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Cardiac Arrhythmias Review Quiz

#1

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

Loss of consciousness
Explanation

Ventricular fibrillation often leads to sudden loss of consciousness due to inadequate blood flow to the brain.

#2

What is the most common type of supraventricular tachycardia (SVT)?

Paroxysmal supraventricular tachycardia
Explanation

Paroxysmal supraventricular tachycardia is the most common type of SVT characterized by sudden onset and termination.

#3

Which of the following is a common cause of atrial fibrillation?

Hypertension
Explanation

Hypertension is a common risk factor for atrial fibrillation, contributing to structural changes in the heart.

#4

What is the hallmark of ventricular tachycardia on an ECG?

Wide QRS complexes
Explanation

Ventricular tachycardia is characterized by wide QRS complexes on the ECG due to abnormal ventricular activation.

#5

Which of the following arrhythmias is characterized by rapid, uncoordinated contraction of the atria?

Atrial fibrillation
Explanation

Atrial fibrillation is characterized by rapid, irregular contractions of the atria, leading to ineffective pumping of blood into the ventricles.

#6

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

Regular exercise
Explanation

Regular exercise is not a risk factor for atrial fibrillation and is, in fact, beneficial for heart health.

#7

What is the mechanism of action of class III antiarrhythmic drugs?

Prolong repolarization by blocking potassium channels
Explanation

Class III antiarrhythmic drugs work by prolonging the repolarization phase of the cardiac action potential primarily by blocking potassium channels.

#8

Which ECG finding is characteristic of atrial flutter?

Sawtooth pattern waves (F waves)
Explanation

Atrial flutter is characterized by sawtooth pattern waves, also known as F waves, on the ECG.

#9

Which of the following arrhythmias is characterized by a narrow QRS complex and regular rhythm originating from the atria?

Atrial fibrillation
Explanation

Atrial fibrillation is characterized by rapid and irregular atrial contractions with a narrow QRS complex on ECG.

#10

What is the typical heart rate range seen in atrial fibrillation?

Above 150 bpm
Explanation

Atrial fibrillation is typically characterized by an irregularly irregular rhythm with a heart rate above 150 beats per minute.

#11

Which of the following is a potential complication of long-term atrial fibrillation?

Ischemic stroke
Explanation

Long-term atrial fibrillation can lead to blood clots forming in the atria, increasing the risk of stroke.

#12

What is the primary mechanism of action of adenosine in treating supraventricular tachycardia?

Activation of potassium channels
Explanation

Adenosine acts by transiently activating potassium channels, leading to hyperpolarization and interruption of reentrant pathways.

#13

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

Hypokalemia
Explanation

Torsades de pointes is often associated with hypokalemia, leading to prolonged QT interval and subsequent ventricular arrhythmias.

#14

Which of the following conditions is NOT a common cause of atrioventricular nodal reentrant tachycardia (AVNRT)?

Rheumatic heart disease
Explanation

AVNRT typically arises from a reentrant circuit within the atrioventricular node and is not commonly associated with rheumatic heart disease.

#15

Which antiarrhythmic drug class is primarily associated with proarrhythmic effects?

Class I
Explanation

Class I antiarrhythmic drugs, particularly IC agents, are known for their proarrhythmic effects, potentially worsening arrhythmias.

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