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Cardiac Electrophysiology and Dysrhythmia Management Quiz

#1

Which of the following is NOT a function of the cardiac conduction system?

Regulating blood pressure
Explanation

The cardiac conduction system is primarily responsible for electrical signaling in the heart, not blood pressure regulation.

#2

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

Young age
Explanation

Aging, hypertension, heart disease, and other factors increase the risk of atrial fibrillation, but young age is not typically considered a risk factor.

#3

Which of the following is NOT a common symptom of supraventricular tachycardia?

Syncope
Explanation

While supraventricular tachycardia can cause palpitations, chest discomfort, and dizziness, syncope (fainting) is less common.

#4

Which ion plays a key role in the depolarization phase of the cardiac action potential?

Sodium
Explanation

Sodium influx during depolarization leads to the action potential's initiation.

#5

What is the typical resting membrane potential of a cardiac myocyte?

-70mV to -60mV
Explanation

This voltage range represents the resting state of a cardiac myocyte before any stimulation.

#6

Which of the following ECG leads is most commonly used to diagnose myocardial infarction?

Lead V1
Explanation

Lead V1 provides a view of the heart's anterior wall, aiding in diagnosing myocardial infarction.

#7

Which of the following is a characteristic of atrial fibrillation on an ECG?

Absence of P waves
Explanation

Atrial fibrillation is characterized by chaotic, irregular electrical activity in the atria, leading to the absence of distinct P waves.

#8

Which of the following is a potential complication of untreated ventricular tachycardia?

Cardiac arrest
Explanation

Untreated ventricular tachycardia can deteriorate into ventricular fibrillation, leading to cardiac arrest.

#9

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

Blockade of potassium channels
Explanation

Class III antiarrhythmics prolong the action potential duration by blocking potassium channels.

#10

Which of the following is a characteristic of a junctional rhythm on an ECG?

Regular R-R intervals
Explanation

Junctional rhythms often exhibit regular R-R intervals with the absence of P waves or inverted P waves.

#11

What is the most appropriate initial treatment for stable monomorphic ventricular tachycardia?

Antiarrhythmic medication
Explanation

Antiarrhythmic drugs like amiodarone or lidocaine are commonly used as initial treatment for stable monomorphic ventricular tachycardia.

#12

Which of the following ECG findings is characteristic of ventricular fibrillation?

Absence of QRS complexes
Explanation

Ventricular fibrillation is characterized by chaotic, rapid electrical activity in the ventricles, leading to the absence of coordinated QRS complexes.

#13

What is the mechanism of action of adenosine in terminating supraventricular tachycardia?

Activation of potassium channels
Explanation

Adenosine hyperpolarizes cardiac cells by activating potassium channels, interrupting reentrant pathways and terminating the tachycardia.

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