EKG Rhythm Strip Quiz 4
Identify the following rhythms
1.
a. Ventricular fibrillation
b. Torsades de pointe
c. NSR with a run of ventricular tachycardia
d. Polymorphic ventricular fibrillation
2.
a. Sinus rhythm with inverted T waves
b. Normal sinus rhythm with retrograde P waves
c. Normal sinus rhythm with frequent PACs
d. Accelerated junctional rhythm
3.
a. Sinus bradycardia with bigeminal junctional beats
b. Junctional rhythm with PACs
c. Sinus bradycardia with PACs
d. Atrial fibrillation with slow ventricular response
4.
a. Atrial flutter
b. Atrial tachycardia
c. Atrial fibrillation
d. Accelerated atrial rhythm
5.
a. Sinus bradycardia with 2nd degree AV block type I
b. Junctional rhythm with 1st degree AV block
c. Sinus arrhythmia with 1st degree AV block
d. Sinus bradycardia with sinus arrest
6.
a. Sinus bradycardia with bigeminy of PVCs
b. Atrial fibrillation with frequent unifocal PVCs
c. Sinus rhythm with multiform PVCs
d. Junctional rhythm with unifocal PVCs
7.
a. Atrial fibrillation
b. Torsades de pointe
c. Ventricular tachycardia
d. Ventricular fibrillation
8.
a. Sinus arrest
b. Sinus bradycardia with run of asystole
c. Bradycardia with sinus arrhythmia
d. Sinus bradycardia with a compensatory pause
9.
a. Sinus tachycardia
b. Sinus rhythm
c. Sinus arrhythmia
d. Sinus arrest
10.
a. Sinus arrhythmia with a PAC
b. Sinus rhythm with a PJC
c. Sinus bradycardia with a PAC
d. Sinus rhythm with a PVC
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Answers
1. c. NSR with a run of ventricular tachycardia
2. d. Accelerated junctional rhythm
3. a. Sinus bradycardia with bigeminal junctional beats
4. a. Atrial flutter
5. c. Sinus arrhythmia with 1st degree AV block
6. b. Atrial fibrillation with frequent unifocal PVCs
7. d. Ventricular fibrillation
8. c. Bradycardia with sinus arrhythmia
9. a. Sinus tachycardia
10. c. Sinus bradycardia with a PAC
Reviewed on 6/3/13, 3/2/16
1.
a. Ventricular fibrillation
b. Torsades de pointe
c. NSR with a run of ventricular tachycardia
d. Polymorphic ventricular fibrillation
2.
a. Sinus rhythm with inverted T waves
b. Normal sinus rhythm with retrograde P waves
c. Normal sinus rhythm with frequent PACs
d. Accelerated junctional rhythm
3.
a. Sinus bradycardia with bigeminal junctional beats
b. Junctional rhythm with PACs
c. Sinus bradycardia with PACs
d. Atrial fibrillation with slow ventricular response
4.
a. Atrial flutter
b. Atrial tachycardia
c. Atrial fibrillation
d. Accelerated atrial rhythm
5.
a. Sinus bradycardia with 2nd degree AV block type I
b. Junctional rhythm with 1st degree AV block
c. Sinus arrhythmia with 1st degree AV block
d. Sinus bradycardia with sinus arrest
6.
a. Sinus bradycardia with bigeminy of PVCs
b. Atrial fibrillation with frequent unifocal PVCs
c. Sinus rhythm with multiform PVCs
d. Junctional rhythm with unifocal PVCs
7.
a. Atrial fibrillation
b. Torsades de pointe
c. Ventricular tachycardia
d. Ventricular fibrillation
8.
a. Sinus arrest
b. Sinus bradycardia with run of asystole
c. Bradycardia with sinus arrhythmia
d. Sinus bradycardia with a compensatory pause
9.
a. Sinus tachycardia
b. Sinus rhythm
c. Sinus arrhythmia
d. Sinus arrest
10.
a. Sinus arrhythmia with a PAC
b. Sinus rhythm with a PJC
c. Sinus bradycardia with a PAC
d. Sinus rhythm with a PVC
Do you want to try another quiz?
Answers
1. c. NSR with a run of ventricular tachycardia
2. d. Accelerated junctional rhythm
3. a. Sinus bradycardia with bigeminal junctional beats
4. a. Atrial flutter
5. c. Sinus arrhythmia with 1st degree AV block
6. b. Atrial fibrillation with frequent unifocal PVCs
7. d. Ventricular fibrillation
8. c. Bradycardia with sinus arrhythmia
9. a. Sinus tachycardia
10. c. Sinus bradycardia with a PAC
Reviewed on 6/3/13, 3/2/16
It's about a strip #6. I would identify it as ventricular bigeminy changing into atrial fibrillation. Is this would be correct?
ReplyDeleteThank you for your comments. If you exam strip #6 in just lead II, there appears to be some very small P waves present. However, if you also examine the same complexes in lead V1 those P waves are not as clearly defined and/or differ in morphology. Based upon these findings then I would be more apt to identify the underlying rhythm as an atrial fibrillation.
ReplyDeleteYou would be correct in saying the the initial series of complexes is a ventricular bigeminy. For the sake of brevity, I chose the more generic answer for the test and called the rhythm strip atrial fibrillation with unifocal PVCs.