Mid-Term Kahoot 1 Flashcards

(28 cards)

1
Q

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

A

RAD or ERAD
Notched R-waves in V1
Regular RR

RAD or ERAD - Not BBB
Notched R-waves in V1 - RBBB
Regular RR - rhythm

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2
Q

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

A

Ectopic Atrial Rhythm
Junctional Rhythm

Ectopic - low atrial rhythm
Junction - HIGH leads II, III, aVF

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3
Q

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

A

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

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4
Q

Place the following in this order: 3° AVB, Mobitz I, Mobitz II

A

3° AVB always has excape beat

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5
Q

Which of the following correctly identifies “E” in the diagram shown?

RA
LL
Lead I
Lead II
Lead III
LA

A

Lead III

Connects LA to LL

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6
Q

The positive pole of lead II is found at how many degrees?

-120°
+30°
-60°

+60°
-30°

A

+60°

-120° - neg Lead II
+30° - neg aVR
-60° - neg Lead III
0° - pos Lead I
+60° - pos Lead II
-30° - Pos aVL

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7
Q

Which of the following electrodes would you adjust if there was artifact in leads I and III?

RA
AVR
LL
AVF
LA
AVL

A

LA

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8
Q

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.

A

35mm

R wave in aVL = 11mm or more

Sokolow-Lyon Index

LEFT Ventricluar Hypertrophy

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9
Q

What would be appropriate interventions for the image shown? Choose all that apply.

epinephrine
defibrillation
CPR
diuretics
oxygen
cardioversion

A

epinephrine
CPR
oxygen

Epinephrine - Sympathetic agent
Can not Shock - dead meat don’t beat

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10
Q

In typical atrial flutter, flutter waves are positive in which of the following leads? Choose all that apply.

II
III
v1
AVF

A

v1

Typical Flutter;
Negative in Lead II, III and aVF
Positive in V1

Conduct 1 big box apart

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11
Q

AV-dissociation is a criteria for which of the following? Choose all that apply.

wenckebach
VT
2:1 AVB
3° AVB

A

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

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12
Q

Which of the following rhythms are irregular? Choose all that apply.

Monomorphic VT
Junctional Rhythm
AVRT
MAT
AVNRT
Atrial Fibrillation

A

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

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13
Q

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

A

Wenckebach

Gradual Prolong PRI and then drops - changes

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14
Q

Which of the following best describes the image shown?

Sinus Exit Block
Sinus Pause
3° AVB
Sinus Arrest

A

Sinus Arrest

Pause is greater than 3 sec. (15 Lg boxes)

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15
Q

“Add the R-wave in V1 to the deepest S-wave in V5 or V6. If the sum is ≥ _____, RVH may be present.”

A

10mm

Accoompanied by RAD, ERAD, RAE or increased HR

RIGHT Ventricluar Hypertrophy

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16
Q

÷

84w

Which of the following correctly identifies “C” in the diagram shown? Choose all that apply.

normal
p-pulmonale
p-mitrale
LAE
RAE
BBB

A

p-mitrale
LAE

RAE & P-Pulmonale

17
Q

Which of the following best describes the image shown?

Mid Junctional Tachycardia
Low Atrial Tachycardia
Low Junctional Tachycardia
High Junctional Tachycardia

A

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

18
Q

Which of the following is a dysfunction in impulse conduction? Choose all that apply.

Marked Sinus Bradycardia
3° AVB
Sinus Pause
Sinus Exit Block

A

3° AVB
Sinus Exit Block

3° AVB - P Wave blocked at AV node

Sinus Exit Block - producing impulses, cannot leave SA Node

19
Q

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

A

3:1 AVB
2:1 AVB

20
Q

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

A

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

21
Q

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

A

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)

22
Q

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

A

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

23
Q

Which of the following can produce a wide and positive QRS in V1? Choose all that apply.

PVCs
LBBB
WPW
RBBB
LVH
Aberrant PACs

A

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

24
Q

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

A

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

25
Limb lead reversal (RA/LA) inverts which of the following leads? Lead III Lead II AVR AVF Lead I AVL
Lead I ## Footnote Lead I - goes upside down (inverts) aVR and aVL switch spots Lead II and III switch spots aVF stays the same
26
The axis is closest to which of the following values? -30° +150° -150° +30°
+30° ## Footnote Lead III most equiuphasic, Perpendicular lead aVR, use neg pole of aVR which is +30° no adjustment needed.
27
Which of the following could be categorized as a SVT? Sinus Tachycardia with LBBB Atrial Flutter with FVR Accelerated Junctional Rhythm Atrial Fibrillation with SVR VT AVNRT
Sinus Tachycardia with LBBB Atrial Flutter with FVR AVNRT | Rhythm originates ABOVE ventricles and over 100 BPM ## Footnote Sinus Tachycardia with LBBB - Sinus = above ventricles and over 100 BPM Atrial Flutter with FVR - Originates RA above ventricles ovre 100 BPM AVNRT - Originates within AV node more than 100 BPM (usually around 150 BPM and faster) Atrial Fibrillation with SVR - IS supraventricular but isn't because of SLOW ventricular response Accelerated Junctional Rhythm - IS supraventricular but less than 100 BPM (can't be considered tachy) VT - IS ventricular, originating in ventricles
28
Which of the following may be associated with left axis deviation? LVH Bifascicular Block Left Posterior Hemiblock Dominant R-wave in lead I Left Anterior Hemiblock RVH
LVH Bifascicular Block Dominant R-wave in lead I Left Anterior Hemiblock ## Footnote LVH - Can draw axis leftwards Bifascicular Block - given LAHB w/ RBBB, can change axis leftward Left Anterior Hemiblock - of course Dominant R-wave in lead I - in order for LAD, lead I must be positive Left Posterior Hemiblock - Associacted with RAD RVH - Associacted with RAD