Mid-Term Kahoot 2 Flashcards
(28 cards)
Which of the following is criteria for LBBB? Choose all that apply.
Discordance
Regular RR
Wide QRS
RAD or ERAD
Notched R-waves in V5
Notched R-waves in V1
Discordance
Wide QRS
Notched R-waves in V5
LBBB causes globally wided,
globally discordance,
notching in lateral leads I, aVL, V5, V6
Regular RR - Regularity is independant of LBBB
Wide QRS
RAD or ERAD - LBBB No effect on axis
Notched R-waves in V1 - RBBB
Which of the following produces a negative P-wave in lead II? Choose all that apply.
Mid-Junctional Rhythm
Atrial Fibrillation
Ectopic Atrial Rhythm
Atypical Atrial Flutter
Ectopic Atrial Rhythm
Ectopic Atrial Rhythm - P wave neg. w/ PRI
Mid-Junctional Rhythm - hidden within QRS complex, can’t tell if it’s negative or positive
Junctional or High-Junctional - YES P-wave would be neg.
Atypical Atrial Flutter – Do not have P Waves
Atrial Fibrillation – Do not have P Waves
Which of the following rhythms have 1:1 AV conduction? Choose all that apply.
Sinus Arrhythmia with 1° AVB
2:1 AVB
Atrial Fibrillation
Sinus Arrhythmia
2° AVB type I
2° AVB type II
Sinus Arrhythmia with 1° AVB
Sinus Arrhythmia
1:1 = 1 P wave for every QRS Complex
Sinus Arrhythmia - 1 p wave for every QRS ,just Irregular
Sinus Arrhythmia with 1° AVB - 1 P wave to QRS complex, just prolonged
2:1 AVB - 2 P waves for every QRS
Atrial Fibrillation - Fibrillatory waves (350-500 bpm)
2° AVB type I - Dropped P wave doesn’t have QRS
2° AVB type II - Sudden drop or non-conducted P wave, makes more P wave
Place the following in this order: Mobitz I, Mobitz II, 2:1 AVB, 3° AVB
Which of the following correctly identifies “D” in the diagram shown?
LL
Lead III
LA
Lead I
Lead II
RA
Lead II
Lead II - from Left Atrium to Left Ventricle - best place to see P waves and QRS complexes
The negative pole of lead III is found at how many degrees?
0°
+30°
-30°
+60°
-120°
-60°
-60°
Which of the following electrodes would you adjust if there was artifact in leads I, II, and AVR?
AVF
RA
LA
AVL
AVR
LL
RA
LL - Would be lead II & III
AVF - Augmented LEADS, Fix with corresponding lead - LL
AVL - Augmented LEADS, Fix with corresponding lead - LA
AVR - Augmented LEADS, Fix with corresponding lead - RA
“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
Once you hit voltage,
Look for Strain pattern - ST depression (typically Downsloping) & Asymetrical T-wave inversion - Affected leads aVL
What would be appropriate interventions for the image shown? Choose all that apply.
Cardioversion
Epinephrine
Diuretics
Oxygen
CPR
Defibrillation
Epinephrine
Oxygen
CPR
“Dead meat don’t beat”
In atypical atrial flutter, flutter waves are positive in which of the following leads? Choose all that apply.
III
v1
AVF
II
III
AVF
II
Flutter waves can look like positive P waves
Fluttrer waves CARVE out the baseline
Typical flutter is opposite
AV-dissociation is not a criteria for which of the following? Choose all that apply.
High Grade AV Block
Ventricular Fibrillation
Asystole
3° AVB
Mobitz II
VT
High Grade AV Block
Ventricular Fibrillation
Asystole
Mobitz II
High Grade AV Block - Fixed ratio block of 2:1, 3:1, 4:1
Ventricular Fibrillation - No P waves or QRS cmoplexes
Asystole - Nothing - no P waves or QRS complexes
Mobitz II - still have associated P waves b/c of QRS being constant
3° AVB - PRESENT with AV dissociation
VT - Fusion beats, captured beats, dresser beats, implying AV dissociation
Which of the following rhythms are regular? Choose all that apply.
Junctional Rhythm
AVNRT
AVRT
Sinus Arrhythmia
MAT
Polymorphic VT
Junctional Rhythm
AVNRT
AVRT
Junctional Rhythm - Regular
AVNRT - Regular - Any Re-Entry is Regular
AVRT - Regular - Any Re-Entry is Regular
Sinus Arrhythmia - Irregular based on breathing
MAT -
Polymorphic VT -
Atrial Flutter can be reg. or irreg. but it is Re-Entry
A constant PRI and irregular RR could be associated with which of the following? Choose all that apply.
1° AVB
Mobitz II
3° AVB
Sinus Arrhythmia
wenckebach
2:1 AVB
Mobitz II
Sinus Arrhythmia
Mobitz II -
Sinus Arrhythmia - has 1:1 conduction, but irregular
1° AVB - constant PRI, REGULAR
3° AVB - Changinig PRI, R-R Regular
wenckebach - Changing PRI, Irregular
2:1 AVB - R-R Regular
How many seconds is the pause shown in the image below?
4 seconds
(20 big boxes)
Sinus Arrest - over 3 seconds
If it’s less than 3 seconds
Does previous R-R fit in pause?
Yes = Sinus Exit Block
No = Sinus Pause
“Add the R-wave in V1 to the deepest S-wave in V5 or V6. If the sum is ≥ _____, RVH may be present.”
10mm
If 10mm already in V1, don’t need to add S-wave in V5 - already meets criteria
Which of the following correctly identifies “B” in the diagram shown? Choose all that apply.
BBB
normal
LAE
p-pulmonale
RAE
p-mitrale
P-pulmonale
RAE
P-pulmonale & RAE = Pulmonary issues, more pressure in the lungs, Right Side work harder = RVH & RAE
Usually an increase in HR as well
P-Mitral & LAE = synonymously
Which of the following best describes what is circled in the image shown?
PAC
High-Junctional PJC
Mid-Junctional PJC
Low-Junctional PJC
PAC
PAC - Is not always thin, some can be wide with underlying conditions
High junuctional PJC - not inverted, but is attached
Mid-Junctional PJC - P wave not burried within QRS
Low-Junctional PJC - P wave not after complex
Which of the following is a dysfunction in impulse creation? Choose all that apply.
3° AVB
Sinus Exit Block
Marked Sinus Bradycardia
Sinus Pause
Marked Sinus Bradycardia
Sinus Pause
3° AVB - Impulse conduction, being restricted from reaching ventricles
Sinus Exit Block - still firing just unable to leave the area of SA node
Marked Sinus Bradycardia - Impusle not being created fast enough
Sinus Pause - sinus node is pausing or not firing
A constant PRI and regular RR could be associated with which of the following? Choose all that apply.
Sinus Rhythm with 1° AVB
3° AVB
Mobitz I
3:1 AVB
Sinus Rhythm with 1° AVB
3:1 AVB
Sinus Rhythm with 1° AVB - 1:1 AV conduction, prolonged but constant PRI
3:1 AVB - any high grade AV block constant PRI, same # of P waves for QRS complexes
3° AVB - Varying PRI,
Mobitz I - Varying PRI, irregular R-R
Which of the following correctly describes strain pattern? Choose all that apply.
Downsloping ST-depression
associated with ventricular hypertrophies
Associated with atrial enlargements
Concordance
Asymmetrical T-wave inversions
Notched P-waves
Downsloping ST-depression
Associated with ventricular hypertrophies
Asymmetrical T-wave inversions
Strain pattern tells us that LVH is almost definite
Associated with atrial enlargements - Associated with Ventricular Hypertrophies not Atrial Enlargements
Concordance - not with strained patterns, DIScordance b/c of T-wave Inversions
Notched P-waves - more for LAE
Voltage - can be high on small people, males, leads closer to heart
Which of the following criteria may be associated with a right-sided bundle of Kent?
AV-dissociation
Inverted P-waves
Wide QRS-complexes
Type B Delta Waves
Short or absent PRIs
Type A Delta Waves
Wide QRS-complexes
Type B Delta Waves
Short or absent PRIs
They have WPW
Wide QRS-complexes - Delta wave widens QRS
Type B Delta Waves - RIGHT side, negative in V1 (Right is BRight)
Short or absent PRIs - Often with accessory pathway
AV-dissociation - Not associated with WPW, more for VT and 3rd degree AVB
Inverted P-waves - Nothing to do with WPW,
Type A Delta Waves - LEFT sided bundle of Kent,
Which of the following is a visual indicator that the QT interval is normal?
P-waves get buried within the T-wave
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
The QT interval is less than 50% of the RR
The QT interval is less than 50% of the RR - RR’s change based on rate
The QT interval is more than 50% of the RR - QT prolonged - can increase TdP; medications, genetics can increase this,
Drug of choioce to curtail likelihood of TdP is Beta Blocker
Which of the following can produce a positive QRS in V1? Choose all that apply.
WPW
PVCs of Right Ventricular Origin
Aberrant PACs
RBBB
RVH
LBBB
WPW
Aberrant PACs
RBBB
RVH
WPW - Type A, positive delta wave
Aberrant PACs - similar criteria to RBBB
RBBB - Dominant R wave in V1
RVH - Dominent R wave in V1
PVCs of Right Ventricular Origin - Neg. QRS in V1, LEFT in origin would produce pos. QRS
LBBB - QS wave in V1
Place the following HRs in order of fastest to slowest.
Accelerated Junctiuonal Rhythm
Atrial Rate for Atrail Flutter
AVNRT
Atrial Rate for Atrial Fibrillation
Atrial Rate for Atrial Fibrillation
Atrial Rate for Atrail Flutter
AVNRT
Accelerated Junctiuonal Rhythm
Atrial Rate for Atrial Fibrillation - 350-500 bpm
Atrial Rate for Atrail Flutter - 300 bpm
AVNRT - Hella fast - 150-160 bpm
Accelerated Junctiuonal Rhythm - 60-100 bpm
