EKG CRAM CARDS REAL ESTATE EXAM QUESTIONS AND ANSWERS
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EKG CRAM CARDS
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EKG CRAM CARDS
EKG CRAM CARDS REAL ESTATE EXAM QUESTIONS AND ANSWERS
Which antiarrhythmic medications can be used for a patient in ventricular tachycardia or ventricular fibrillation? - Answer-Amiodarone or lidocaine
A 54 year old in ventricular tachycardia, has a BP of 82/44 mmHg. What settings are appropri...
EKG CRAM CARDS REAL ESTATE
EXAM QUESTIONS AND ANSWERS
Which antiarrhythmic medications can be used for a patient in ventricular tachycardia or
ventricular fibrillation? - Answer-Amiodarone or lidocaine
A 54 year old in ventricular tachycardia, has a BP of 82/44 mmHg. What settings are
appropriate for cardioversion of this patient? - Answer-Synchronized cardioversion
What medication class may be used to prevent arrhythmic events in a patient who has
non-acquired long QT syndrome? - Answer-Beta blockers
What counseling must be given to a patient once they are diagnosed with non-acquired
long QT syndrome? - Answer-The patient's family must be screened for long QT as well
A 76 year old who was recently started on levofloxacin, suffers a cardiac arrest. What
may likely be found on further evaluation of her ECG? - Answer-Long QT
What is the most common accessory pathway in Wolff-Parkinson- White syndrome
(WPW)? - Answer-The bundle of Kent
What medication is indicated for emergent treatment of tachyarrhythmia in a patient with
diagnosed Wolff-Parkinson- White syndrome (WPW)? - Answer-Procainamide
Direct thrombin inhibitors can not be used for anticoagulation of atrial fibrillation if the
patient also has which disorder? - Answer-Valvular heart disease
A 69 year old male with a history of mitral regurgitation has developed atrial fibrillation.
Should he be placed on anticoagulation? - Answer-All patients with valvular heart
disease + atrial fibrillation need to be anticoagulated
Should a solitary episode of atrial fibrillation in a healthy 34 year old require
anticoagulation? - Answer-CHADS2 score is 0 - Patient is to be sent home on aspirin
only
A stable 67 year old patient presents in atrial fibrillation but is unsure of any prior
cardiac history. Should you cardiovert this patient? - Answer-No. 1) Medical treatment
before cardioversion in stable patients 2) Unknown time of atrial fibrillation would
anticoagulate prior
What is the dosing protocol for adenosine and what must you ensure regarding the IV
access prior to administering the adenosine? - Answer-Adenosine 6 mg, if no change
, then 12mg, if no change then second dose of 12mg - Give through a large bore IV
followed by rapid saline bolus
What is the first line treatment for a stable patient who is in a supraventricular
tachycardia? - Answer-Vagal maneuvers (No carotid sinus massage in elderly)
A 48 year old patient has chest pain. Comparison of his 12 lead ECG to past tracings
finds a new left bundle branch block. What is this finding consistent with? - Answer-New
myocardial infarction
Although right bundle branch blocks are not pathological in and of themselves, what
underlying pathology may they represent? - Answer-Pulmonary embolus - ASD - Heart
attack
A nurse notes that a patient is having frequent premature atrial contractions (PACs), but
is asymptomatic. What is your next step? - Answer-Check O2 saturation and
electrolytes
Does second degree type I or type II more likely represent an significant underlying
pathology? - Answer-Second degree type II
What is the recommended treatment for a patient in a second degree type I heart block
with a blood pressure of 74/40 mmHg and chest pain? - Answer-Pacing - Rule out acute
underlying ischemic pathology
Which of the following medications is the most likely to cause bradycardia? Furosemide
Metoprolol Amlodipine - Answer-Metoprolol (beta blocker)
An 83 year old has a blood pressure of 90/58 mmHg and a heart rate of 132 bpm fever
and a + UA. Should you use rate controlling medication? - Answer-No - The patient's
tachycardia is reactive from her urosepsis and fever
What is the most common cause of sinus tachycardia? - Answer-Underlying non-
cardiac pathology (sepsis, anemia, hyperthyroid state etc.)
You count 12 QRS complexes across the entire length of a 12 lead ECG. What is the
approximate heart rate? - Answer-72 bpm - 10 seconds X 6 = 60 seconds/1 minute - 12
beats X 6 = 72 beats per minute
Name leads which represent a lateral wall AMI? - Answer-V5 V6 I AvL
Name leads which represent an anterior AMI? - Answer-V3 V4
Name leads which represent a septal AMI? - Answer-V1, V2
Name the leads which represent an inferior AMI? - Answer-II, III, AvF
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