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RELIAS DYSRHYTHMIA BASIC A & B 35 QUESTIONS
Material
WITH ANSWERS PROVIDED 2024
Big Box - ANS0.20 sec
1 Small Box - ANS0.04 sec
1st Degree AV Block - ANSRegular
Rate: 60-100
P Wave: Present, upright
PR interval: >0.20 sec CONSISTENTLY LONG
QRS: <0.12 sec
Husband stays late till 9 consistently
2nd Degree AV Block Type I Mobitz, Wenckebach - ANSIRREGULAR
Rate: 60-100
P wave: Present, upright
PR Interval: Progressively longer until drop (PR interval longer and longer until drop)
QRS: <0.12 sec
Husband stays late till 9, then 11, then 1, then doesn't come home at all
2nd Degree AV Block Type II - ANSIrregular or regular
Rate: <60
P wave: Present, upright
PR Interval: PR interval consistently LONGER like type 1 but then a QRS will drop
QRS: <0.12 sec
Husband stays late till 9 consistently, then wife goes out and doesn't come home
3rd Degree AV Block - ANSAtrials and ventricles don't communicate
Rate: regular atrial
P wave: Present, upright
No relationship between P waves and QRS
PR Interval: VARIABLE
QRS: variable
P-P ad R-R consistent but NO correlation
Husband and wife live separate lives and don't communicate
A fib RVR - ANSIRREGULAR
Ventricular rate: 100-175
P wave: unable to see
PR Interval: N/A
QRS <0.12 sec
Accelerated Idoventricular Rhythm - ANSRegular
Rate: 50-100
P wave: NONE
PR Interval: N/A
QRS: WIDE, >0.12 sec
Accelerated Junctional Rhythm - ANSRegular
Rate: 60-100
P Wave: NONE or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
Atrial Fibrillation - ANSIRREGULAR
Atrial rate: UNMEASURABLE
Ventricular rate: variable
P wave: unable to see
PR Interval: N/A
QRS: <0.12 sec
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Atrial Flutter - ANSUsually REGULAR
Materialcan be irregular
Atrial rate: 250-350
Ventricular rate: variable BUT < atrial rate
P Wave: Flutter
PR Interval: N/A
QRS: <0.12 sec
Atrially Paced - ANSSpike comes before P
AV Node - ANS2nd
40-60
AV Node Firing, SA Node Failed Rhythms - ANS*Fires normally @ 40-60*
-Junctional rhythm 40-60
-Accelerated junctional rhythm 60-100
-Junctional tachycardia 100-150
AV Paced - ANSSpike before P and before QR
Bigeminy - ANSPVC occurs every OTHER beat
Bundle of His - ANS3rd
40-45
Calculate Irregular Rate - ANS# of Rs in 6 sec strip X 10
Calculate Regular Rate - ANS1500/ # boxes R-R
Coarse V Fib - ANSChopy but not as high as polymorphic V tach
Couplet - ANS2 PVCs together
Failure to Capture - ANSSpikes with no QRS
Failure to Sense - ANSSpikes happen regardless of QRS on their own
Fine V Fib - ANSFine and fibrillatory
How to determine the rhythm - ANSRegular or irregular?
Rate?
P before every QRS? QRS for every P?
QRS wide or narrow?
Idioventricular - ANSRegular
Rate: 20-50
P wave: NONE
PR Interval: N/A
QRS: WIDE, >0.12 sec
Idioventricular Rhythms - ANSOnly purkinje fibers firing
WIDE QRS always
Junctional Rhythm - ANSRegular
Rate: 40-60
P Wave: ABSENT or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
Junctional Rhythms - ANSSA Node DID NOT FIRE
AV Node fired
NO P WAVE bc SA node didn't fire
Narrow QRS
Junctional Tachycardia - ANSRegular
Rate: >100
P Wave: NONE or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
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Material
Monomorphic V Tach - ANSSame Shapes V Tach
Multifocal - ANSMultiple shapes
Normal sinus rhythm - ANSRegular
Rate: 60-100
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Only Purkinje Fibers Firing Rhythms (Everything else has failed) - ANS*Fires normally @ 20-50*
-Idioventricular 20-50
-Accelerated idioventricular 50-100
P Wave - ANS0.06-0.12 sec
P Wave - ANSAmplitude 0.5-2.5 mm
Will be shorter than T wave
Shows firing of SA node
Polymorphic V Tach - ANSDifferent Shapes V tach
PR Interval - ANS0.12-0.20 sec
Premature Atrial Contraction - ANSIRREGULAR
Rate: depends on underlying rhythm
P wave: Present or hidden in T wave
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Premature Ventricular Contraction - ANSIRREGULAR
Rate: refer to underlying rhythm
P Wave: NONE
PR Interval: N/A
QRS: WIDE and BIZARRE , >0.12 sec
Purkinje Fibers - ANS5th
20-50
QRS - ANS0.06-0.10 sec SHOULD BE <0.12 sec
Wide QRS: delay in ventricular contraction, delay of conduction through bundle branches or purkinje fibers
BUNDLE BRANCH BLOCK or BLOCK IN PURKINJE FIBERS (idioventricular)
QT Interval - ANS0.34-0.43
Right and Left Bundle Branches - ANS4th
40-45
SA Node - ANS1st
60-100
SA Node Firing Rhythms - ANS*Fires normally @ 60-100*
-SR 60-100
-SB <60
-ST 100-150
-SVT 150-350
Sinus Bradycardia - ANSRegular
Rate: <60
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Sinus Tachycardia - ANSRegular
Rate: 100-150
P Wave: Present, upright
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PR Interval: 0.12-0.20 sec Material
QRS: <0.12 sec
Supraventricular Tachycardia - ANSRegular
Rate: 150-350
P wave: Hidden in QRS or T wave
PR: unable to determine
QRS: <0.12 sec
Trigeminy - ANSPVC occurs every THIRD beat
Triplet - ANS3 PVCs together
Unifocal PVCs - ANSOnly 1 shape PVC
Ventricular Fibrillation - ANSChaotic
Coarse: big waves
Fine: small waves
Rate: unmeasurable
P Wave: NONE
PR Interval: N/A
QRS: N/A
Ventricular Tachycardia - ANSRegular
Rate: >100
P Wave: NONE
PR Interval: N/A
QRS: WIDE and BIZARRE, >0.12 sec
Ventricularly Paced - ANSSpike comes before QRS and QRS will be wide
1 Big Box - ANS0.20 sec
1 Small Box - ANS0.04 sec
1st Degree AV Block - ANSRegular
Rate: 60-100
P Wave: Present, upright
PR interval: >0.20 sec CONSISTENTLY LONG
QRS: <0.12 sec
Husband stays late till 9 consistently
2nd Degree AV Block Type I Mobitz, Wenckebach - ANSIRREGULAR
Rate: 60-100
P wave: Present, upright
PR Interval: Progressively longer until drop (PR interval longer and longer until drop)
QRS: <0.12 sec
Husband stays late till 9, then 11, then 1, then doesn't come home at all
2nd Degree AV Block Type II - ANSIrregular or regular
Rate: <60
P wave: Present, upright
PR Interval: PR interval consistently LONGER like type 1 but then a QRS will drop
QRS: <0.12 sec
Husband stays late till 9 consistently, then wife goes out and doesn't come home
3rd Degree AV Block - ANSAtrials and ventricles don't communicate
Rate: regular atrial
P wave: Present, upright
No relationship between P waves and QRS
PR Interval: VARIABLE
QRS: variable
P-P ad R-R consistent but NO correlation
Husband and wife live separate lives and don't communicate
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RELIAS DYSRHYTHMIA BASIC A & B 35 QUESTIONS
Material
WITH ANSWERS PROVIDED 2024
Big Box - ANS0.20 sec
1 Small Box - ANS0.04 sec
1st Degree AV Block - ANSRegular
Rate: 60-100
P Wave: Present, upright
PR interval: >0.20 sec CONSISTENTLY LONG
QRS: <0.12 sec
Husband stays late till 9 consistently
2nd Degree AV Block Type I Mobitz, Wenckebach - ANSIRREGULAR
Rate: 60-100
P wave: Present, upright
PR Interval: Progressively longer until drop (PR interval longer and longer until drop)
QRS: <0.12 sec
Husband stays late till 9, then 11, then 1, then doesn't come home at all
2nd Degree AV Block Type II - ANSIrregular or regular
Rate: <60
P wave: Present, upright
PR Interval: PR interval consistently LONGER like type 1 but then a QRS will drop
QRS: <0.12 sec
Husband stays late till 9 consistently, then wife goes out and doesn't come home
3rd Degree AV Block - ANSAtrials and ventricles don't communicate
Rate: regular atrial
P wave: Present, upright
No relationship between P waves and QRS
PR Interval: VARIABLE
QRS: variable
P-P ad R-R consistent but NO correlation
Husband and wife live separate lives and don't communicate
A fib RVR - ANSIRREGULAR
Ventricular rate: 100-175
P wave: unable to see
PR Interval: N/A
QRS <0.12 sec
Accelerated Idoventricular Rhythm - ANSRegular
Rate: 50-100
P wave: NONE
PR Interval: N/A
QRS: WIDE, >0.12 sec
Accelerated Junctional Rhythm - ANSRegular
Rate: 60-100
P Wave: NONE or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
Atrial Fibrillation - ANSIRREGULAR
Atrial rate: UNMEASURABLE
Ventricular rate: variable
P wave: unable to see
PR Interval: N/A
QRS: <0.12 sec
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Atrial Flutter - ANSUsually REGULAR
Materialcan be irregular
Atrial rate: 250-350
Ventricular rate: variable BUT < atrial rate
P Wave: Flutter
PR Interval: N/A
QRS: <0.12 sec
Atrially Paced - ANSSpike comes before P
AV Node - ANS2nd
40-60
AV Node Firing, SA Node Failed Rhythms - ANS*Fires normally @ 40-60*
-Junctional rhythm 40-60
-Accelerated junctional rhythm 60-100
-Junctional tachycardia 100-150
AV Paced - ANSSpike before P and before QR
Bigeminy - ANSPVC occurs every OTHER beat
Bundle of His - ANS3rd
40-45
Calculate Irregular Rate - ANS# of Rs in 6 sec strip X 10
Calculate Regular Rate - ANS1500/ # boxes R-R
Coarse V Fib - ANSChopy but not as high as polymorphic V tach
Couplet - ANS2 PVCs together
Failure to Capture - ANSSpikes with no QRS
Failure to Sense - ANSSpikes happen regardless of QRS on their own
Fine V Fib - ANSFine and fibrillatory
How to determine the rhythm - ANSRegular or irregular?
Rate?
P before every QRS? QRS for every P?
QRS wide or narrow?
Idioventricular - ANSRegular
Rate: 20-50
P wave: NONE
PR Interval: N/A
QRS: WIDE, >0.12 sec
Idioventricular Rhythms - ANSOnly purkinje fibers firing
WIDE QRS always
Junctional Rhythm - ANSRegular
Rate: 40-60
P Wave: ABSENT or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
Junctional Rhythms - ANSSA Node DID NOT FIRE
AV Node fired
NO P WAVE bc SA node didn't fire
Narrow QRS
Junctional Tachycardia - ANSRegular
Rate: >100
P Wave: NONE or INVERTED
PR Interval: None or <0.12
QRS: <0.12 sec
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Material
Monomorphic V Tach - ANSSame Shapes V Tach
Multifocal - ANSMultiple shapes
Normal sinus rhythm - ANSRegular
Rate: 60-100
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Only Purkinje Fibers Firing Rhythms (Everything else has failed) - ANS*Fires normally @ 20-50*
-Idioventricular 20-50
-Accelerated idioventricular 50-100
P Wave - ANS0.06-0.12 sec
P Wave - ANSAmplitude 0.5-2.5 mm
Will be shorter than T wave
Shows firing of SA node
Polymorphic V Tach - ANSDifferent Shapes V tach
PR Interval - ANS0.12-0.20 sec
Premature Atrial Contraction - ANSIRREGULAR
Rate: depends on underlying rhythm
P wave: Present or hidden in T wave
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Premature Ventricular Contraction - ANSIRREGULAR
Rate: refer to underlying rhythm
P Wave: NONE
PR Interval: N/A
QRS: WIDE and BIZARRE , >0.12 sec
Purkinje Fibers - ANS5th
20-50
QRS - ANS0.06-0.10 sec SHOULD BE <0.12 sec
Wide QRS: delay in ventricular contraction, delay of conduction through bundle branches or purkinje fibers
BUNDLE BRANCH BLOCK or BLOCK IN PURKINJE FIBERS (idioventricular)
QT Interval - ANS0.34-0.43
Right and Left Bundle Branches - ANS4th
40-45
SA Node - ANS1st
60-100
SA Node Firing Rhythms - ANS*Fires normally @ 60-100*
-SR 60-100
-SB <60
-ST 100-150
-SVT 150-350
Sinus Bradycardia - ANSRegular
Rate: <60
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
QRS: <0.12 sec
Sinus Tachycardia - ANSRegular
Rate: 100-150
P Wave: Present, upright
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PR Interval: 0.12-0.20 sec Material
QRS: <0.12 sec
Supraventricular Tachycardia - ANSRegular
Rate: 150-350
P wave: Hidden in QRS or T wave
PR: unable to determine
QRS: <0.12 sec
Trigeminy - ANSPVC occurs every THIRD beat
Triplet - ANS3 PVCs together
Unifocal PVCs - ANSOnly 1 shape PVC
Ventricular Fibrillation - ANSChaotic
Coarse: big waves
Fine: small waves
Rate: unmeasurable
P Wave: NONE
PR Interval: N/A
QRS: N/A
Ventricular Tachycardia - ANSRegular
Rate: >100
P Wave: NONE
PR Interval: N/A
QRS: WIDE and BIZARRE, >0.12 sec
Ventricularly Paced - ANSSpike comes before QRS and QRS will be wide
1 Big Box - ANS0.20 sec
1 Small Box - ANS0.04 sec
1st Degree AV Block - ANSRegular
Rate: 60-100
P Wave: Present, upright
PR interval: >0.20 sec CONSISTENTLY LONG
QRS: <0.12 sec
Husband stays late till 9 consistently
2nd Degree AV Block Type I Mobitz, Wenckebach - ANSIRREGULAR
Rate: 60-100
P wave: Present, upright
PR Interval: Progressively longer until drop (PR interval longer and longer until drop)
QRS: <0.12 sec
Husband stays late till 9, then 11, then 1, then doesn't come home at all
2nd Degree AV Block Type II - ANSIrregular or regular
Rate: <60
P wave: Present, upright
PR Interval: PR interval consistently LONGER like type 1 but then a QRS will drop
QRS: <0.12 sec
Husband stays late till 9 consistently, then wife goes out and doesn't come home
3rd Degree AV Block - ANSAtrials and ventricles don't communicate
Rate: regular atrial
P wave: Present, upright
No relationship between P waves and QRS
PR Interval: VARIABLE
QRS: variable
P-P ad R-R consistent but NO correlation
Husband and wife live separate lives and don't communicate
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