Thursday, February 2, 2017

Fast Rhythms


01.  Fast and Furious rhythms:  What is the rhythm



a. Monomorphic VT
b. Supraventricular tachycardia
c. Torsades de pointes
d. Atrial fibrillation with RVR
e. Multifocal atrial tachycardia


02. Fast and Furious rhythms:  This shows cardioversion of what rhythm?







a. Multifocal atrial tachycardia
b. Atrial tachycardia
c. Atrial fibrillation with RVR
d. Polymorphic ventricular tachycardia
e. Ventricular fibrillation

03. Fast and Furious rhythms: All of the following medications may be used to treat this rhythm except:


a. Digoxin 0.25 mg IV push
b. Atenolol 5 mg IV push
c. Amiodarone 300 mg IV push
d. Diltiazem 10 mg IV push
e. Metoprolol 5 mg IV push

04. Fast and Furious rhythms:  What is the rhythm?










a. Junctional tachycardia
b. Ventricular tachycardia
c. Supraventricular tachycardia
d. Atrial fibrillation with RVR
e. Atrial tachycardia

05. Fast and Furious rhythms:  This shows defibrillation of what rhythm








a. Fine ventricular fibrillation
b. Torsades de pointes
c. Ventricular tachycardia
d. Supraventricular tachycardia
e. Sinus tachycardia with wide QRS complexes

06. Fast and Furious rhythms:  What is the rhythm?









a. Atrial fibrillation with RVR
b. Ventricular fibrillation
c. Sinus tachycardia
d. Supraventricular tachycardia SVT
e. Torsades de pointes

07. Fast and Furious rhythms:  All of the following medications might be used to treat this rhythm EXCEPT:









a. Amiodarone 150 mg IV over 10 minutes
b. Lidocaine 1 - 4 mg/min
c. Sotalol 150 mg IV once
d. Diltiazem 5 mg/hr
e. Procainamide 1 - 4 mg/hr

08. Fast and Furious rhythms:  VS: 98.2 150- 28. BP: 90/42. Sats: 92% on room air. All of the following intervention might be used to treat this rhythm EXCEPT (choose all that apply):









a. Cardizem 10 mg IV push
b. Adenosine 6 mg IV push
c. Digoxin 0.25 mg IV push
d. Verapamil 2.5 mg IV push
e. Cardioversion 120 – 200 J

09. Fast and Furious rhythms:  All of the following medications may be used in the treatment of this rhythm EXCEPT (choose all that apply):








a. Epinephrine 1 mg IV push
b. Magnesium 1 – 2 gm IV push
c. Amiodarone 300 mg IV push
d. Lidocaine 1 – 1.5 mg/kg
e. Vasopressin 40 units IV push

10. Fast and Furious rhythms:  What is the rhythm?








a. Torsades de pointes
b. Atrial fibrillation
c. Polymorphic VT
d. Atrial fibrillation with RVR
e. Multifocal atrial tachycardia

11. Fast and Furious rhythms:  This shows cardioversion of what rhythm?










a. Junctional tachycardia
b. Supraventricular tachycardia
c. Monomorphic ventricular tachycardia
d. Multifocal atrial tachycardia
e. Torsades de pointes

12. Fast and Furious rhythms:  What is the rhythm?







a. Ventricular fibrillation
b. Surpaventricular tachycardia
c. Atrial tachycardia
d. Ventricular tachycardia
e. Atrial fibrillation with rapid ventricular response

13. Fast and Furious rhythms:  What is the rhythm?








a. Multifocal atrial tachycardia
b. Sinus tachycardia with sinus arrhythmia
c. Atrial fibrillation with rapid ventricular response
d. Paroxysmal atrial tachycardia
e. Atrial flutter with rapid ventricular response

14. Fast and Furious rhythms:  What is the rhythm?






a. Supraventricular tachycardia
b. Sinus tachycardia
c. Multifocal atrial tachycardia
d. Ventricular tachycardia
e. Ventricular fibrillation

15. Fast and Furious rhythms:  What is the rhythm?










a. Ventricular fibrillation
b. Atrial tachycardia
c. Polymorphic ventricular tachycardia
d. Supraventricular tachycardia
e. Sinus tachycardia

16. Fast and Furious rhythms:  This shows defibrillation of what rhythm










a. Torsades de pointes
b. Pulseless ventricular tachycardia
c. Ventricular fibrillation
d. Multifocal atrial tachycardia
e. Monomorphic ventricular tachycardia

17. Fast and Furious rhythms:  What is the rhythm?





a. Atrial fibrillation with rapid ventricular response
b. Atrial tachycardia
c. Supraventricular tachycardia
d. Multifocal atrial tachycardia
e. Atrial flutter with rapid ventricular response

18. Fast and Furious rhythms:  What is the rhythm?






a. Atrial flutter with rapid ventricular response
b. Supraventricular tachycardia
c. Polymorphic ventricular tachycardia
d. Multifocal atrial tachycardia
e. Atrial fibrillation with rapid ventricular response

19. Fast and Furious rhythms:  What is the rhythm?






a. Supraventricuar tachycardia
b. Sinus tachycardia
c. Atrial tachycardia
d. Monomorphic ventricular tachycardia
e. Junctional tachycardia

20. Fast and Furious rhythms:  What is the rhythm?






a. Monomorphic ventricular tachycardia
b. Supraventricular tachycardia
c. Torsades de pointes
d. Atrial fibrillation with rapid ventricular response
e. Multifocal atrial tachycardia

21. Fast and Furious rhythms:  What is the rhythm?


a. Sinus rhythm with run of paroxysmal atrial tachycardia
b. Sinus rhythm with run of ventricular tachycardia
c. Sinus rhythm with run of supraventricular tachycardia
d. Sinus rhythm with run of sinus tachycardia
e. Sinus rhythm with run of multifocal atrial tachycardia

22. Fast and Furious rhythms:  What is the rhythm?



a. Atrial fibrillation with RVR
b. Coarse VF
c. Polymorphic VT
d. Multifocal atrial tachycardia
e. Supraventricular tachycardia

23. Fast and Furious rhythms:  This shows cardioversion of what rhythm?









a. Supraventricular tachycardia
b. Ventricular tachycardia
c. Sinus tachycardia
d. Atrial flutter with RVR
e. Torsades de pointes

24. Fast and Furious rhythms:  What is the rhythm?


a. Sinus tachycardia changing to torsades de pointes
b. Ventricular tachycardia changing to ventricular fibrillation
c. Supraventricular tachycardia changing to ventricular tachycardia
d. Torsades de pointes changing to ventricular fibrillation
e. Sinus tachycardia changing to polymorphic ventricular tachycardia

25. Fast and Furious rhythms:  All of the following medications might be used to treat this rhythm except:





a. Cardizem (Diltiazem)25 mg po daily
b. Lopressor (Metoprolol) 25 mg po daily
c. Digoxin .125 mg daily
d. Rhythmol (propafenone )150 mg BID
e. Calan (Verapamil) 40 mg po daily



Answers


01.  c. Torsades de pointes
02. c. Atrial fibrillation with RVR
03. c. Amiodarone 300 mg IV push
04. a. Junctional tachycardia
05. c. Ventricular tachycardia
06. b. Ventricular fibrillation
07. d. Cardizem 5 mg/hr
08. a. Cardizem 10 mg IV push, b. Adenosine 6mg IV push, d. Verapamil 2.5 mg IV push
09. b. Magnesium 1 – 2 gm IV push, e. Vasopressin 40 units IV push
10. c. Polymorphic VT
11. b. Supraventricular tachycardia
12. d. Ventricular tachycardia
13e. Atrial flutter with rapid ventricular response
14. a. Supraventricular tachycardia
15. c. Polymorphic ventricular tachycardia
16. c. Ventricular fibrillation
17. d. Multifocal atrial tachycardia
18. e. Atrial fibrillation with rapid ventricular response
19. b. Sinus tachycardia
20. c. Torsades de pointes
21. b. Sinus rhythm with run of ventricular tachycardia
22. d. Multifocal atrial tachycardia
23. b. Ventricular tachycardia
24. b. Ventricular tachycardia changing to ventricular fibrillation
25. d. Rhythmol (propafenone )150 mg BID



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