Saturday, November 29, 2014

Basic EKG Rhythm Test 25

Identify the following rhythms.


01.






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

02.











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

03.













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

04.












a. Sinus tachycardia
b. Supraventricular tachycardia
c. Multifocal atrial tachycardia
d. Atrial fibrillation with RVR

05.











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

06.












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

07.













a. Sinus bradycardia with run of polymorphic ventricular tachycardia
b. Sinus bradycardia with run of junctional tachycardia
c. Normal sinus rhythm changing to ventricular tachycardia
d. Atrial fibrillation transitioning into ventricular tachycardia

08.













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

09.













a. Multifocal atrial tachycardia
b. Atrial tachycardia
c. Atrial fibrillation with RVR
d. Wandering atrial pacemaker

10.







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

11.














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

12.













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

13.














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

14.














a. Sinus bradycardia with a sinus pause
b. Sinus arrhythmia
c. Complete heart block
d. Sinus bradycardia with a dropped PAC

15.














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

16.













a. Supraventricular tachycardia
b. Multifocal atrial tachycardia
c. Sinus tachycardia
d. Atrial fibrillation with RVR

17.













a. NSR with paired PVCs
b. NSR with bigeminal PVCs
c. NSR with trigeminal PVCs
d. NSR with quadrigeminal PVCs


18.










a. Normal sinus rhythm
b. Atrial fibrillation
c. Accelerated idioventricular rhythm
d. Accelerated junctional rhythm

19.











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

20.














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

21.














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

22.












a. Complete heart block with trigeminal PVCs
b. Sinus arrhythmia with trigeminal PVCs
c. Sinus bradycardia with trigeminal PVCs
d. NSR with trigeminal PVCs

23.














a. Sinus bradycardia with a sinus pause
b. Sinus arrhythmia
c. Complete heart block
d. Sinus bradycardia with a dropped PAC

24.












a. Normal sinus rhythm with bigeminal PACs
b. Sinus arrhythmia
c. Sinus bradycardia with PVCs
d. Atrial fibrillation with controlled ventricular response

25.













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

26.











a. NSR with a pair of PACs
b. NSR with multifocal PVCs
c. NSR with unifocal PVCs
d. Sinus rhythm with bigeminal PVCs

27.












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

28.














a. Complete heart block
b. Atrial fibrillation with slow ventricular response
c. Idioventricular rhythm
d. Accelerated junctional rhythm


29.














a. Sinus tachycardia
b. Sinus arrhythmia
c. Multifocal atrial tachycardia
d. Atrial fibrillation with RVR

30.












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





Answers
01. b. AV paced
02. a. Sinus bradycardia
03. c. Junctional rhythm
04. b. Supraventricular tachycardia
05. d. Normal sinus rhythm with unifocal PVCs
06. b. 2nd degree block type II
07. d. Atrial fibrillation transitioning into ventricular tachycardia
08. d. Sinus arrhythmia
09. a. Multifocal atrial tachycardia
10. b. Ventricular paced
11. c. Atrial flutter
12. b. Junctional tachycardia
13. a. Atrial paced
14. c. Complete heart block
15. a. NSR with a couplet
16. c. Sinus tachycardia
17. b. NSR with bigeminal PVCs
18. c. Accelerated idioventricular rhythm
19. b. Biventricular paced with a PVC
20. d.  First degree block
21. d. Agonal rhythm
22. d. NSR with trigeminal PVCs
23. a. Sinus bradycardia with a sinus pause
24. a. Normal sinus rhythm with bigeminal PACs
25. a. Polymorphic ventricular tachycardia
26. d. Sinus rhythm with bigeminal PVCs
27. c. Ventricular fibrillation
28. d. Accelerated junctional rhythm
29. d. Atrial fibrillation with RVR
30. c. Idioventricular rhythm

Friday, November 28, 2014

Practice EKG Strips 361

Identify the following rhythms.

1.






a. Sinus rhythm with run of VT
b. Accelerated junctional rhythm with run of SVT
c. Atrial flutter with run of ST
d. Atrial fibrillation with run of VT

2.

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

3.

a. Sinus rhythm with couplets
b. Sinus rhythm with bigeminal PVCs
c. Sinus rhythm with multiform PVCs
d. Sinus rhythm with bigeminal PACs

4.

a. Normal sinus rhythm
b. Sinus bradycardia
b. First degree block
c. Accelerated junctional rhythm

5.








a. Polymorphic ventricular tachyardia
b. Multifocal atrial tachycardia
c. Monomorphic ventricular tachycardia
d. Supraventricular tachycardia


Answers

1. d. Atrial fibrillation with run of VT. The underlying rhythm is irregular. No P waves are seen, just some fibrillation between the QRS complexes.
2. b. Agonal rhythm.  The QRS complexes are wide an bizzare looking. The heart rate is about 18 bpm
3. b. Sinus rhythm with bigeminal PVCs
4. a. Normal sinus rhythm. The actual heart rate is about 68 bpm.
5. a. Polymorphic ventricular tachyardia

Thursday, November 27, 2014

Practice EKG Strips 360

Identify the following rhythm.
HAPPY THANKSGIVING DAY!!!!!!!

1.

a.  Normal sinus rhythm with a PVC
b. Sinus arrhythmia with a PVC
c. 2nd degree heart block with a PVC
d. Complete heart block with a PVC


2.


a. Normal sinus rhythm with ST depression
b. Sinus bradycardia with ST depression
c. Sinus rhythm with first degree block
d. Accelerated junctional rhythm

3.

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

4.












a. Sinus arrhythmia
b. Sinus rhythm with dropped PACs
c. Sinus rhythm with sinus arrest
d. Wenckebach

5.












a. Sinus rhythm with multifocal PVCs
b. Sinus rhythm with unifocal PVCs
c. Sinus rhythm with couplets
d. Sinus rhythm with bigeminal PVCs


Answers
1. c. 2nd degree heart block with a PVC
2. a. Normal sinus rhythm with ST depression
3. d. Ventricular paced
4. d. Wenckebach
5. d. Sinus rhythm with bigeminal PVCs

Wednesday, November 26, 2014

Practice EKG Strips 359

Identify the following rhythms.

1.







a. NSR with run of SVT
b. NSR with run of ST
c. NSR with run of VT
d. NSR with run of AIVR

2.








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

3.








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

4.






a. Sinus rhythm
b. Sinus arrhythmia
c. Sinus arrest
d. First degree block

5.







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


Answers
1. d. NSR with run of AIVR. The overall "theme" of the rhythm is AIVR. This is evident at the beginning and towards the end of the strip. But there is a brief run of VT present.
2. c. AV paced. The two pacer spikes are two far apart to be biventricular paced. You would want the ventricles programed to contract at the same time, not . 16 seconds apart.
3. c. Accelerated junctional.   The rate is around 88 bpm.   The P waves are inverted and precede the QRS complexes.
4. b. Sinus arrhythmia.   The R - R interval is irregular.
5. b. Atrial paced

Tuesday, November 25, 2014

Practice EKG Strips 358

Identify the following rhythms.

1.

a. Normal sinus rhythm with wide QRS and run of VT with frequent PVCs
b. Junctional rhythm with run of VT and frequent PVCs
c. Accelerated Idioventricular rhythm with run of VT and frequent PVCs
d. Atrial fibrillation with wide QRS and run of VT with frequent PVCs

2.

a. Atrial fibrillation
b. Normal sinus rhythm
c. Accelerated junctional rhythm
d. Atrial flutter

3.

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

4.

a. Normal sinus rhythm with a three beat run of VT
b. First degree block with a three beat run of VT
c. Sinus bradycardia with a three beat run of VT
d. Sinus tachycardia with a three beat run of VT


5.








a. Normal sinus rhythm with T wave inversion
b. Sinus bradycardia with T wave inversion
c. First degree block with T wave inversion
d. Atrial fibrillation with T wave inversion



Answers
1. d. Atrial fibrillation with wide QRS and run of VT with frequent PVCs. I am basing this on the irregularity of the rhythm: comparing the R - R intervals between complexes 1 and 2 with the last two complexes. Truthfully, there is so much ectopy that it is really hard sure. Let's call the teletech and get another strip.
2. d. Atrial flutter. I see a couple of flutter waves between some of the complexes. The conduction through the AV node is variable which gives this atrial flutter its irregular rhythm
3. a. Junctional rhythm.  No P waves, narrow QRS complex, rate between 40 - 60 bpm
4. a. Normal sinus rhythm with a three beat run of VT vs. Borderline First degree block with PR interval at .20 sec.
5.  a. Normal sinus rhythm with T wave inversion. The rhythm is regular with a rate of 60 bpm. No ectopic beats are seen. The PR interval is about .16 sec. There is T wave inversion in lead II which suggest some inferior ischemia.