Study Materials for Rhythm II Presentation

1. What is the cause of a heart block dysrhythmia?

a. An ectopic focus originates above the ventricle
b. The rhythm originates at the AV junctional tissue, producing retrograde depolarization.
c. The electrical current has difficulty traveling down the normal conduction pathway
d. An ectopic beat that originates in the right or left atria

2. People with Wolff-Parkinson-White syndrome are born with an extra electrical pathway
between the upper chambers of the heart (atria) and the lower chambers (ventricles). This extra
pathway makes which of the following more likely to occur?
a. Abnormally fast heart rhythms
b. Myocardial Infarction
c. Hypertension
d. Cardiomyopathy

3. What is the key finding(s) on the ECG below?

a. Left ventricular hypertrophy
b. Right Ventricular hypertrophy
c. Sick sinus Syndrome
d. Wolff-Parkinson-White Syndrome
4. A 5O-year-old woman with an ST-segment elevation MI is being prepared for transport to the
cardiac catheterization laboratory. Aspirin has been given, a heparin drip has been started, and a
portable cardiac monitoring device is attached. Vital signs are stable and within normal limits,
and there are no findings of heart failure, but she is still experiencing chest pain. A rhythm strip
is obtained (Figure below). What is the most appropriate next step?
a. Delay transport to administer an amiodarone drip
b. Delay transport to administer atropine and monitor the effects
c. Do not delay transport
d. Do not delay transport but prepare for possible transvenous pacemaker placement
5. A 42-year-old woman presents with progressive shortness of breath of 5 days' duration. She has
a history of chronic renal failure and is on hemodialysis Vital signs include blood pressure 95/50,
pulse 110, respirations 24, and oxygen saturation 95% on room air. An ECG is obtained (Figure
below). While waiting for chest radiography, she becomes increasingly pale and dusky, and her
systolic pressure progressively decreases to 70 mm Hg with only transient response to
intravenous fluid resuscitation. What is the most effective definitive treatment?
a. Calcium gluconate, sodium bicarbonate, insulin, and glucose
b. Dobutamine
c. Pericardiocentesis
d. Thrombolytic therapy

6. What is the likely interpretation of the rhythm strip below?

a. First-degree AV block
b. Second-degree AV block Type I
c. Second-degree AV block Type II
d. Third-degree AV block
e. Wolff-Parkinson-White Syndrome

7. What is the likely interpretation of the rhythm strip below?

a. First-degree AV block
b. Second-degree AV block Type I
c. Second-degree AV block Type II
d. Third-degree AV block
e. Wolff-Parkinson-White Syndrome
8. What is the likely interpretation of the rhythm strip below?
a. First-degree AV block
b. Second-degree AV block Type I
c. Second-degree AV block Type II
d. Third-degree AV block
e. Wolff-Parkinson-White Syndrome