EKG Rhythm Strip Quiz 3

Identify the following rhythms

1.

a.  Normal sinus rhythm
b.  Sinus arrhythmia
c.  1st degree AV block
d.  Sinus rhythm with PACs

2.

a.  Junctional tachycardia
b.  Accelerated junctional rhythm
c.  Junctional rhythm
d.  Junctional fibrillation with RVR

3.

a.  Ventricular fibrillation
b.  Junctional rhythm
c.  Sinus arrhythmia
d.  Atrial fibrillation

4.

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

5.

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

6.

a.  Sinus arrhythmia with PJCs
b.  Sinus bradycardia with PACs
c.  Sinus rhythm with PJCs
d.  Sinus tachycardia with multifocal PACs

7.

a.  Ventricular bigeminey
b.  Atrial trigeminey
c.  Sinus arrhythmia
d.  Normal sinus rhythm with PJCs

8.

a.  Pulseless electrical activity
b.  Mutlifocal atrial tachycardia
c.  Atrial fibrillation with PACs
d.  Supraventricular tachycardia

9.

a.  Sinus arrhythmia with unifocal PVCs
b.  Atrial fibrillation with RVRs
c.   Normal sinus rhythm with multifocal PACs
d.  Ventricular paced rhythm with multifocal PVCs


10.

a.  NSR with quadrigeminal PVCs
b.  Sinus arrhythmia with trigeminal PVCs
c.  NSR with multifocal PVCs
d.  Normal sinus rhythm with unifocal PACs


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Answers
1.    c.  1st degree AV block
2.    b.  Accelerated junctional rhythm
3.    d. Atrial fibrillation
4.    b.  Junctional tachycardia
Notice the retrograde P waves that follow the QRS complex.
5.    c.  Atrial flutter
6.    b.  Sinus bradycardia with PACs
7.    b.  Atrial trigeminy
The P wave of the PAC is fused with the T wave of the previous complex.  Notice the change in the height of that T wave as compared to the others.
8.    d.  Supraventricular tachycardia
9.    d.  Ventricular paced rhythm with multifocal PVCs
10.  a.  NSR with quadrigeminal PVCs


Reviewed 6/3/13