#1
Which of the following is a characteristic of sinus rhythm?
Regular rhythm with P wave preceding each QRS complex
ExplanationNormal heart rhythm with P waves before QRS complexes
#2
Which ECG lead is commonly used to diagnose inferior wall myocardial infarction?
Lead III
ExplanationLead focused on inferior heart regions
#3
Which of the following is NOT a risk factor for the development of atrial fibrillation?
Bradycardia
ExplanationSlow heart rate not associated with atrial fibrillation
#4
What is the typical heart rate range in patients with atrial fibrillation?
100-150 bpm
ExplanationFast, irregular heart rate between 100 and 150 beats per minute
#5
Which arrhythmia is characterized by sudden onset and offset, typically lasting less than 30 seconds?
Paroxysmal supraventricular tachycardia
ExplanationSudden fast heart rate episodes
#6
A patient presents with a regular rhythm of 150 bpm, absent P waves, and narrow QRS complexes. What arrhythmia is most likely?
Supraventricular tachycardia
ExplanationFast heart rate originating above ventricles
#7
What is the mechanism of action of Class III antiarrhythmic drugs?
Prolonging action potential duration by blocking potassium channels
ExplanationLengthens heart muscle's electrical activity
#8
Which electrolyte imbalance is commonly associated with the development of torsades de pointes?
Hypomagnesemia
ExplanationLow magnesium levels affecting heart rhythm
#9
In which type of heart block does the PR interval progressively lengthen until a QRS complex is dropped?
Second-degree AV block, type I (Wenckebach)
ExplanationPR interval gradually lengthens until QRS is missed
#10
What is the treatment of choice for a patient with stable monomorphic ventricular tachycardia?
Amiodarone or lidocaine
ExplanationMedications to stabilize fast, regular ventricular rhythm
#11
Which of the following ECG findings is characteristic of ventricular fibrillation?
Chaotic, irregular rhythm without discernible QRS complexes
ExplanationUnorganized electrical activity in the heart's ventricles
#12
Which arrhythmia is characterized by an absence of both P waves and QRS complexes?
Asystole
ExplanationComplete absence of heart electrical activity
#13
What is the hallmark characteristic of Mobitz II (Second-degree AV block, type II)?
Fixed PR interval with occasional dropped QRS complexes
ExplanationStable PR interval with intermittent missed QRS
#14
What is the primary mechanism of action of adenosine in the treatment of supraventricular tachycardia?
Inhibition of AV node conduction
ExplanationSlows electrical signals in heart's AV node
#15
Which medication is contraindicated in patients with atrial fibrillation and Wolff-Parkinson-White syndrome due to risk of ventricular fibrillation?
Verapamil
ExplanationDrug not recommended due to severe complication risk