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RELIAS DISRHYTHMIA BASIC TEST

Institution
Dysrhythmia
Module
Dysrhythmia

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RELIAS DYSRHYTHMIA BASIC TEST 35 QUESTIONS
AND ANSWERS 2025/2026 (BASIC A DYSRHYTHMIA)



normal sinus rhythm - ANSWER-heart rhythm originating in the sinoatrial node with a rate in patients
at rest of 60 to 100 beats per minute

Sinus Arrhythmia - ANSWER-Appearance is ALMOST NORMAL:
Respiratory - Circulatory interaction
Rate INCREASES with INSPIRATION (IN=IN)

Sinus Bradycardia - ANSWER-<60
normal sinus rhythm

Sinus Tachycardia - ANSWER->100 (100-150)
normal sinus rhythm

Premature Atrial Contraction (PAC) - ANSWER-Heart Rate: Depends on underlying rhythm
Regularity: Interrupts the regularity of underlying rhythm
P-Wave: can be flattened, notched, or unusual. May be hidden within the T wave
PRI: measures between .12-.20 seconds and can be prolonged; can be different from other complexes
QRS: <.12 seconds

Sinus Arrest/Pause - ANSWER-- SA node doesn't fire
- notice absence of P-wave for a complete cycle (a missed cycle)
length of pause ≠ multiple of normal rate (block)

Atrial Fibrillation (A-Fib) - ANSWER-an irregular and often very fast heart rate originating from
abnormal conduction in the atria

Atrial Flutter - ANSWER-irregular beating of the atria; often described as "a-flutter with 2 to 1 block or
3 to 1 block"

Junctional Rhythm - ANSWER-40-60 Regular!
-impulse from AV node w/ retro/antegrade transmission
- P wave often inverted/buried/follow QRS
- slow rate
- narrow QRS (not wide like ventricular)

Junctional Tachycardia - ANSWER->60 bpm (ms. K; 150-250)
- KEY: will be regular (consistent)
- AV junction produces a rapid sequence of QRS-T cycles
- p-wave often inverted/buried/follow QRS

Premature Junctional Contraction - ANSWER-Inverted p wave or hidden p wave
PRI<0.12 or none
Normal QRS

Supraventricular Tachycardia (SVT) - ANSWER-an abnormal heart rhythm arising from aberrant
electrical activity in the heart; originates at or above the AV node

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Institution
Dysrhythmia
Module
Dysrhythmia

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