Friday, October 31, 2014

Basic EKG Rhythm Test 24

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. First degree heart block
b. Wenckebach
c. Mobitz II
d. Third degree heart block

03.














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

04.












a. 1st degree block
b. 2nd degree AV block type I
c. 2nd degree AV block type II
d. Complete heart block

05










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

06.












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


07.








a. Normal sinus rhythm with unifocal PVCs
b. Junctional rhythm with unifocal PVCs
c. Sinus bradycardia with unifocal PVCs
d. Atrial fibrillation with multifocal PVCs

08.







a. Accelerated idioventricular rhythm
b. Atrial fibrillation with rapid ventricular response
c. Supraventricular tachycardia
d. Ventricular tachycardia

09.








a. Normal sinus rhythm
b. Atrial fibrillation
c. Idioventricular rhythm
d. Sinus arrhythmia

10
.
a. Atrial fibrillation
b. Atrial flutter
c. Wandering atrial pacemaker
d. Multifocal atrial tachycardia

11.













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

12.















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


13.







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

14.














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

15.











a. Normal sinus rhythm
b. Demand ventricular pacing
c. Accelerated idioventricular rhythm
d. Junctional rhythm

16.











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

17.







a. Sinus arrhythmia
b. Sinus rhythm
c. Idioventricular rhythm
d. Junctional rhythm

18.













a. Sinus bradycardia
b. Junctional rhythm
c. Accelerated idioventricular rhythm
d. Agonal rhythm

19.












a. Atrial fibrillation
b. Atrial paced
c. Sinus tachycardia
d. Atrial flutter

20.















a. Accelerated idioventricular rhythm
b. Atrial fibrillation with rapid ventricular response
c. Supraventricular tachycardia
d. Ventricular tachycardia

21.







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

22.







a. NSR with a few PACs
b. NSR with a couple of PJCs
c. NSR with unifocal PVCs
d. Sinus arrhythmia

23.







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

24.














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

25.







a. Accelerated idioventricular rhythm
b. Atrial fibrillation with rapid ventricular response
c. Supraventricular tachycardia
d. Ventricular tachycardia

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Answers

01. a. First degree block
02. b. Wenckebach
03. d. Third degree heart block
04. b. 2nd degree AV block type I
05. b. Accelerated junctional rhythm
06. c. Agonal rhythm
07. d. Atrial fibrillation with multifocal PVCs
08. b. Atrial fibrillation with rapid ventricular response
09. b. Atrial fibrillation
10. b. Atrial flutter
11. a. Atrial paced
12. c. Dual paced with a PVC
13. b. Biventricular paced with couplets
14. d. Idioventricular rhythm
15. d. Junctional rhythm
16. b. NSR with bigeminal PVCs
17. a. Sinus arrhythmia
18. a. Sinus bradycardia
19. c. Sinus tachycardia
20. c. Supraventricular tachycardia
21. d. Torsades de pointes
22. c. NSR with unifocal PVCs
23. b. Ventricular fibrillation
24. d. Ventricular paced
25. d. Ventricular tachycardia

Thursday, October 30, 2014

Practice EKG Strips 346 Happy Halloween

Identify the following rhythms.

HAPPY HALLOWEEN

1.

a. Sinus rhythm with pauses
b. Sinus rhythm with bigeminal PACs
c. Sinus arrhythmia
d. Wandering atrial pacemaker

2.

a. Ventricular standstill
b. Idioventricular rhythm
c. Junctional rhythm
d. Third degree heart block

3.













a. Sinus bradycardia with a pause
b. Sinus rhythm with sinus arrest
c. Sinus arrhythmia
d. Sinus bradycardia with a dropped PAC

4.

a. Normal sinus rhythm with unifocal PVCs
b. Normal sinus rhythm with multiform PVCs
c. Normal sinus rhythm with a couplet of PVCs
d. Normal sinus rhythm with bigeminal PVCs

5.














a. Normal sinus rhythm with a run of AIVR
b. Normal sinus rhythm with a run of SVT
c. Normal sinus rhythm with a run of ST
d. Normal sinus rhythm with a run of VT

6.

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

7.

a. Normal sinus rhythm with unifocal PVCs
b. Sinus tachycardia with uniform PVCs
c. Sinus bradycardia with frequent PVCs
d. Normal sinus rhythm with quadrigeminal PVCs

8.

a. Accelerated Idioventricular rhythm changing to sinus rhythm
b. Atrial fibrillation converting to sinus rhythm
c. Accelerated junctional changing to sinus rhythm
d. Atrial flutter converting to sinus rhythm

9.







a. First degree block
b. Second degree block type I
c. Second degree block type II
d. Complete heart block

10.











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


Answers

01. b. Sinus rhythm with bigeminal PACs.  The QRS complexes are narrow and the P waves are buried in the T waves of the preceding complexes.  This is what makes them look taller in appearance than the T waves of the ectopic beats.
02. d. Third degree heart block.  No association between the atrial impulses and the ventricular impulses.
03. a. Sinus bradycardia with a pause.  The sinus rhythm resumes after the pause
04. a. Normal sinus rhythm with unifocal PVCs.  The PVCs look similar and probably are from the same ectopic site.
05. d. Normal sinus rhythm with a run of VT.  This is seen better in the V1 lead.
06. b. Sinus bradycardia
07. d. Normal sinus rhythm with quadrigeminal PVCs. PVCs every fourth beat is identified as quadrigeminy. But NSR with unifocal PVCs is probably what you would hear most people call it.
08. c. Accelerated junctional changing to sinus rhythm. Retrograde or inverted P waves follow the QRS complexes. This converts to NSR on the last complex. The rate is around 75 beats/minute so this makes it an acceleratated junctional rhythm.
09. c. Second degree block type II.  I throw in a lot of heart blocks because they are the most challenging for people. Hope you don;t mind
10. d. Complete heart block. Should be one and only one P wave for every QRS complex (one atrial depolarization for every ventricular depolarization). In this rhythm you can see that the atrium and the ventricles are beating independently of one another.


Wednesday, October 29, 2014

Practice EKG Strips 345

Identify the following rhythms.

1.







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

2.












a. Sinus bradycardia with inverted T waves
b. Normal sinus rhythm with inverted T waves
c. Junctional rhythm with inverted T waves
d. First degree block with inverted T waves

3.







a. Normal sinus rhythm
b. Sinus bradycardia
c. Sinus arrhythmia
d. Sinus arrest

4.







a. Sinus rhythm with first degree block
b. Sinus bradycardia with first degree block
c. Sinus arrest with first degree block
d. Sinus tachycardia with first degree block

5.







a. Normal sinus rhythm
b. Accelerated junctional rhythm
c. Accelerated Idioventricular rhythm
d.Ventricular tachycardia

Answers
1. b. Biventricular paced
2. b. Normal sinus rhythm with inverted T waves
3. c. Sinus arrhythmia
4. b. Sinus bradycardia with first degree block
5. a. Normal sinus rhythm



Tuesday, October 28, 2014

Practice EKG Strips 344

Identify the following rhythms.

1.








a. Atrial flutter
b. Atrial fibrillation
c. Atrial tachycardia
d. 2nd degree AV block type II

2.








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

3.






a. Supraventricular tachycardia changing to VT
b. Ventricular tachycardia changing to VF
c. Ventricular fibrillation changing to Tdp
d. Sinus tachycardia changing to AIVR

4.





a. Normal sinus rhythm with sinus arrest
b. Sinus arrhythmia with sinus arrest
c. Atrial fibrillation with sinus arrest
d. Complete heart block

5.






a. Sinus arrhythmia with unifocal PVCs
b. Sinus rhythm with dropped PACs and ventricular escape beats
c. NSR with sinus arrest with unifocal PVCs
d. 2nd degree AV block type II with unifocal PVCs


Answers
1. a. Atrial flutter
2. b. Ventricular tachycardia
3. a. Supraventricular tachycardia changing to VT
4. c. Atrial fibrillation with sinus arrest
5. b. Sinus rhythm with dropped PACs and ventricular escape beats





Monday, October 27, 2014

Practice EKG Strips 343

Identify the following rhythms?

1.








a. First degree block
b. Second degree block type I
c. Second degree block type II
d. Complete heart block


2.






a. Atrial fibrillation
b. Ventricular fibrillation
c. NSR with some artifact
d. Multifocal atrial tachycardia


3.







a. First degree block
b. Second degree block type I
c. Second degree block type II
d. Complete heart block

4.








a. First degree block
b. Second degree block type I
c. Second degree block type II
d. Complete heart block


5.






a. Sinus arrest
b. Agonal rhythm
c. Junctional rhythm
d. Complete heart block



Answers
1. a. First degree block
2. c. NSR with some artifact
3. c. Second degree block type II
4. b. Second degree block type I
5. b. Agonal rhythm