KAISER EKG Actual Exam Study Guide
(Questions with 100% Correct
Answers) | Latest Version
1. What drug is used to treat sinus bradycardia? - ANSWER Atropine 0.5mg
2. Do you pace sinus bradycardia? - ANSWER Yes, with external or trans
venous pacemakers
3. What drugs should you HOLD with sinus bradycardia? - ANSWER
Digoxin and beta blockers
4. How do you treat sinus tachycardia? - ANSWER treat the underlying cause
5. Treatment for monomorphic and polymorphic pulseless VT (unstable) -
ANSWER Defibrillation, CPR, Epinephrine
6. Treatment for polymorphic VT with pulse (stable and unstable) - ANSWER
Magnesium and defibrillation
7. treatment for ventricular fibrillation - ANSWER Defibrillation, CPR, and
Epinephrine
8. Treatment for idioventricular rhythm/ventricular escape rhythm - ANSWER
Atropine, Epinephrine, Isoproterenol
transcutaneous pacing as a bridge to permanent pacemaker.
,Treatment for asystole - ANSWER CPR and Epinephrine
9. Treatment for PEA - ANSWER CPR and Epinephrine
10.depolarization - ANSWER - inside of cell becomes positive, outside
negative
- contraction
- na+ channel opens
- ELECTRICAL
11.repolarization - ANSWER movement of cells = inside is negative again
- na+ channels close, k+ channels open
- MECHANICAL
12.p wave
qrs wave
t wave - ANSWER - (p) atrial depolarization
- (qrs) ventricular depolarization
- (t) ventricular repolarization
13.refractory period - ANSWER per of time where cardiac cells cannot
respond to stimulus
14.absolute refractory period - ANSWER beginning of qrs to peak of t wave
15.relative refractory (vulnerable per of repolarization) - ANSWER - cardiac
cells have repolarized enough to respond to strong stimulus
- during this per a strong stimulus may overtake the pacemaker of the
heart
, - ex. PVC during vulnerable period may turn into vtach or torsades
- prolonged QT interval inc possibility
16.causes of prolonged qt intervals - ANSWER haldol, bradycardia,
hypokalemia
17.What drugs are used to treat sinus pause/block? - ANSWER Atropine
0.5mg or epinephrine
18.What type of pacemaker is used to treat sinus node disease (sinus
pause/block)? - ANSWER Atrial pacemaker
19.What drugs treat atrial flutter and atrial fibrillation? - ANSWER beta
blockers, diltiazem, verapamil, digoxin, amiodarone, coumadin, lovenox
20.What is a treatment option for symptomatic (unstable) atrial flutter? -
ANSWER Synchronized cardioversion at 50-100J
21.What is a treatment option for symptomatic (unstable) atrial fibrillation? -
ANSWER Synchronized cardioversion at 120-200J
22.What is the treatment for stable SVT? - ANSWER Vagal maneuvers and
adenosine
23.what is the treatment for unstable SVT? - ANSWER Synchronized
cardioversion
24.What is the treatment for symptomatic junctional escape? - ANSWER
atropine 0.5mg
, 25.What is the treatment for symptomatic first degree block? - ANSWER
atropine 0.5mg
26.what is the drugs and treatment for symptomatic second degree block type
1? - ANSWER atropine 0.5mg, epinephrine or a temporary pacemaker?
27.What is the drugs and treatment for symptomatic second degree block type
2? - ANSWER Atropine 0.5mg, epinephrine or dopamine
transcutaneous pacing as a bridge to a permanent pacemaker.
28.What is the drugs and treatment for third degree block? - ANSWER
Atropine, epinephrine, or dopamine
transcutaneous pacing as a bridge to a permanent pacemaker.
29.Treatment for PVCs - ANSWER Correct hypoxemia, low K+, low Mg++
30.Drugs used to treat PVCs - ANSWER Amiodarone, Lidocaine, Pronestyl
31.Treatment for Monomorphic VT with pulse (stable) - ANSWER
Amiodarone, lidocaine, procainamide and synchronized cardioversion
32.treatment for Monomorphic VT with pulse (unstable) - ANSWER
Amiodarone, synchronized cardioversion
33.automaticity - ANSWER ability of pacemaker cells to initiate electrical
impulse
(Questions with 100% Correct
Answers) | Latest Version
1. What drug is used to treat sinus bradycardia? - ANSWER Atropine 0.5mg
2. Do you pace sinus bradycardia? - ANSWER Yes, with external or trans
venous pacemakers
3. What drugs should you HOLD with sinus bradycardia? - ANSWER
Digoxin and beta blockers
4. How do you treat sinus tachycardia? - ANSWER treat the underlying cause
5. Treatment for monomorphic and polymorphic pulseless VT (unstable) -
ANSWER Defibrillation, CPR, Epinephrine
6. Treatment for polymorphic VT with pulse (stable and unstable) - ANSWER
Magnesium and defibrillation
7. treatment for ventricular fibrillation - ANSWER Defibrillation, CPR, and
Epinephrine
8. Treatment for idioventricular rhythm/ventricular escape rhythm - ANSWER
Atropine, Epinephrine, Isoproterenol
transcutaneous pacing as a bridge to permanent pacemaker.
,Treatment for asystole - ANSWER CPR and Epinephrine
9. Treatment for PEA - ANSWER CPR and Epinephrine
10.depolarization - ANSWER - inside of cell becomes positive, outside
negative
- contraction
- na+ channel opens
- ELECTRICAL
11.repolarization - ANSWER movement of cells = inside is negative again
- na+ channels close, k+ channels open
- MECHANICAL
12.p wave
qrs wave
t wave - ANSWER - (p) atrial depolarization
- (qrs) ventricular depolarization
- (t) ventricular repolarization
13.refractory period - ANSWER per of time where cardiac cells cannot
respond to stimulus
14.absolute refractory period - ANSWER beginning of qrs to peak of t wave
15.relative refractory (vulnerable per of repolarization) - ANSWER - cardiac
cells have repolarized enough to respond to strong stimulus
- during this per a strong stimulus may overtake the pacemaker of the
heart
, - ex. PVC during vulnerable period may turn into vtach or torsades
- prolonged QT interval inc possibility
16.causes of prolonged qt intervals - ANSWER haldol, bradycardia,
hypokalemia
17.What drugs are used to treat sinus pause/block? - ANSWER Atropine
0.5mg or epinephrine
18.What type of pacemaker is used to treat sinus node disease (sinus
pause/block)? - ANSWER Atrial pacemaker
19.What drugs treat atrial flutter and atrial fibrillation? - ANSWER beta
blockers, diltiazem, verapamil, digoxin, amiodarone, coumadin, lovenox
20.What is a treatment option for symptomatic (unstable) atrial flutter? -
ANSWER Synchronized cardioversion at 50-100J
21.What is a treatment option for symptomatic (unstable) atrial fibrillation? -
ANSWER Synchronized cardioversion at 120-200J
22.What is the treatment for stable SVT? - ANSWER Vagal maneuvers and
adenosine
23.what is the treatment for unstable SVT? - ANSWER Synchronized
cardioversion
24.What is the treatment for symptomatic junctional escape? - ANSWER
atropine 0.5mg
, 25.What is the treatment for symptomatic first degree block? - ANSWER
atropine 0.5mg
26.what is the drugs and treatment for symptomatic second degree block type
1? - ANSWER atropine 0.5mg, epinephrine or a temporary pacemaker?
27.What is the drugs and treatment for symptomatic second degree block type
2? - ANSWER Atropine 0.5mg, epinephrine or dopamine
transcutaneous pacing as a bridge to a permanent pacemaker.
28.What is the drugs and treatment for third degree block? - ANSWER
Atropine, epinephrine, or dopamine
transcutaneous pacing as a bridge to a permanent pacemaker.
29.Treatment for PVCs - ANSWER Correct hypoxemia, low K+, low Mg++
30.Drugs used to treat PVCs - ANSWER Amiodarone, Lidocaine, Pronestyl
31.Treatment for Monomorphic VT with pulse (stable) - ANSWER
Amiodarone, lidocaine, procainamide and synchronized cardioversion
32.treatment for Monomorphic VT with pulse (unstable) - ANSWER
Amiodarone, synchronized cardioversion
33.automaticity - ANSWER ability of pacemaker cells to initiate electrical
impulse
