Saturday, August 30, 2014

Basic EKG Rhythm Test 22

Identify the following rhythms.

01.






a. First Degree block
b. Second degree block type I
c. Second degree block type II
d. Third degree block

02.







a. Complete heart block
b. Junctional rhythm
c. Accelerated idioventricular rhythm
d. Agonal rhythm

03.






a. Idioventricular rhythm
b. Atrial fibrillation
c. Junctional rhythm
d. Sinus bradycardia

04.






a. Atrial fibrillation
b. Sinus arrhythmia
c. Atrial flutter
d. NSR

05.









a. Polymorphic ventricular tachycardia
b. Ventricular fibrillation
c. Atrial fibrillation 
d. Torsades de pointes

06.













a. Monomorphic ventricular tachycardia
b. Coarse ventricular fibrillation
c. Torsades de pointes
d. Polymorphic ventricular tachycardia 

07.






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

08.











a. NSR with a triplet of PVCs
b. NSR with multifocal PVCs
c. NSR with a couplet of PVCs
d. NSR with trigeminal PVCs

09.






a. Normal sinus rhythm
b. Junctional rhythm
c. Atrial fibrillation with slow ventricular response
d. Idioventricular rhythm

10.





a. First degree heart block
b. Mobitz I
c. Mobitz II
d. Third degree heart block

11.











a. Complete heart block
b. Sinus bradycardia
c. Idioventricular rhythm
d. Ventricular standstill

12.











a. Atrial fibrillation
b. Sinus arrhythmia
c. Atrial flutter
d. NSR

13.










a. NSR
b. First degree block
c. Junctional rhythm
d. Accelerated junctional rhythm

14.











a. NSR with triplets of PVCs
b. NSR with multifocal PVCs
c. NSR with couplets of PVCs
d. NSR with trigeminal PVCs

15.











a. Accelerated idioventricular rhythm
b. Accelerated junctional rhythm
c. Sinus rhythm
d. Ventricular fibrillation

16.










a. Demand biventricular paced
b. Demand AV paced
c. Demand ventricular paced
d. Demand atrial paced

17.











a. 1st degree AV block
b. 2nd degree AV block type I
c. 2nd degree AV block type II
d. 3rd degree AV block


18.







a. Normal sinus rhythm
b. 1st degree block
c. Sinus bradycardia
d. Junctional rhythm

19.






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

20.







a. NSR with bigeminal PACs
b. NSR with bigeminal PJCs
c. NSR with bigeminal PVCs
d. Sinus arrhythmia

21.











a. Sinus arrhythmia
b. Atrial fibrillation
c. 2nd degree heart block type I
d. NSR with dropped PACs

22.







a. Asystole
b. Ventricular standstill
c. Agonal rhythm
d. Complete heart block

23.







a. Polymorphic ventricular tachycardia
b. Ventricular fibrillation
c. Torsades de pointes
d. Atrial fibrillation

24.









a. Atrial fibrillation
b. 2nd degree block type II
c. Junctional rhythm
d. Atrial flutter

25.





a. P wave asystole
b. Asystole
c. Idioventricular rhythm
d. Junctional rhythm


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Answers

01.  c. Second degree block type II
02.  c. Accelerated idioventricular rhythm
03.  c. Junctional rhythm
04.  b. Sinus arrhythmia
05.  d. Torsades de pointes
06.  a. Monomorphic ventricular tachycardia
07.  b. Biventricular paced
08.  a. NSR with a triplet of PVCs
09.  d. Idioventricular rhythm
10.  c. Mobitz II
11.  d. Ventricular standstill
12.  c. Atrial flutter
13.  b. First degree block
14.  d. NSR with trigeminal PVCs
15.  d. Ventricular fibrillation
16.  c. Demand ventricular paced
17.  d. 3rd degree AV block
18.  c. Sinus bradycardia
19.  b. Ventricular paced
20.  c. NSR with bigeminal PVCs
21.  c. 2nd degree heart block type I
22.  c. Agonal rhythm
23.  a. Polymorphic ventricular tachycardia
24.  a. Atrial fibrillation
25.  b. Asystole

Thursday, August 28, 2014

Practice EKG Strips 318

Identify the following rhythms.

1.







a. Monomorphic ventricular tachycardia
b. Coarse ventricular fibrillation
c. Torsades de pointes
d. Polymorphic ventricular tachycardia 

2.











a. Atrial fibrillation with rapid ventricular response
b. Normal sinus rhythm with frequent PACs
c. Multifocal atrial tachycardia
d. Supraventricular tachycardia


3.







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

4.







a. Idioventricular rhythm
b. Complete heart block
c. Junctional rhythm
d. Ventricular paced rhythm

5.





a. Sinus arrhythmia with bigeminal PACs
b. Sinus rhythm with bigeminal PJCs
c. Normal sinus rhythm with bigeminal PVCs
d. Complete heart 


Answers
1. c. Torsades de pointes
2. a. Atrial fibrillation with rapid ventricular response
3. a. Dual paced 
4. d. Ventricular paced rhythm
5. b. Sinus rhythm with bigeminal PJCs

Wednesday, August 27, 2014

Practice EKG Strips 317

Identify the following rhythms

1.







a. Accelerated idioventricular rhythm
b. Accelerated junctional rhythm
c. Sinus rhythm
d. Atrial fibrillation

2.







a. NSR with multifocal PVCs
b. NSR with unifocal PVCs
c. NSR with ventricular escape beats
d. NSR with PACs

3.






a. Complete heart block
b. Sinus bradycardia
c. Idioventricular rhythm
d. Ventricular standstill

4.







a. NSR with uniform PACs
b. NSR with bigeminal PVCs
c. NSR with multifocal PJCs
d. NSR with ventricular escape beats


5.







a. NSR with multifocal PVCs
b. NSR with unifocal PVCs
c. NSR with ventricular escape beats
d. NSR with PACs



Answers
1. b. Accelerated junctional rhythm
2. a. NSR with multifocal PVCs
3. c. Idioventricular rhythm
4. b. NSR with bigeminal PVCs
5. d. NSR with PACs




Tuesday, August 26, 2014

Practice EKG Strips 316

Identify the following rhythms.

1.






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

2.







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

3.












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

4.







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

5.







a. Demand atrial paced
b. Demand dual paced
c. Demand biventricular paced
d. Demand ventricular paced

Answers

1. c. Biventricular paced with unifocal PVCs
2. b. Dual paced
3. a. Atrial paced
4. d. Ventricular paced
5. d. Demand ventricular paced

Monday, August 25, 2014

ACLS Questions

Answer the following questions.

1.






What is the recommended dose of vasopressin that can be used to treat this rhythm?
a. 1 mg IV push.  May repeat every 3 - 5 minutes
b. 40 mg IV push as a one time dose
c. 300 mg IV push, may repeat at 150 mg for refractory rhythm
d. 40 units IV once before epinephrine or as a second dose to epinephrine

2.






A 21 year old college student is brought in to the ER with a palpations, dizziness, restlessness, and weakness. She reports taking some "pills" that her friend gave her to help her study for her final examine. Her initial Heart rhythm: NSR at 180 bpm, BP 188/ 101. Temp 100.2. Skin is hot and dry. What is the recommended treatment?
a. Adenosine 6 mg IV push, may repeat at 12 mg if needed
b. Benzodiazepines and external temperature cooling
c. Beta blockers and Tylenol for the fever
d. Cardioversion at 50 joules. Increase joules if needed

3.







What is the recommended joule setting for elective cardioversion of this rhythm?
a. 50- 100 joules
b. 100 - 150 joules
c. 120 - 200 joules
d. 300 joules

4.











A 60 year old man comes to the ER with complaints of intermittent shortness of breath, weakness, exertional dyspnea, and dizziness over the last 3 days. Triage VS: HR: 180, RR: 25, BP 92/60, SPO2: 94% on room air. What is the recommended treatment approach for this rhythm?
a. Convert the rhythm: Cardioversion 120 - 200 J
b. Manage the rate: Cardizem 0.25mg/kg IV push
c. Convert the rhythm: Amiodarone 150mg infused over 10 minutes
d. Manage the rate: Digoxin 0.25mg IV

5.







A 48 year old female comes to the ER with complaints of shortness of breath, dizziness, and syncope over the last 8 hours. Triage VS: BP: 94/58. HR: 188. RR: 28. SPO2: 93% on room air. When she is placed on the monitor the following rhythm is seen. The MD opts to try a trial dose of adenosine as the patient is being prepared for cardioversion. What is the correct initial dose of adenosine?
a. 1mg/kg
b. 6mg
c. 12 mg
d. 0.25mg/kg

Answers

1. d. 40 units IV once before epinephrine or as a second dose to epinephrine
2. b. Benzodiazepines and external temperature cooling
3. a. 50- 100 joules
4. d. Manage the rate: Digoxin 0.25mg IV
5. b. 6mg

Friday, August 22, 2014

Practice EKG Strips 315

Identify the following rhythms.

1.







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

2.






a. 1st degree block
b. 2nd degree block type I
c. 2nd degree block type II
d. 3rd degree block

3.






a. Normal sinus rhythm with a PVC
b. Junctional rhythm with a PVC
c. Sinus bradycardia with a PVC
d. Mobitz II with a PVC

4.






a. Atrial fibrillation with controlled rate
b. Complete heart block
c. Accelerated junctional rhythm
d. Accelerated idioventricular rhythm

5.





a. Normal sinus rhythm with unifocal PVCs
b. Normal sinus rhythm with multifocal PVCs
c. Normal sinus rhythm with bigeminal PVCs
d. Normal sinus rhythm with trigeminal PVCs


Answers

1. c. Biventricular paced with a couplet
2. d. 3rd degree block
3. b. Junctional rhythm with a PVC
4. c. Accelerated junctional rhythm
5. c. Normal sinus rhythm with bigeminal PVCs.   Looks like multifocal bigeminal PVCs.