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RELIAS DYSRHYTHMIA BASIC A & B 35 QUESTIONS WITH ANSWERS $17.99   Add to cart

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RELIAS DYSRHYTHMIA BASIC A & B 35 QUESTIONS WITH ANSWERS

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RELIAS DYSRHYTHMIA BASIC A & B 35 QUESTIONS WITH ANSWERS

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  • January 31, 2024
  • 120
  • 2023/2024
  • Exam (elaborations)
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RELIAS DYSRHYTHMIA BASIC B 35
QUESTIONS WITH ANSWERS
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

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

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PR Interval: N/A Material
QRS: <0.12 sec

Atrial Flutter - ANSUsually REGULAR can 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
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P Wave: NONE or INVERTED Material
PR Interval: None or <0.12
QRS: <0.12 sec

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

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Sinus Tachycardia - ANSRegularMaterial
Rate: 100-150
P Wave: Present, upright
PR Interval: 0.12-0.20 sec
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

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