Basic Arrhythmias 7th Edition Walraven

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Exam

Name___________________________________

MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.

1) The ventricular rate for PACs is defined as: 1)

A) depends on underlying rhythm. B) less than 10 bpm.
C) greater than 100 bpm. D) 60-100 bpm.
Answer: A
Explanation: A)
B)
C)
D)

2) It is very common for the P waves in Atrial Tachycardia to be: 2)

A) flat. B) hidden in the T wave.
C) sawtooth. D) irregular.
Answer: B
Explanation: A)
B)
C)
D)

3) In Atrial Fibrillation, when the ventricular rate is over 100 bpm, it is said to be: 3)
A) uncontrolled. B) runaway. C) enhanced. D) wandering.
Answer: A
Explanation: A)
B)
C)
D)

4) The rhythm in which the atrial waves are seen as a sawtooth pattern is called: 4)
A) Premature Atrial Complex. B) Atrial Fibrillation.
C) Atrial Flutter. D) Atrial Tachycardia.
Answer: C
Explanation: A)
B)
C)
D)

5) When you encounter a rhythm that is irregular with no mappable P waves, you should suspect: 5)
A) Atrial Tachycardia. B) Wandering Pacemaker.
C) Atrial Flutter. D) Atrial Fibrillation.
Answer: D
Explanation: A)
B)
C)
D)

1
 6) An atrial arrhythmia that occurs when the pacemaker role switches from the SA node to the atria 6)
and back again is called:
A) Atrial Tachycardia. B) Wandering Pacemaker.
C) Atrial Flutter. D) Atrial Fibrillation.
Answer: B
Explanation: A)
B)
C)
D)

7) In the rhythm called "Atrial Flutter," the atrial rate is usually in the range of ________ bpm. 7)
A) 100-130 B) 250-350 C) 200-240 D) 60-100
Answer: B
Explanation: A)
B)
C)
D)

8) In Wandering Pacemaker, the heart's pacemaker site shifts between: 8)

A) SA node and atria. B) atria and ventricles.
C) SA node and AV node. D) AV node and ventricles.
Answer: C
Explanation: A)
B)
C)
D)

9) Which one of the following does NOT describe an atrial P wave? 9)

A) It may dip below the isoelectric line. B) It may be diphasic.
C) It can be flattened or peaked. D) It is uniformly rounded.
Answer: D
Explanation: A)
B)
C)
D)

10) The QRS in Atrial Fibrillation should be ________ sec. 10)

A) greater than 0.20 B) 0.16-0.20
C) less than 0.12 D) 0.12-0.16
Answer: C
Explanation: A)
B)
C)
D)

2
11) An early (premature) ectopic beat could be an indication of: 11)
A) impending bradycardia. B) sinus pacemaker.
C) irritability. D) escape mechanism.
Answer: C
Explanation: A)
B)
C)
D)

12) Atrial Tachycardia usually has a rate of ________ bpm. 12)

A) 100-150 B) 250-300 C) 150-250 D) 60-100
Answer: C
Explanation: A)
B)
C)
D)

13) A single beat that arises from a focus outside of the SA node is called a(n): 13)
A) Atrial Tachycardia. B) ectopic beat.
C) compensatory pause. D) Premature Ventricular Complex.
Answer: B
Explanation: A)
B)
C)
D)

14) The QRS complex in all atrial rhythms is expected to be: 14)
A) normal. B) inverted.
C) distorted by P waves. D) earlier than usual.
Answer: A
Explanation: A)
B)
C)
D)

15) Atrial Fibrillation has: 15)

A) irregular R-R intervals. B) no discernible P waves.
C) normal P waves. D) wide QRS complexes.
Answer: B
Explanation: A)
B)
C)
D)

3
16) The atrial rate in Atrial Fibrillation is ________ bpm. 16)
A) greater than 350 B) 250-350
C) less than 200 D) 200-250
Answer: A
Explanation: A)
B)
C)
D)

17) In Atrial Fibrillation, the rhythm is: 17)

A) irregular in a repeating pattern. B) grossly irregular with no pattern.
C) normal. D) very reliably regular.
Answer: B
Explanation: A)
B)
C)
D)

18) A Premature Atrial Complex is: 18)

A) an entire rhythm. B) a single ectopic beat.
C) a series of complexes. D) a pattern of ectopic beats.
Answer: B
Explanation: A)
B)
C)
D)

19) Atrial rhythms originate in the: 19)

A) atrial pathways. B) sino-atrial node.
C) atrioventricular node. D) AV junction.
Answer: A
Explanation: A)
B)
C)
D)

20) The rhythm in which ALL atrial activity is depicted as chaotic undulations of the baseline is called: 20)
A) Atrial Fibrillation. B) Atrial Flutter.
C) Sinus Tachycardia. D) Atrial Tachycardia.
Answer: A
Explanation: A)
B)
C)
D)

4
Answer Key
Testname: C5

1) A
2) B
3) A
4) C
5) D
6) B
7) B
8) C
9) D
10) C
11) C
12) C
13) B
14) A
15) B
16) A
17) B
18) B
19) A
20) A