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Cardio Lectures 27 and 28

Total questions: 23

Worksheet time: 12mins

Name
Class
Date
1.

Rate in an ECG is determined by

a)

300/#RR interval large squares

b)

300/#RR interval small squares

c)

1500/#RR interval small squares

d)

1500/#RR interval large squares

2.

Normal P waves are upright in

a)

Lead I

b)

Lead II

c)

Lead III

d)

Lead IV

3.

Normal P waves are inverted in

a)

aVL

b)

aVR

c)

aVF

d)

V1

4.

Sinus tachycardia is characterized by

a)

sinus rhythm with resting HR<60 bpm

b)

sinus rhythm with irregular ventricular rate

c)

sinus rhythm with resting HR>100 bpm

d)

sinus rhythm with regular ventricular rate

5.

Sinus bradycardia is characterized by

a)

sinus rhythm with resting HR<60 bpm

b)

sinus rhythm with irregular ventricular rate

c)

sinus rhythm with resting HR>100 bpm

d)

sinus rhythm with regular ventricular rate

6.

Sinus arrhythmia is characterized by

a)

sinus rhythm with resting HR<60 bpm

b)

sinus rhythm with irregular ventricular rate

c)

sinus rhythm with resting HR>100 bpm

d)

sinus rhythm with regular ventricular rate

7.

Which of the following is typically seen in patients with severe COPD and has at least 3 distinct P-wave morphologies in the same lead?

a)

AV nodal re-entry tachycardia

b)

Afib

c)

Atrial flutter

d)

Multifocal Atrial Tachycardia

8.

A patient presents with tachycardia, narrow QRS and rarely visible P waves that are inverted in leads II, III, aVF. What condition do they have?

a)

AV nodal re-entry tachycardia

b)

Afib

c)

Atrial flutter

d)

Multifocal Atrial Tachycardia

9.

Which of the following is characterized by regular atrial activity, loss of isoelectric baseline, and a saw-tooth pattern in leads II, III, and aVF?

a)

AV nodal re-entry tachycardia

b)

Afib

c)

Atrial flutter

d)

Multifocal Atrial Tachycardia

10.

Which of the following describes Afib that terminates spontaneously and has recurring episodes of variable frequency?

a)

Paroxysmal Afib

b)

Persistent Afib

c)

Long-standing persistent Afib

d)

Permanent Afib

11.

Which of the following describes Afib that doesn't terminates within seven days and requires intervention to restore sinus rhythm?

a)

Paroxysmal Afib

b)

Persistent Afib

c)

Long-standing persistent Afib

d)

Permanent Afib

12.

Which of the following describes Afib where the patient and physician decide to not pursue a rhythm control strategy?

a)

Paroxysmal Afib

b)

Persistent Afib

c)

Long-standing persistent Afib

d)

Permanent Afib

13.

Which of the following describes Afib that has lasted more than 12 months?

a)

Paroxysmal Afib

b)

Persistent Afib

c)

Long-standing persistent Afib

d)

Permanent Afib

14.

Patient present with a junctional rhythm demonstrating inverted P waves and a short PR interval. The patient's rate is within 40-60 bpm, what type of rhythm is this?

a)

Junctional rhythm

b)

Junctional escape rhythm

c)

Accelerated junctional rhythm

d)

Junctional tachycardia

15.

Patient present with a junctional rhythm demonstrating inverted P waves and a short PR interval. The patient takes digoxin and has a rate within 60-100 bpm. What type of rhythm is this?

a)

Junctional rhythm

b)

Junctional escape rhythm

c)

Accelerated junctional rhythm

d)

Junctional tachycardia

16.

Patient present with a junctional rhythm demonstrating inverted P waves and a short PR interval. The patient's rate is >100 bpm, what type of rhythm is this?

a)

Junctional rhythm

b)

Junctional escape rhythm

c)

Accelerated junctional rhythm

d)

Junctional tachycardia

17.

On ECG, patient has complete AV dissociation with independent atrial and ventricular rates. What type of AV block is this?

a)

1st degree

b)

2nd degree Type I

c)

2nd degree Type II

d)

3rd degree

18.

Patient presents with abnormal P wave that is followed by a normal QRS. A premature beat arises from ectopic pacemaking tissue.

a)

Premature Atrial Contraction

b)

Premature Ventricular Contraction

c)

Ventricular Escape Rhythm

d)

Ventricular Tachycardia

19.

Patient presents with a premature and abnormal QRS as well as discordant ST segment and T wave changes. A premature beat arises from ectopic focus.

a)

Premature Atrial Contraction

b)

Premature Ventricular Contraction

c)

Ventricular Escape Rhythm

d)

Ventricular Tachycardia

20.

Patient presents Vtach. The sinus and ventricular beat coincide to produce a hybrid complex. What is the name of this Vtach criteria?

a)

Dressler beat

b)

Positive or negative concordance

c)

Joesph sign

d)

Brugada sign

21.

Patient presents Vtach. The distance between R wave onset and S wave is >100 ms in leads V1-6. What is the name of this Vtach criteria?

a)

Dressler beat

b)

Positive or negative concordance

c)

Joesph sign

d)

Brugada sign

22.

Patient presents Vtach. There is notching/slurring near the S wave. What is the name of this Vtach criteria?

a)

Dressler beat

b)

Positive or negative concordance

c)

Joesph sign

d)

Brugada sign

23.

A patient presents with polymorphic ventricular tachycardia and QT prolongation where the QRS complexes seen to twist around the isoelectric line. What condition do they have?

a)

Afib

b)

Vfib

c)

Torsade de Pointes

d)

Asystole

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