NEW 2023 RELIAS BASIC DYSRHYTHMIA WITH CORRECT QUESTIONS AND ANSWERS FROM EXPERTS

NEW 2023 RELIAS BASIC DYSRHYTHMIA WITH
CORRECT QUESTIONS AND ANSWERS FROM
EXPERTS n the T wave ate originatin -flutter
with 2 1. normal sinus rhythm: heart rhythm
originating in the sinoatrial node with a rate in
patients at rest of 60 to 100 beats per
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

,NEW 2023 RELIAS BASIC DYSRHYTHMIA WITH
CORRECT QUESTIONS AND ANSWERS FROM
EXPERTS n the T wave ate originatin -flutter
with 2 1. normal sinus rhythm: heart rhythm
originating in the sinoatrial node with a rate in
patients at rest of 60 to 100 beats per
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

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

,NEW 2023 RELIAS BASIC DYSRHYTHMIA WITH
CORRECT QUESTIONS AND ANSWERS FROM
EXPERTS n the T wave ate originatin -flutter
with 2 1. normal sinus rhythm: heart rhythm
originating in the sinoatrial node with a rate in
patients at rest of 60 to 100 beats per
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

, NEW 2023 RELIAS BASIC DYSRHYTHMIA WITH
CORRECT QUESTIONS AND ANSWERS FROM
EXPERTS n the T wave ate originatin -flutter
with 2 1. normal sinus rhythm: heart rhythm
originating in the sinoatrial node with a rate in
patients at rest of 60 to 100 beats per
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

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