1
BSMH ADVANCED ARRHYTHMIA COURSE
EXAM WITH REAL TEST QUESTIONS AND
ANSWERS 2026 VERSION
Purpose:
To assess advanced knowledge of cardiac rhythms, ECG interpretation, and
arrhythmia recognition used in clinical practice — particularly the ability to
interpret ECG strips and identify rhythm abnormalities accurately.
Focus Areas
Candidates should be familiar with:
• Cardiac anatomy and conduction:
• Blood flow through the heart and the cardiac conduction system (SA node,
AV node, Purkinje system).
• ECG basics and measurements:
• Interpretation of waveforms and intervals: P wave, PR interval, QRS
complex, ST segment, T wave.
• Understanding time values (e.g., small box = 0.04 s; big box = 0.20 s).
• Rhythm identification:
• Sinus rhythms, atrial rhythms, junctional rhythms.
• Heart blocks (1st–3rd degree), AV blocks, and conduction delays.
• Supraventricular tachycardias (SVT), atrial flutter & fibrillation.
• Ventricular rhythms including ventricular tachycardia, fibrillation, Torsades
de pointes, idioventricular rhythms.
,2
SECTION 1: Cardiac Conduction & ECG Basics (Questions 1–20)
Q1. The SA node is known as:
A) The ventricular pacemaker
B) The atrial pacemaker
C) The heart’s primary pacemaker
D) The AV node
Answer: C
Rationale: The SA node initiates impulses at 60–100 bpm and is
the primary pacemaker of the heart.
Q2. Which component of the ECG represents atrial
depolarization?
A) P wave
B) QRS complex
C) T wave
D) ST segment
Answer: A
Rationale: The P wave corresponds to atrial depolarization.
,3
Q3. The PR interval reflects:
A) Time between atrial depolarization and ventricular
depolarization
B) Ventricular repolarization
C) Time of ventricular contraction only
D) Atrial repolarization
Answer: A
Rationale: The PR interval measures conduction time from the
SA node through the AV node to the ventricles.
Q4. A normal QRS duration is:
A) 0.04–0.12 seconds
B) 0.12–0.20 seconds
C) 0.20–0.25 seconds
D) >0.25 seconds
Answer: A
Rationale: Normal ventricular depolarization is 0.04–0.12
seconds.
Q5. The T wave represents:
A) Ventricular depolarization
B) Atrial repolarization
, 4
C) Ventricular repolarization
D) SA node firing
Answer: C
Rationale: The T wave corresponds to ventricular
repolarization.
Q6. Which ECG box represents 0.20 seconds?
A) Small box
B) Large box
C) Ten small boxes
D) 5 large boxes
Answer: B
Rationale: One large box (5 small boxes) equals 0.20 seconds.
Q7. Sinus rhythm is characterized by:
A) P wave before every QRS, rate 60–100 bpm
B) Absent P waves
C) Irregular QRS complexes without P waves
D) Wide QRS with no P wave
Answer: A
Rationale: Sinus rhythm has a P wave before each QRS and
normal rate.
BSMH ADVANCED ARRHYTHMIA COURSE
EXAM WITH REAL TEST QUESTIONS AND
ANSWERS 2026 VERSION
Purpose:
To assess advanced knowledge of cardiac rhythms, ECG interpretation, and
arrhythmia recognition used in clinical practice — particularly the ability to
interpret ECG strips and identify rhythm abnormalities accurately.
Focus Areas
Candidates should be familiar with:
• Cardiac anatomy and conduction:
• Blood flow through the heart and the cardiac conduction system (SA node,
AV node, Purkinje system).
• ECG basics and measurements:
• Interpretation of waveforms and intervals: P wave, PR interval, QRS
complex, ST segment, T wave.
• Understanding time values (e.g., small box = 0.04 s; big box = 0.20 s).
• Rhythm identification:
• Sinus rhythms, atrial rhythms, junctional rhythms.
• Heart blocks (1st–3rd degree), AV blocks, and conduction delays.
• Supraventricular tachycardias (SVT), atrial flutter & fibrillation.
• Ventricular rhythms including ventricular tachycardia, fibrillation, Torsades
de pointes, idioventricular rhythms.
,2
SECTION 1: Cardiac Conduction & ECG Basics (Questions 1–20)
Q1. The SA node is known as:
A) The ventricular pacemaker
B) The atrial pacemaker
C) The heart’s primary pacemaker
D) The AV node
Answer: C
Rationale: The SA node initiates impulses at 60–100 bpm and is
the primary pacemaker of the heart.
Q2. Which component of the ECG represents atrial
depolarization?
A) P wave
B) QRS complex
C) T wave
D) ST segment
Answer: A
Rationale: The P wave corresponds to atrial depolarization.
,3
Q3. The PR interval reflects:
A) Time between atrial depolarization and ventricular
depolarization
B) Ventricular repolarization
C) Time of ventricular contraction only
D) Atrial repolarization
Answer: A
Rationale: The PR interval measures conduction time from the
SA node through the AV node to the ventricles.
Q4. A normal QRS duration is:
A) 0.04–0.12 seconds
B) 0.12–0.20 seconds
C) 0.20–0.25 seconds
D) >0.25 seconds
Answer: A
Rationale: Normal ventricular depolarization is 0.04–0.12
seconds.
Q5. The T wave represents:
A) Ventricular depolarization
B) Atrial repolarization
, 4
C) Ventricular repolarization
D) SA node firing
Answer: C
Rationale: The T wave corresponds to ventricular
repolarization.
Q6. Which ECG box represents 0.20 seconds?
A) Small box
B) Large box
C) Ten small boxes
D) 5 large boxes
Answer: B
Rationale: One large box (5 small boxes) equals 0.20 seconds.
Q7. Sinus rhythm is characterized by:
A) P wave before every QRS, rate 60–100 bpm
B) Absent P waves
C) Irregular QRS complexes without P waves
D) Wide QRS with no P wave
Answer: A
Rationale: Sinus rhythm has a P wave before each QRS and
normal rate.
