BSMH ADVANCED ARRHYTHMIA COURSE
EXAM /BSMH ADVANCED ARRHYTHMIA
COURSE EXAM PREPARATION 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!|GUARANTEED PASS
What are the steps to interpreting a cardiac rhythm?
1. Determine HR (count the R waves X 10)
2. Measure R-R intervals across strip (regular/irregular)
3. Are there P waves present?
4. Is there a P wave for every QRS segment?
5. Is the PR interval 0.12-.2 seconds?
6. Is the QRS complex <3 small boxes?
7. Is the QTc .36-.44?
8. Is the ST segment level with the isometric line?
9. Is the T wave normal/inverted?
What type of QRS complex do rhythms that originate above the ventricles have?
narrow (<0.12 seconds)
What type of QRS complex do rhythms that originate at the ventricles have?
wide (>0.12 seconds)
What is sinus exit block?
irregularity secondary to missing at least one P-R-QRS-T
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, What is the cause of sinus exit block?
failed transmission of pacemaker impulses
What is sinus arrest?
Pause in ECG lasting more than 2 R-R intervals, not lined up with previous rhythm
How should sinus arrest be treated?
treat like bradycardia (atropine, pacing, etc.)
How long is a small box on an ECG rhythm strip?
0.04 seconds
How long is a big box (5 small boxes) on an ECG rhythm strip?
0.2 seconds
How many boxes on an ECG rhythm strip is = to 1 second?
5 big boxes
What does the P wave represent?
atrial depolarization
What does the QRS complex represent?
ventricular depolarization
What does the T wave represent?
ventricular repolarization
What does a U wave indicate?
Possible hypokalemia
What does the QT interval represent?
the total time required for ventricular depolarization and repolarization
How long should the PR interval be?
3-5 small boxes (.12-.20 seconds)
How long should QRS complex be?
less than 0.12 seconds (3 little boxes)
2|Page
EXAM /BSMH ADVANCED ARRHYTHMIA
COURSE EXAM PREPARATION 2025/2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS|ALREADY GRADED
A+|NEWEST|BRAND NEW
VERSION!!|GUARANTEED PASS
What are the steps to interpreting a cardiac rhythm?
1. Determine HR (count the R waves X 10)
2. Measure R-R intervals across strip (regular/irregular)
3. Are there P waves present?
4. Is there a P wave for every QRS segment?
5. Is the PR interval 0.12-.2 seconds?
6. Is the QRS complex <3 small boxes?
7. Is the QTc .36-.44?
8. Is the ST segment level with the isometric line?
9. Is the T wave normal/inverted?
What type of QRS complex do rhythms that originate above the ventricles have?
narrow (<0.12 seconds)
What type of QRS complex do rhythms that originate at the ventricles have?
wide (>0.12 seconds)
What is sinus exit block?
irregularity secondary to missing at least one P-R-QRS-T
1|Page
, What is the cause of sinus exit block?
failed transmission of pacemaker impulses
What is sinus arrest?
Pause in ECG lasting more than 2 R-R intervals, not lined up with previous rhythm
How should sinus arrest be treated?
treat like bradycardia (atropine, pacing, etc.)
How long is a small box on an ECG rhythm strip?
0.04 seconds
How long is a big box (5 small boxes) on an ECG rhythm strip?
0.2 seconds
How many boxes on an ECG rhythm strip is = to 1 second?
5 big boxes
What does the P wave represent?
atrial depolarization
What does the QRS complex represent?
ventricular depolarization
What does the T wave represent?
ventricular repolarization
What does a U wave indicate?
Possible hypokalemia
What does the QT interval represent?
the total time required for ventricular depolarization and repolarization
How long should the PR interval be?
3-5 small boxes (.12-.20 seconds)
How long should QRS complex be?
less than 0.12 seconds (3 little boxes)
2|Page
