EKG Rhythm Strip Quiz 122

Identify the following rhythms.

1.













a.   Atrial fibrillation
b.  Monomorphic ventricular tachycardia
c.  Polymorphic ventricular tachycardia
d.  Torsades de pointe


2.

a.   Wandering atrial pacemaker
b.   Wenckebach
c.   Mobitz II
d.   Sinus arrhythmia


3.


a.   Atrial fibrillation
b.   Idioventricular rhythm
c.   Complete heart block
d.   Agonal rhythm


4.

a.   Normal sinus rhythm with a PVC
b.   Sinus rhythm with sinus arrest
c.   Normal sinus rhythm with PACs
d.   Normal sinus rhythm with a PVC and PAC.


5.












a.   Normal sinus rhythm
b.   Sinus bradycardia
c.   Sinus arrhythmia
d.   2nd degree AV block type I


6.












a.   Atrial paced
b.   AV paced
c.   Biventricular paced
d.   Ventricular paced


7.













a.  Aystole
b.  Ventricular flutter
c.  Ventricular fibrillation
d.  Atrial fibrillation

8.


a.   Normal sinus rhythm with ST depression
b.   Normal sinus rhythm with ST elevation
c.   Normal sinus rhythm with T wave inversion
d.   Normal sinus rhythm with hyperkalemia


9.

a.   Normal sinus rhythm with a couplet of PACs
b.   Normal sinus rhythm with a couplet of PJCs
c.   Normal sinus rhythm with a couplet of PVCs
d.   Sinus arrhythmia


10.













a.   Supraventricular tachycardia
b.   Ventricular tachycardia
c.   Multifocal tachycardia
d.   Accelerated idioventricular rhythm


Answers

1.    c.   Polymorphic ventricular tachycardia
2.    b.   Wenckebach
3.    c.   Complete heart block
4.    d.   Normal sinus rhythm with a PVC and PAC.
5.    c.   Sinus arrhythmia
6.    d.   Ventricular paced
7.    d.   Atrial flutter
8.    b.   Normal sinus rhythm with ST elevation
9.    c.   Normal sinus rhythm with a couplet of PVCs
10.  a.   Supraventricular tachycardia


Comments

  1. 7d is coarse AF, not flutter (in flutter the atrial activation is more regular).

    ReplyDelete
    Replies
    1. Thank you. This rhythm is somewhere in between a fibrillation and a flutter. It has some of the characteristics of a fibrillation: irregular, irregular rhythm with some fibrillatory waves present. Also there are some characteristics of atrial flutter with some flutter waves present. I have not heard the term coarse atrial fibrillation before but can see how it would apply to this strip. I believe most cardiologist would be in agreement with you and call the rhythm an atrial fibrillation rather than a flutter. Thanks for the input. I will make some changes based upon your observations.

      Delete
  2. Hi,

    My name is Sarah Sherwood, and I am a fourth year medical student in New York. I absolutely love your site and you have some incredible EKGs and rhythm strips. I was wondering if you would mind if I used your Mobitz I rhythm strip in a project I am working on that provides medical students case-based online modules to help teach EKGs.

    Thank you again for this wonderful site!

    --Sarah

    ReplyDelete
    Replies
    1. Thank you for your comments. I post these for education purposes and they can be used freely by anyone. So, feel free to use as many as you would like. The only stipulation is that if your project involves publication, please reference my site. This will avoid any possible copyright infringements.

      Delete
  3. Thank you so much Mike -- I really appreciate it, what a great website this is!

    ReplyDelete

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