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Cardiac Arrhythmias and Conduction System Quiz

#1

Which of the following is a characteristic of sinus rhythm?

Regular rhythm with P wave preceding each QRS complex
Explanation

Normal heart rhythm with P waves before QRS complexes

#2

Which ECG lead is commonly used to diagnose inferior wall myocardial infarction?

Lead III
Explanation

Lead focused on inferior heart regions

#3

Which of the following is NOT a risk factor for the development of atrial fibrillation?

Bradycardia
Explanation

Slow heart rate not associated with atrial fibrillation

#4

What is the typical heart rate range in patients with atrial fibrillation?

100-150 bpm
Explanation

Fast, 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
Explanation

Sudden 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
Explanation

Fast 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
Explanation

Lengthens heart muscle's electrical activity

#8

Which electrolyte imbalance is commonly associated with the development of torsades de pointes?

Hypomagnesemia
Explanation

Low 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)
Explanation

PR 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
Explanation

Medications 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
Explanation

Unorganized electrical activity in the heart's ventricles

#12

Which arrhythmia is characterized by an absence of both P waves and QRS complexes?

Asystole
Explanation

Complete 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
Explanation

Stable 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
Explanation

Slows 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
Explanation

Drug not recommended due to severe complication risk

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