Posts

Practice Rhythm Strips 301

Image
Identify the following rhythms. 1. a. First degree block with a dropped PAC b. Sinus arrhythmia with a pause c. Second degree AV block type II d. NSR with sinus arrest 2. a.  Sinus bradycardia with sinus pauses b.  Normal sinus rhythm with bigeminal PACs c.  Sinus arrhythmia with dropped PACs d. 2nd degree AV block type II 3. a.  First degree block b.  Second degree block type I c.  Second degree block type II d.  Third degree block 4. a.  First degree block b.  Second degree block type I c.  Second degree block type II d.  Third degree block 5. a. Accelerated idioventricular rhythm b. Accelerated junctional rhythm c. Idioventricular rhythm d. Junctional rhythm Answers 1.  c. Second degree AV block type II . The rhythm is irregular with a heart rate of 50/min. The P waves are positive but not all of them are paired with a QRS complex. The P...

Practice Rhythm Strips 299

Image
Identify the following rhythms. 1. a. Sinus arrhythmia b. Sinus rhythm with PJCs c. Sinus rhythm with PACs d. 2nd degree AV block type 2. a. Complete heat block b. Accelerated idioventricular rhythm c. Accelerated junctional rhythm d. Ventricular paced 3. a. Complete heart block b. Second degree AV block type II c. Second degree AV block type I d. First degree block 4.  The Great Escape. When the SA node fails to generate an impulse, other pacemakers cells within the heart can take over and stimulate the myocardium. In this example we have a rhythm strip with sinus bradycardia. The 4th beat is a PVC which is followed by long pause. During this pause two ventricular escape beats are initiated. The rate of the escape beats is around 40/min which falls within the expected inherent rate of a ventricular induced rhythm. 5. a. Normal sinus rhythm b. Sinus bradycardia c. First degree heart block d. Second degree he...

Practice Rhythm Strips 298

Image
Identify the following rhythms. 1. "I've got rhythm, I've got music....Who could ask for anything more" (Gershwin). Well, I might ask for a couple of medications to treat this rhythm. Name three antiarrhythmics that the AHA recommends for treating this rhythm. a. Cardizem,  Verapamil,  Amiodarone b. Amiodarone, Lidocaine, Procainamide c  Lidocaine,  Adenosine,  Atenolol d. Procainamide, Amiodarone, Sotalol 2. "Houston, we have a problem."  (Tom Hanks in the movie Apollo 13) a.  Sinus arrhythmia with sinus arrest b.  Complete heart block c.  Ventricular paced with failure to capture d.  Ventricular tachycardia with brief run of VF 3." Ch-ch-ch-ch-changes.   Turn and face the strange"  (David Bowie from the song Changes) a. Junctional rhythm changing to NSR b. Accelerated idioventricular rhythm changing to NSR c. Accelerated junctional changing to NSR d. Ventricular tachycardia c...

Practice Rhythm Strips 297

Image
Identify the following rhythms. 1. a. I am calling it junctional rhythm b. No wait. It is complete heart block c. It looks like accelerated idioventricular to me d. It probably is sinus bradycardia 2. a. It has to be normal sinus rhythm b. 1st degree block, for sure c. I'm thinking sinus arrhythmia d. Sinus bradycardia without a doubt 3. a. Could be junctional tachycardia with inverted T waves b. Might be sinus tachycardia with inverted T waves c. What about atrial tachycardia with inverted T waves d. Definitely supraventricular tachycardia with inverted T waves 4. a. I choose atrial paced b. Let it be AV paced c. No, it is biventricular paced d. Ventricular paced, final answer 5. a. I choose normal sinus rhythm with pauses b. Give me idioventricular rhythm or give me death c. Sinus bradycardia is the one for me d. I will take junctional rhythms for 500 Alex Answers 1. c. It looks l...

Practice Rhythm Strips 296

Image
Identify the following rhythms. 1. a. Sinus arrhythmia b. 2nd degree AV block type I c. Accelerated junctional rhythm d. Sinus bradycardia 2. a. Sinus tachycardia b. Ventricular tachycardia c. Accelerated idioventricular rhythm d. Wide complex supraventricular tachycardia 3. a. Atrial flutter b. 2nd degree AV block type II c. Complete heart block d. AV dissociation 4. a. Ventricular tachycardia b. Supraventricular tachycardia c. Junctional tachycardia d. Atrial fibrillation with rapid ventricular rate 5. a. Normal sinus rhythm with a frequent PJC b. Normal sinus rhythm with  trigeminal PACs c. Normal sinus rhythm with a multiform PVC d. Normal sinus rhythm with escape beats Answers 1. c. Accelerated junctional rhythm 2. a. Sinus tachycardia 3. a. Atrial flutter 4. d. Atrial fibrillation with rapid ventricular rate 5. b. Normal sinus rhythm with  trigeminal P...

Practice Rhythm Strips 295

Image
Identify the following rhythms 1. a. NSR with unifocal PVCs b. NSR with a multifocal couplet c  NSR with bigeminal PVCs d. NSR with multiform PVCs 2. a.  First degree block with unifocal PVCs b.  Second degree block type I with unifocal PVCs c.  Second degree block type II with unifocal PVCs d. Third degree block with unifocal PVCs 3. a.  NSR with PJCs b.  NSR with PACs c.  NSR with PVCs d.  Sinus arrhythmia 4. a.  NSR with PJCs b.  NSR with PACs c.  NSR with PVCs d.  Sinus arrhythmia 5. a.  NSR with bigeminal PVCs b.  Idioventricular with bigeminal PVCs c.  Agonal rhythm with bigeminal PVCs d. Ventricular paced with bigeminal PVCs Answers 1. b. NSR with a multifocal couplet.  The rhythm is irregular with a rate of 80/min. There are upright P waves that are paired with a QRS complex. The QRS complexes are narrow. A multifoc...

EKG Rhythm Quiz 245

Image
Identify the following rhythms. 1. a.  NSR with PACs b.  NSR with PJCs c.  NSR with PVCs d.  Sinus arrhythmia 2. a. First degree block b. Second degree block type I c. Second degree block type II d. Complete heart block 3. a. Agonal rhythm b. Asystole c. Ventricular standstill d. Complete heart block 4. a. Sinus arrhythmia with multifocal PVCss b. 1st degree block with bigeminal PVCs c. 2nd degree AV block type I d. Ventricular trigeminy 5. a.  Torsades de pointes b.  Accelerated idioventricular rhythm c.  Polymorphic ventricular tachycardia d. Ventricular fibrillation 6. a.  Atrial flutter b. Atrial fibrillation c. Atrial tachycardia d. Multifocal atrial tachycarda 7. a.  Sinus rhythm with sinus arrest b.  Sinus bradycardia with a dropped PAC c.  2nd degree AV block type II d.  Idioventricular rhythm 8. ...