Arrythmias

Question 1

Answer 1

Premature Atrial Beats

Question 2

19 year old struck in temple with a brick

Answer 2

Intercranial hemorrage

• ST Elevations in lead II, III and AVF
• Blows to the head can result in electrocardial changes

Question 4

Answer 4

Arrythmogenic RV Dsyplasia

Question 5

Answer 5

third degree AV block

Question 6

64 year old man with CHD and HTN on digoxin and HCTZ for several months

Answer 6

Atrial Flutter

Question 7

Answer 7

Tertiary AV block

Adams Stokes Syndrome

Question 8

Answer 8

Premature Atrial Contractions

Question 9

Answer 9

Multifocal Atrial Tachycardia

Question 10

Answer 10

Left bundle branch block

Question 11

Answer 11

Atrial flutter

Question 12

75 year old man with CHF and HTN on digoxin

Answer 12

Wenkebach (second degree AV block)

Question 13

what is this arrythmia and what is the most common cause?

Answer 13

PAT with Block

Digoxin

Question 14

13 year old little leaguer was struck in the chest by pitched ball. Collapsed and unconsious.

Answer 14

Commotio Cordis (Cardiac arrest after a blow to the chest)

Question 15

61 year old man postoperative gastrectomy

Answer 15

Atrial Flutter

Question 16

Answer 16

Mobitz- I (2 AV block)

P waves

PR-interval linger

3: 2 conduction rate (one more P to Q)

Question 17

Answer 17

Accelerated junctional rhythm

Question 18

Answer 18

Seconday SinoAtrial Block

Question 19

Answer 19

Torsade de pointes

Question 20

53 year old man on digoxin for several years

Answer 20

Atrial Fibrulation (Irregular Irregularity)

L. atrial enlargement

Rheumatic fever

Question 21

Answer 21

Paroxysmal Atrial Tachycardia (PAT)

Question 22

Answer 22

Junctional AV Dissassociated

Tertiary AV Block

Question 23

Answer 23

Wolff-Parkinson White

(U waves)

Question 24

Answer 24

Preexcitation Syndrome - WPW

Question 25

Answer 25

Sinus Arrhythmia

Question 26

69 year old man with MI 3 months ago and fainting episodes

Answer 26

Second degree AV block (2:1)

Question 27

86 year old woman with chonic cor-pulmonale from COPD (pulmonary hypertension)

Question 28

85 year old man with CHF, renal insufficiency, on digoxin

Answer 28

First degree AV block

• Prolonged PR

Question 30

Answer 30

Atrial Fibrillation

Question 31

Answer 31

Polymorphic ventricular tachycardia

Question 32

66 year old man with vomiting on digoxin for CHF and CHD

Answer 32

PAT with block (ONLY CAUSE = Digoxin)

Question 33

Answer 33

Ventricular Flutter

Question 34

66 year old woman with mild CHF, CHD on digoxin

Answer 34

Atrial Parasystole

Question 35

Answer 35

Torsade de pointe ( a type of V-fib)

Question 36

Answer 36

tertiary AV block

Question 37

Answer 37

Atrial Fibrillation

Question 38

Answer 38

Premature Ventricular beats

Question 39

Answer 39

Parasystole - “slow V-tach”

Accelerated idioventricular rhytm

Question 40

Answer 40

Torsade de pointe

Question 41

37 year old black man with alcoholic cardiomyopathy

Answer 41

Atrial Flutter

Question 42

Answer 42

Mobitz II- AV Block

Question 43

70 year old man with CHF due to HTN on digoxin

Answer 43

Accelerated junctional activity

Question 44

Answer 44

idioventricular rhythm (parasystole)

“slow V-tach”

Question 45

Holter rhythm strips from a 59 year old woman with frequent palpations

Answer 45

Paroxysmal atrial tachycardia

Question 46

Answer 46

Ventricular Tachycardia

Question 47

61 year old man with chronic At Fib, CHF, HTN recently digitalized

Answer 47

AV block

Question 48

51 year old woman with CHD

Answer 48

Aberrant Premature Atrial Beats

Question 49

Answer 49

Arythmogenic RV Dysplasia

Question 50

Answer 50

Bigeminal Premature Ventricular Contractions (PVC)

Question 51

Answer 51

Arrythmogenic RV Dysplasia

(Epsilon wave)

Question 52

Answer 52

Right bundle branch block

• tall rabit ears (spike) in V1