EKG Rhythm Strip Quiz 49

Identify the following rhythms.

1.


a. Normal sinus rhythm with unifocal PVCs
b. Atrial fibrillation with multifocal PVCs
c. Accelerated junctional rhythm with multifocal PVCs
d. Atrial flutter with multifocal PVCs


2.
a. Sinus arrhythmia
b. Sinus bradycardia
c. Atrial flutter with variable rate
d. 2nd degree heart block type II with a 3:1 block

3.
a. Normal sinus rhythm with 1st degree block
b. Sinus bradycardia
c. Atrial flutter with 2:1 conduction
d. 2nd degree heart block type II

4.
a. Normal sinus rhythm with PJCs
b. Sinus arrhythmia
c. Atrial fibrillation with an occasional PVC
d. Wandering atrial pacemaker with an occasional PVC

5.
a. Sinus rhythm with a couplet
b. Sinus bradycardia with unifocal PVCs
c. Sinus rhythm with multifocal PACs
d. Sinus rhythm with a triplet of PVCs

6.
a. Normal sinus rhythm with a PAC
b. Sinus bradycardia with a PVC
c. Sinus arrhythmia
d. NSR with a pause

7.
a. Sinus rhythm with a PVC
b. Sinus tachycardia with a unifocal PVC
c. Sinus rhythm with a multifocal PAC
d. Sinus rhythm with a multifocal PJC

8.
a. Normal sinus rhythm with bigeminy
b. Normal sinus rhythm with trigeminy
c. Normal sinus rhythm with quadrageminy
d. Normal sinus rhythm with pentageminy

9.










a.  Sinus rhythm
b.  Sinus bradycardia
c.  Sinus tachycardia
d.  Sinus arrhythmia 


10.










a. 3rd degree heart block
b. Normal sinus rhythm with sinus pauses
c. 2nd degree heart block type I
d. 2nd degree heart block type II


Answers

1.

b. Atrial fibrillation with multifocal PVCs

2.





c. Atrial flutter with variable rate

3.

a. Normal sinus rhythm with 1st degree block.  The PR interval is .28 sec.


4.

a. Normal sinus rhythm with PJCs

5.

d. Sinus rhythm with a triplet of PVCs


6.
a. Normal sinus rhythm with a PAC, the 7th complex.  A slight change in noted in the morphology of the T wave before the PAC.   This suggests that a P wave is hidden with in it.  A P wave is more clearly seen on the V5 lead.

7.
 a. Sinus rhythm with a PVC

8.





b. Normal sinus rhythm with trigeminy.  A compensatory pause follows each PVC.

9.





b. Sinus bradycardia

10.





c. 2nd degree heart block type I.   There is progressive lengthening of the PR interval.  A dropped complex follows every 3rd beat.



Reviewed 6/4/13, 3/6/16

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