Friday, April 11, 2014

EKG Rhythm Quiz 235

Identify the following rhythms.

1.











a. Normal sinus rhythm
b. Accelerated idioventricular rhythm
c. Accelerated junctional rhythm
d. Sinus tachycardia

2.













a. Atrial fibrillation with a multifocal triplet of PVCs
b. Atrial fibrillation with uniform PVCs
c. Atrial fibrillation with a multifocal couplets of PVCs
d. Atrial fibrillation with trigeminal PVCs

3.












a. NSR with unifocal PVCs
b. NSR with a multifocal couplet
c. NSR with multifocal PVCs
d. NSR with bigeminal PVCs

4.













a. NSR with a triplet of PVCs
b. NSR with uniform PVCs
c. NSR with bigeminal PVCs
d. NSR with multifocal PVCs  

5.














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

6.







a. Atrial fibrillation with unifocal PVCs
b. Atrial fibrillation with multifocal PJCs
c. Atrial fibrillation with bigeminal PVCs
d. Atrial fibrillation with uniform PACs

7.











a. Atrial fibrillation with rapid ventricular response
b. Atrial flutter with rapid ventricular response
c. Sinus tachycardia
d. Supraventricular tachycardia

8.











a. Sinus bradycardia
b. Junctional rhythm
c. Idioventricular rhythm
d. Agonal rhythm

9.











a. Normal sinus rhythm
b. Accelerated idioventricular rhythm
c. Junctional rhythm
d. Sinus bradycardia


10.









a. Accelerated idioventricular rhythm
b. Ventricular paced
c. Complete heart block
d. Sinus bradycardia


Answers

01.  d. Sinus tachycardia
02.  a. Atrial fibrillation with a multifocal triplet of PVCs
03.  c. NSR with multifocal PVCs:  NSR with PVC followed by a ventricular escape beat,  The first complex is a fusion complex or an aberrantly conducted PAC.  It looks like a PVC but it is preceded by a P wave.
04.  d. NSR with multifocal PVCs
05.  c. Ventricular paced
06.  c. Atrial fibrillation with bigeminal PVCs
07.  b. Atrial flutter with rapid ventricular response
08.  d. Agonal rhythm
09.  d. Sinus bradycardia
10.  b. Ventricular paced

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