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Cardiac Arrhythmias and Electrocardiography Quiz

#1

Which of the following is a characteristic of sinus rhythm on an electrocardiogram (ECG)?

Regular rhythm with a heart rate between 60 to 100 bpm
Explanation

Sinus rhythm is characterized by a regular rhythm and a heart rate between 60 to 100 beats per minute.

#2

What does the P wave represent on an ECG?

Atrial depolarization
Explanation

The P wave represents the depolarization of the atria, initiating atrial contraction.

#3

What is the term for the delay between atrial and ventricular depolarization in the ECG?

PR interval
Explanation

The PR interval on an ECG represents the delay between atrial depolarization (P wave) and ventricular depolarization (QRS complex), reflecting conduction through the AV node.

#4

Which of the following is a common symptom of ventricular fibrillation?

Loss of consciousness
Explanation

Loss of consciousness is a common symptom of ventricular fibrillation, as it leads to inadequate blood flow to the brain due to ineffective ventricular contractions.

#5

Which of the following arrhythmias is characterized by a rapid, irregular heart rate?

Atrial fibrillation
Explanation

Atrial fibrillation is an arrhythmia characterized by rapid and irregular electrical activity in the atria, leading to an irregular heart rate.

#6

What is the QT interval on an ECG used to assess?

Ventricular repolarization time
Explanation

The QT interval on an ECG is used to assess the time taken for ventricular depolarization and repolarization, primarily indicating ventricular repolarization time.

#7

What is the most common cause of atrial fibrillation?

Hypertension
Explanation

Hypertension is the most common cause of atrial fibrillation, contributing to changes in atrial structure and function.

#8

Which ECG lead placement is most commonly used to diagnose myocardial infarction?

Lead V1, V2, V3, V4, V5, V6
Explanation

Lead V1 to V6 are commonly used for diagnosing myocardial infarction, as they provide different views of the heart's electrical activity from various angles.

#9

Which of the following drugs is used to treat ventricular tachycardia?

Amiodarone
Explanation

Amiodarone is a medication commonly used to treat ventricular tachycardia, exerting its antiarrhythmic effects by prolonging the action potential duration and refractory period.

#10

Which of the following is a life-threatening arrhythmia characterized by chaotic, irregular ventricular activity?

Ventricular fibrillation
Explanation

Ventricular fibrillation is a life-threatening arrhythmia characterized by chaotic, irregular electrical activity in the ventricles, leading to ineffective pumping of blood.

#11

What is the primary goal of treating ventricular fibrillation?

Restore normal sinus rhythm
Explanation

The primary goal of treating ventricular fibrillation is to restore normal sinus rhythm, thereby improving cardiac output and preventing further deterioration.

#12

Which electrolyte imbalance is associated with a prolonged QT interval?

Hypokalemia
Explanation

Hypokalemia, or low potassium levels, is associated with a prolonged QT interval on an ECG, increasing the risk of ventricular arrhythmias, such as torsades de pointes.

#13

Which of the following medications can precipitate torsades de pointes, a form of polymorphic ventricular tachycardia?

Quinidine
Explanation

Quinidine, a medication used to treat certain arrhythmias, can precipitate torsades de pointes, a form of polymorphic ventricular tachycardia, particularly in patients with prolonged QT intervals.

#14

Which of the following ECG abnormalities is indicative of left ventricular hypertrophy?

Increased R wave amplitude in lead V5 and V6
Explanation

Increased R wave amplitude in leads V5 and V6 on an ECG is indicative of left ventricular hypertrophy, reflecting increased electrical activity due to thickening of the left ventricular wall.

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