ECG Rhythm Strip Quiz 77

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Identify the following rhythms.

1.

a.   Ventricular tachycardia changing to asystole
b.   Complete heart block changing to asystole
c.    Junctional rhythm changing to asystole
d.   Accelerated idioventricular rhythm changing to asystole

2.

a.  Junctional rhythm
b.  Atrial fibrillation with controlled ventricular response
c.  Agonal rhythm
d.  3rd degree heart block

3.

a.  Atrial fibrillation with slow ventricular response
b.  Bradycardia with sinus arrhythmia
c.  Sinus bradycardia with a PVC
d   Idioventricular rhythm


4.

a.   Atrial tachycardia a PAC
b.   Sinus tachycardia with a PAC
c.   Ventricular tachycardia with a PAC
d.   Supraventricular tachycardia

5.





a.  Atrial paced with a triplet of PVCs
b.  AV paced with a triplet of PVCs
c.  Biventricular paced with a triplet of PVCs
d.  Ventricular paced with a triplet of PVCs


6.


a.  Atrial paced with multifocal PVCs
b.  AV paced with multifocal PVCs
c.  Biventricular paced with multifocal PVCs
d.  Ventricular paced with multifocal PVCs



7.



a.   Atrial tachycardia
b.   Sinus tachycardia
c.   Ventricular tachycardia
d.   Supraventricular tachycardia


8.







a.   Atrial tachycardia
b.   Sinus tachycardia
c.   Ventricular tachycardia
d.   Supraventricular tachycardia


9.





a.  Sinus tachycardia with run a run of ventricular tachycardia
b.  Normal sinus rhythm with uniform PVCs
c.  Atrial fibrillation with a run of ventricular tachycardia
d.  Sinus arrhythmia with multifocal PVCs


10.




a.  Normal sinus rhythm with unifocal PVCs
b.  Normal sinus rhythm with multifocal PVCs
c.  Normal sinus rhythm with multiform PACs
d.  Normal sinus rhythm with ventricular escape beats




Answers


1.    d.   Accelerated idioventricular rhythm changing to asystole
Accelerated idioventricular rhythm changing to asystole
The rhythm appears to be ventricular tachycardia but the rate is less than 100bpm so this makes it an accelerated idioventricular rhythm.
2.    a.  Junctional rhythm
Junctional rhythm
Notice the retrograde P waves that follow the QRS complex.
3.    b.   Bradycardia with sinus arrhythmia
4.    b.   Sinus tachycardia with a PAC
5.    d.   Ventricular paced with a triplet of PVCs
6.    d.   Ventricular paced with multifocal PVCs
7.    d.   Supraventricular tachycardia
8.    c.   Ventricular tachycardia
9.    c.   Atrial fibrillation with run a run of ventricular tachycardia
10.   a.  Normal sinus rhythm with unifocal PVCs


Reviewed 6/4/13, 3/9/16

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