BASIC ARRHYTHMIA Exam 2026/2027 UPDATED
QUESTIONS WITH ANSWERS GRADED A+
• Sinus Rhythms -✓✓ Regular
PR .12 -.20
QRS .04-.12
• Normal sinus rhythm -✓✓ 60-100
• Sinus Bradycardia -✓✓ below 60
• Sinus Tachycardia -✓✓ Above 100
• Sinus Block -✓✓ Irregular
Pause does not disturb sync
SA fired but was blocked
• Sinus Arrest -✓✓ Irregular
Pause disturbs sync
SA failed to fire
• Sinus Arrhythmia -✓✓ Irregular
shorter to longer in time
or longer to shorter
• Atrial Rhythms -✓✓ Originate from the AV node
PR Variable
P wave vary in shape
QRS .04 - .12
• Premature atrial complex (PAC) -✓✓ Underline rhythm
Irregular
P wave of PAC looks different from the others
conducted = QRS after
nonconducted = no QRS
• Wandering Atrial Pacemaker -✓✓ Irregular
60-100
Three different Pwaves
• Multifocal atrial Tachycardia -✓✓ Regular
above 100
T wave distorted
PR unable to measure
, • Supraventricular Tachycardia (SVT) -✓✓ Regular
150-250
P wave & T wave merged
• paroxysmal supraventricular tachycardia -✓✓ Regular
SVT
Fast to slow
slow to fast
• Atrial flutter -✓✓ Regular
Sawtooth
250-350
2:1, 3:1...block
• Atrial Fibrillation -✓✓ Irregularly Irregular
Atrial rate above 350
Controlled below 100
Uncontrolled above 100
Coarse = high amplitude
fine = low amplitude
• Junctional Rhythms -✓✓ Originate in AV node
40-60
P waves after, hidden in QRS (absent), inverted
QRS narrow
• Premature Junctional Complex -✓✓ Underlined rhythm
Irregular
• Junctional escape (Idiojunctional) -✓✓ Irregular
Late not early
looks like sinus arrest/block
• Accelerated Junctional -✓✓ Regular
60-100
• Junctional Tachycardia -✓✓ Regular
101-150
• Atrioventricular (Blocks) -✓✓ PR greater than .20
P-P regular
• 1st Degree -✓✓ Regular
• 2nd degree I
QUESTIONS WITH ANSWERS GRADED A+
• Sinus Rhythms -✓✓ Regular
PR .12 -.20
QRS .04-.12
• Normal sinus rhythm -✓✓ 60-100
• Sinus Bradycardia -✓✓ below 60
• Sinus Tachycardia -✓✓ Above 100
• Sinus Block -✓✓ Irregular
Pause does not disturb sync
SA fired but was blocked
• Sinus Arrest -✓✓ Irregular
Pause disturbs sync
SA failed to fire
• Sinus Arrhythmia -✓✓ Irregular
shorter to longer in time
or longer to shorter
• Atrial Rhythms -✓✓ Originate from the AV node
PR Variable
P wave vary in shape
QRS .04 - .12
• Premature atrial complex (PAC) -✓✓ Underline rhythm
Irregular
P wave of PAC looks different from the others
conducted = QRS after
nonconducted = no QRS
• Wandering Atrial Pacemaker -✓✓ Irregular
60-100
Three different Pwaves
• Multifocal atrial Tachycardia -✓✓ Regular
above 100
T wave distorted
PR unable to measure
, • Supraventricular Tachycardia (SVT) -✓✓ Regular
150-250
P wave & T wave merged
• paroxysmal supraventricular tachycardia -✓✓ Regular
SVT
Fast to slow
slow to fast
• Atrial flutter -✓✓ Regular
Sawtooth
250-350
2:1, 3:1...block
• Atrial Fibrillation -✓✓ Irregularly Irregular
Atrial rate above 350
Controlled below 100
Uncontrolled above 100
Coarse = high amplitude
fine = low amplitude
• Junctional Rhythms -✓✓ Originate in AV node
40-60
P waves after, hidden in QRS (absent), inverted
QRS narrow
• Premature Junctional Complex -✓✓ Underlined rhythm
Irregular
• Junctional escape (Idiojunctional) -✓✓ Irregular
Late not early
looks like sinus arrest/block
• Accelerated Junctional -✓✓ Regular
60-100
• Junctional Tachycardia -✓✓ Regular
101-150
• Atrioventricular (Blocks) -✓✓ PR greater than .20
P-P regular
• 1st Degree -✓✓ Regular
• 2nd degree I