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ACES Arrhythmia Episode 4

Total questions: 12

Worksheet time: 9mins

Name
Class
Date
1.

A 60 y.o female with 6 hours chest pain. What is the ECG interpretation?

a)

SVT with Aberrancy

b)

VT

c)

Sinus tachycardia with BBB

d)

AF Rapid with Aberrancy

e)

Preexcited AF

2.

A 70 y.o male with CAD s/p CABG 2 years ago. Echocardiography: LVEF 35%. What is the ECG interpretation?

a)

SVT with Aberrancy

b)

VT

c)

Sinus tachycardia with BBB

d)

AF Rapid with Aberrancy

e)

Preexcited AF

3.

A 66 Y.O male with a history of heart failure and dilated cardiomyopathy. What is the ECG interpretation?

a)

SVT with Aberrancy

b)

VT

c)

Sinus tachycardia with BBB

d)

AF Rapid with Aberrancy

e)

Preexcited AF

4.

A 70 y.o female with a history of diabetes. Chief complain: palpitation. What is the ECG interpretation?

a)

SVT with Aberrancy

b)

VT

c)

Sinus tachycardia with BBB

d)

AF Rapid with Aberrancy

e)

Preexcited AF

5.

A 45 y.o male with a history of hypertension. What is the ECG interpretation?

a)

SVT with Aberrancy/BBB

b)

VT

c)

Sinus tachycardia with BBB

d)

AF Rapid with Aberrancy/BBB

e)

Preexcited AF

6.

Regarding the ECG shown above, what is the CORRECT statement?

a)

Arrhythmia mechanism is due to early after depolarization

b)

First line drug therapy is amiodarone

c)

Catheter ablation has a lower rate of recurrence than metoprolol

d)

VT with the same morphology as PVC shown cannot be terminated by adenosine

e)

First line drug therapy is beta blocker or dihydropyridine calcium channel blocker

7.

Which of the following is NOT classified as idiopathic ventricular arrhythmia?

a)

Adenosine sensitive VT

b)

Belhassen tachycardia

c)

Focal Purkinje VT

d)

Catecholaminergic polymorphic VT

e)

Papillary muscle VT

8.

What is the drug of choice to terminate this VT?

a)

Adenosine

b)

Amiodarone

c)

Lidocaine

d)

Procainamide

e)

Verapamil

9.

Where does those PVCs originate from?

a)

Right coronary cusp

b)

Left coronary cusp

c)

RCC/LCC junction

d)

Aorto-mitral continuity

e)

Superior mitral annulus

10.

Which treatment is contraindicated in the management of ventricular arrhythmia in acute coronary syndrome?

a)

Amiodarone

b)

Metoprolol

c)

Lidocaine

d)

Propafenone

e)

Overdrive pacing

11.

Which statement below is CORRECT?

a)

ICD is recommended immediately in patient with resuscitated VF during primary PCI

b)

EPS should be considered during hospital stay in patient with frequent PVC associated with acute coronary syndrome

c)

Beta blocker is the first line therapy to prevent ventricular arrhythmia in acute coronary syndrome

d)

Catheter ablation should be considered in STEMI patient post culprit only stenting and three vessel disease morphology complicated with recurrent sustained VT

e)

No statement is correct

12.

What is the best recommended efficacious therapy for symptomatic patient with those ECG tracing?

a)

Beta blocker

b)

Propafenone

c)

Amiodarone

d)

Catheter ablation

e)

Verapamil