#1
Which of the following is a common cause of bradycardia?
Hyperthyroidism
ExplanationHyperthyroidism leads to increased metabolic rate, resulting in bradycardia due to heightened vagal tone.
#2
Which of the following is NOT a cause of sinus bradycardia?
Hyperkalemia
ExplanationSinus bradycardia is typically not associated with hyperkalemia; instead, it may result from increased vagal tone or enhanced parasympathetic activity.
#3
Which of the following conditions is NOT commonly associated with sinus bradycardia?
Sinus tachycardia
ExplanationSinus bradycardia typically occurs due to factors such as increased vagal tone or intrinsic sinus node dysfunction, whereas sinus tachycardia involves rapid firing of the sinus node.
#4
Which of the following medications can exacerbate bradycardia in patients with heart block?
Calcium channel blockers
ExplanationCalcium channel blockers can suppress conduction through the atrioventricular node, exacerbating bradycardia in patients with heart block.
#5
Which of the following is a common cause of sinus bradycardia in athletes?
Vagal overactivity
ExplanationSinus bradycardia in athletes often results from enhanced vagal tone due to increased parasympathetic activity.
#6
In which type of heart block does every atrial impulse fail to conduct to the ventricles?
Third-degree heart block
ExplanationIn third-degree heart block, there is complete dissociation between the atria and ventricles, leading to atrioventricular dissociation.
#7
Which of the following medications is commonly associated with causing bradycardia?
Digoxin
ExplanationDigoxin can cause bradycardia by increasing parasympathetic activity and decreasing conduction through the atrioventricular node.
#8
What is the characteristic ECG finding in third-degree (complete) heart block?
P waves and QRS complexes have no relationship
ExplanationIn third-degree heart block, P waves and QRS complexes occur independently of each other due to complete atrioventricular dissociation.
#9
Which of the following conditions can cause bradycardia due to increased vagal tone?
Carotid sinus massage
ExplanationCarotid sinus massage stimulates the carotid sinus, leading to increased vagal tone and subsequent bradycardia.
#10
Which type of second-degree heart block is characterized by a consistent PR interval with occasional dropped QRS complexes?
Mobitz Type I (Wenckebach) second-degree heart block
ExplanationIn Mobitz Type I heart block, there is a progressive prolongation of the PR interval until a beat is dropped, typically due to delay within the atrioventricular node.
#11
What is the primary mechanism through which hypothermia causes bradycardia?
Increased parasympathetic tone
ExplanationHypothermia activates the parasympathetic nervous system, leading to bradycardia.
#12
What is the ECG hallmark of Mobitz Type II second-degree heart block?
Intermittent non-conducted P waves with a constant PR interval
ExplanationMobitz Type II heart block is characterized by consistent PR intervals with occasional dropped QRS complexes, indicating infra-Hisian conduction disease.
#13
Which of the following electrolyte imbalances is commonly associated with heart block?
Hyperkalemia
ExplanationHyperkalemia can impair impulse conduction in the heart, leading to various degrees of heart block.
#14
Which type of heart block is characterized by a progressively lengthening PR interval until a QRS complex is dropped?
Mobitz Type I (Wenckebach) second-degree heart block
ExplanationIn Mobitz Type I heart block, there is a progressive prolongation of the PR interval until a beat is dropped, typically due to delay within the atrioventricular node.
#15
What is the effect of hypercalcemia on the cardiac conduction system?
Prolongs the QT interval
ExplanationHypercalcemia can prolong the QT interval, potentially leading to arrhythmias such as torsades de pointes.
#16
Which of the following is a feature of sick sinus syndrome?
Tachycardia-predominant episodes
ExplanationSick sinus syndrome involves alternating bradycardia and tachycardia, but tachycardia-predominant episodes are not typical.
#17
Which electrolyte abnormality is commonly associated with the development of heart block in patients with digoxin toxicity?
Hypomagnesemia
ExplanationHypomagnesemia can exacerbate heart block in patients with digoxin toxicity by impairing potassium regulation and myocardial function.