EKG Rhythm Strip Quiz 48

Identify the following rhythm strips.

1.









a. Sinus tachycardia
b. Supraventricular tachycardia
c. Junctional rhythm
d. Accelerated junctional rhythm

2.









a. Normal sinus rhythm with run of ventricular tachycardia
b. Sinus arrhythmia with run of ventricular tachycardia
c. Atrial fibrillation with run of ventricular tachycardia
d. Accelerated junctional rhythm with run of ventricular tachycardia

3.









a. Normal sinus rhythm with 1st degree block
b. Sinus bradycardia
c. Atrial flutter with variable rate
d. 2nd degree heart block type II

4.









a. Sinus tachycardia with a sinus pause
b. Sinus arrhythmia with a sinus pause
c. Sinus bradycardia with a sinus pause
d. Sinus rhythm and a sinus pause

5.









a. Sinus rhythm with 1st degree AV block
b. Sinus arrhythmia with 1st degree AV block
c. Sinus bradycardia with 1st degree AV block
d. Sinus rhythm with 2nd degree AV block type II

6.









a. Sinus arrhythmia with a PAC
b. Sinus rhythm with a PJC
c. Sinus rhythm with accelerated junctional beats
d. Sinus rhythm with a PVC

7.






a. Sinus bradycardia with an atrial ectopic beat
b. Normal sinus rhythm with a PAC
c. Sinus tachycardia with a PAC
d. Sinus rhythm with a PVC


8.









a. Atrial fibrillation with frequent PVCs
b. Sinus arrhythmia with frequent PACs
c. Normal sinus rhythm with frequent PJCs
d. Junctional rhythm with frequent PJCs

9.






a. Normal sinus rhythm with bigeminy
b. Normal sinus rhythm with trigeminy
c. Normal sinus rhythm with quadrageminy
d. Normal sinus rhythm with pentageminy

10.






a. Complete heart block
b. Ventricular fibrillation
c. Agonal rhythm
d. Atrial fibrillation


Answers
1.





d. Accelerated junctional rhythm.  Retrograde P waves precede each QRS complex.


2.





c. Atrial fibrillation with run of ventricular tachycardia.    A four beat run of VT or aberrantly conducted complexes.   The rSR pattern of the QRS complexes suggests a RBBB.

3.





c. Atrial flutter with variable rate

4.





c. Sinus bradycardia with a sinus pause

5.





a. Sinus rhythm with 1st degree AV block.  The PR interval is .30 sec.

6.






b. Sinus rhythm with a PJC, the 5th complex.

7.





d. Sinus rhythm with a PVC

8.





c. Normal sinus rhythm with frequent PJCs. 3rd, 7th, and 11th complexes.   There is no change in the height of the T wave of the complex before each PJC so this suggests that there are no P waves fused with the T waves.

9.





d. Normal sinus rhythm with pentageminy

10.





b. Ventricular fibrillation


Reviewed 6/4/13, 3/6/16

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