
Propranolol
Drugs with an adverse effect of cinchonism
Quinidine
Procainamide
Lidocaine
Propranolol
Most common supraventricular tachycardia
Sinus tachycardia
Atrial tachycardia
AV node reentry
PSVT
Causes of physiologic sinus tachycardia, except
Exercise
Acute illness with fever, infection, pain
Hyperthyroidism
Hypervolemia, anemia
Most common form of paroxysmal supraventricular tachycardia (PSVT)
AVNRT
AVRT
Preexcited tachycardia
Junctional tachycardia
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?
Atrial fibrillation
Atrial flutter
Ventricular tachycardia
Ventricular fibrillation
Which of the following best describe the underlying mechanism of paroxysmal supraventricular tachycardia?
AV junction block impulses coming from the SA node
AV junction can fire continuously due to a looping re-entrant circuit
Atrial cells can also fire continuously from multiple foci
Atrial cells fire continuously due to multiple micro re-entrant wavelets.
Useful in evaluation of patients with syncope in whom there is a suspicion that exaggerated vagal tone or vasodepression may play a causal role
Electrophysiologic testing
Exercise electrocardiography
Event recording
Head up tilt testing
