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Basic Dysrhythmia Exam Study Guide: Relias Preparation

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This comprehensive study guide covers essential cardiac rhythms and dysrhythmias, designed for medical professionals preparing for the Relias Basic Dysrhythmia Exam. The guide provides verified definitions, heart rates, and key identifying characteristics for various electrical activities of the heart, including Sinus, Atrial, Junctional, and Ventricular rhythms. It further details more complex conditions such as different degrees of Heart Blocks and common Pacemaker issues to assist in accurate EKG interpretation and clinical decision-making.

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BASIC DYSRHYTHMIA-RELIAS
VERIFIED EXAM QUESTIONS AND
ANSWERS
normal sinus rhythm - Correct Answers-heart rhythm originating in the sinoatrial node with a rate in
patients at rest of 60 to 100 beats per minute



Sinus Arrhythmia - Correct Answers-Appearance is ALMOST NORMAL:

Respiratory - Circulatory interaction

Rate INCREASES with INSPIRATION (IN=IN)



Sinus Bradycardia - Correct Answers-<60

normal sinus rhythm



Sinus Tachycardia - Correct Answers->100 (100-150)

normal sinus rhythm



Premature Atrial Contraction (PAC) - Correct Answers-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 - Correct Answers-- 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) - Correct Answers-an irregular and often very fast heart rate originating from
abnormal conduction in the atria



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



Junctional Rhythm - Correct Answers-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 - Correct Answers->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 - Correct Answers-Inverted p wave or hidden p wave

PRI<0.12 or none

Normal QRS



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



First degree heart block - Correct Answers-atrioventricular (AV) block in which the atrial electrical
impulses are delayed by a fraction of a second before being conducted to the ventricles

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