EKG Rhythm Strip Quiz 161

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Identify the following rhythms.

1.












a.   Normal sinus rhythm
b.   1st degree block
c.   Sinus arrest
d.   Sinus bradycardia


2.












a.   Normal sinus rhythm with a PJC
b.   Sinus bradycardia with a PAC
c.   Sinus arrhythmia with a PVC
d.   Sinus bradycardia with a dropped PAC


3.











a.   Normal sinus rhythm
b.   Sinus bradycardia
c.   Sinus tachycardia
d.   Sinus arrest

4.











a.   Sinus tachycardia with mutlifocal PVCs
b.   Sinus tachycardia with aberrantly conducted PJCs
c.   Sinus tachycardia with quadrigeminal PVCs
d.   Sinus tachycardia with a triplet of PVCs


5.












a.   Sinus arrhythmia
b.   Atrial fibrillation
c.   Atrial flutter
d.   Complete heart block

6.












a.   Sinus tachycardia with muscle artifact
b.   Sinus tachycardia with electrical interference
c.   Sinus tachycardia with wandering baseline
d.   Sinus tachycardia with changing electrical axis


7.












a.   Idioventricular rhythm
b.   Ventricular tachycardia
c.   Complete heart block
d.   Ventricular paced


8.













a.   Sinus bradycardia with a PAC
b.   Accelerated junctional rhythm with a PJC
c.   Normal sinus rhythm with a PVC
d.   Junctional rhythm with a PJC


9.












a.   Supraventricular tachycardia
b.   Ventricular tachycardia
c.   Mutlifocal atrial tachycardia
d.   Atrial tachycardia


10.











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



Answers


1.    b.   1st degree block
2.    d.   Sinus bradycardia with a dropped PAC
3.    a.   Normal sinus rhythm
4.    c.   Sinus tachycardia with quadrigeminal PVCs
5.    b.   Atrial fibrillation
6.    c.   Sinus tachycardia with wandering baseline
7.    a.   Idioventricular rhythm
8.    b.   Accelerated junctional rhythm with a PJC.   The 7th complex arrives early in the cardiac cycle.   It also has a negative P wave which is indicative of a PAC.
9.    a.   Supraventricular tachycardia.   The rhythm is actually an atrial flutter.   The patient has a long standing history of atrial flutter but was admitted because of the accelerated heart rate.
10.  b.   Dual paced

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