Mid-Term Kahoot 1 Flashcards
(28 cards)
Which of the following is not criteria for LBBB? Choose all that apply.
Notched R-waves in V5
Regular RR
Discordance
RAD or ERAD
Notched R-waves in V1
Wide QRS
RAD or ERAD
Notched R-waves in V1
Regular RR
RAD or ERAD - Not BBB
Notched R-waves in V1 - RBBB
Regular RR - rhythm
Which of the following produces a negative P-wave in lead II? Choose all that apply.
Atypical Atrial Flutter
Junctional Rhythm
Atrial Fibrillation
Ectopic Atrial Rhythm
Ectopic Atrial Rhythm
Junctional Rhythm
Ectopic - low atrial rhythm
Junction - HIGH leads II, III, aVF
Which of the following rhythms have an atrial rate that is faster than the ventricular rate? Choose all that apply.
3° AVB
Atrial Fibrillation
2:1 AVB
Sinus Arrhythmia with 1° AVB
2° AVB type II
2° AVB type I
3° AVB
Atrial Fibrillation
2:1 AVB
2° AVB type II
2° AVB type I
3° AVB - more P waves than QRS
Atrial Fibrillation -
2:1 AVB -
2° AVB type II - more P waves than QRS
2° AVB type I - 2:1 AVB to QRS
Place the following in this order: 3° AVB, Mobitz I, Mobitz II
3° AVB always has excape beat
Which of the following correctly identifies “E” in the diagram shown?
RA
LL
Lead I
Lead II
Lead III
LA
Lead III
Connects LA to LL
The positive pole of lead II is found at how many degrees?
-120°
+30°
-60°
0°
+60°
-30°
+60°
-120° - neg Lead II
+30° - neg aVR
-60° - neg Lead III
0° - pos Lead I
+60° - pos Lead II
-30° - Pos aVL
Which of the following electrodes would you adjust if there was artifact in leads I and III?
RA
AVR
LL
AVF
LA
AVL
LA
Add the deepest S-wave in V1 or V2 to the tallest R-wave in V5 or V6. If the sum is ≥ _____, LVH may be present.
35mm
R wave in aVL = 11mm or more
Sokolow-Lyon Index
LEFT Ventricluar Hypertrophy
What would be appropriate interventions for the image shown? Choose all that apply.
epinephrine
defibrillation
CPR
diuretics
oxygen
cardioversion
epinephrine
CPR
oxygen
Epinephrine - Sympathetic agent
Can not Shock - dead meat don’t beat
In typical atrial flutter, flutter waves are positive in which of the following leads? Choose all that apply.
II
III
v1
AVF
v1
Typical Flutter;
Negative in Lead II, III and aVF
Positive in V1
Conduct 1 big box apart
AV-dissociation is a criteria for which of the following? Choose all that apply.
wenckebach
VT
2:1 AVB
3° AVB
VT
3° AVB
VT - AV dissociation, Globally Wide QRS, RAD, ERAD, Percordial Concordance
3° AVB - AV dissociation, P-waves going in and out of QRS & T-Waves
Which of the following rhythms are irregular? Choose all that apply.
Monomorphic VT
Junctional Rhythm
AVRT
MAT
AVNRT
Atrial Fibrillation
MAT
Atrial Fibrillation
Varying Distances
Monomorphic VT - reg
Junctional Rhythm - reg
AVRT - Re-entry=reg
MAT - Multifocal Atrial Tachy, Associated with Pulmonary disesase - WAP a variant but also Irregular
AVNRT - Re-entry=reg
Atrial Fibrillation - Hypertention common - irritatted atria
A variable PRI and irregular RR could be associated with which of the following? Choose all that apply.
2:1 AVB
1° AVB
wenckebach
Mobitz II
Wenckebach
Gradual Prolong PRI and then drops - changes
Which of the following best describes the image shown?
Sinus Exit Block
Sinus Pause
3° AVB
Sinus Arrest
Sinus Arrest
Pause is greater than 3 sec. (15 Lg boxes)
“Add the R-wave in V1 to the deepest S-wave in V5 or V6. If the sum is ≥ _____, RVH may be present.”
10mm
Accoompanied by RAD, ERAD, RAE or increased HR
RIGHT Ventricluar Hypertrophy
÷
84w
Which of the following correctly identifies “C” in the diagram shown? Choose all that apply.
normal
p-pulmonale
p-mitrale
LAE
RAE
BBB
p-mitrale
LAE
RAE & P-Pulmonale
Which of the following best describes the image shown?
Mid Junctional Tachycardia
Low Atrial Tachycardia
Low Junctional Tachycardia
High Junctional Tachycardia
High Junctional Tachycardia
P-Wave attached to QRS, inverted
P-wave before, means HIGH junctional
Mid Junctional - P wave inside QRS
Low Junctional - P wave after QRS
Low Atrial - need a PRI
Which of the following is a dysfunction in impulse conduction? Choose all that apply.
Marked Sinus Bradycardia
3° AVB
Sinus Pause
Sinus Exit Block
3° AVB
Sinus Exit Block
3° AVB - P Wave blocked at AV node
Sinus Exit Block - producing impulses, cannot leave SA Node
A constant PRI and regular RR could be associated with which of the following? Choose all that apply.
3:1 AVB
2:1 AVB
3° AVB
Mobitz I
3:1 AVB
2:1 AVB
Which of the following correctly describes strain pattern? Choose all that apply.
Asymmetrical T-wave inversions
associated with ventricular hypertrophies
concordance
Downsloping ST-depression
Notched P-waves
associated with atrial enlargements
Asymmetrical T-wave inversions
Associated with ventricular hypertrophies
Downsloping ST-depression
Asymmetrical T-wave inversions - abnormal repolarization
Stain pattern w/out voltage - not strain pattern
NEED voltage to have strain pattern
Which of the following criteria may be associated with a left-sided bundle of Kent?
AV-dissociation
Type B Delta Waves
Inverted P-waves
Wide QRS-complexes
Type A Delta Waves
Short or absent PRIs
Wide QRS-complexes
Type A Delta Waves
Short or absent PRIs
Short PRI (Bypassing AV node) - Bypassed tract, Accessory Pathway, pre-excitation
LEFT sided so (WPW) Delta Waves Positive in V1 or Type A Delta Waves
AV dissoociation - VTech, 3rd degree
Inverted P waves - depend on origin of rhythm
Type B Delta Wave associated with RIGHT sided Bundle of Kent (B-R Bright, A is Above)
Which of the following is a visual indicator that the QT interval may be prolonged?
The QT interval is more than 50% of the RR
The QT interval is less than 50% of the RR
Ectopic beats occur during the T-wave
P-waves get buried within the T-wave
The QT interval is more than 50% of the RR
50% of R-R b/c QT can change,
Measrue QT interval for midterm
QTC less than 450 for men & less than 470 forr women
Which of the following can produce a wide and positive QRS in V1? Choose all that apply.
PVCs
LBBB
WPW
RBBB
LVH
Aberrant PACs
PVCs
WPW
RBBB
Aberrant PACs
PVCs - originate form LV (Ventricular Rhythms)
WPW - Type A -Delta wave- pos V1, can widen complex
RBBB - Wide, Pos, QRS in V1, also notched
Aberrant PACs - pos, wide QRS, V1 like RBBB
LVH & LBBB - does not create pos in V1
Place the following HRs in order of fastest to slowest.
Accelerated Junctiuonal Rhythm
Ventricluar Tachycardia
Atrial Rate for Atrial Fibrillation
Atrail Rate for Atrail Flutter
Atrial Rate for Atrial Fibrillation
Atrail Rate for Atrail Flutter
Ventricluar Tachycardia
Accelerated Junctiuonal Rhythm
Atrial Rate for Atrial Fibrillation - 350 - 500 and up BPM
Atrail Rate for Atrail Flutter - 300 BPM
Ventricluar Tachycardia - 160 and up BPM
Accelerated Junctiuonal Rhythm - 40-100 BPM