GUIDE 2026/2027 COMPLETE QUESTIONS
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1. what are the 7 lethal rhythms? - ANSWER ✔ v fib, v tach, asystole, PEA,
idioventricular, 2nd degree T2, complete heart block
2. #4 - ANSWER ✔ P-R interval
3. <60bpm, TX: pacing, atropine, treat reversible causes - ANSWER ✔ Sinus
bradycardia
4. >100-<160, TX: identify and tx underlying cause - ANSWER ✔ Sinus
tachycardia
5. looks like sinus arrest, TX: underlying cause, P waves are different -
ANSWER ✔ PACs
6. P waves sawtooth, TX: support airway, ditiaziam, bblockers - ANSWER ✔
atrial flutter
,7. wavy P waves, TX: with HypoTN use cardioversion and anticoagulant -
ANSWER ✔ a fib
8. youll see the J, rate 40-60bpm, PR interval <0.12, P waves inverted! TX:
same as bradycardia - ANSWER ✔ junctional rhythm
9. Normal Sinus Rhythm - ANSWER ✔ 60-100 bpm
all complexes normal and evenly spaced (P, QRS, T)
10.Sinus Arrest - ANSWER ✔ - SA node doesn't fire
- notice absence of P-wave for a complete cycle (a missed cycle)
11.Sinus arrhythmia - ANSWER ✔ all complexes normal but rhythmically irreg
- normal finding (esp in young pts) that has to do with breathing (rate:
inhale-increase, exhale-decrease)
12.Sinus Bradycardia - ANSWER ✔ <60
normal sinus rhythm
13.Sinus Tachycardia - ANSWER ✔ >100 (100-150)
normal sinus rhythm
14.Wandering atrial pacemaker - ANSWER ✔ Hint: try never to pick this
- impulse originate from varying points in atria
- variation in P wave contour, PR-I, PP-I and thus RR-I
, 15.P wave vs T wave - ANSWER ✔ P generally smaller than T
16.MAT (multifocal atrial tachy) - ANSWER ✔ - impulse originates at diff
places in atria so P waves diff and intervals might not be consistent
- assoc w/ severe pulm dz
17.Atrial Fibrillation - ANSWER ✔ A: 350-450 (atria quivering)
- irreg-irreg rhythm (R-RI=irreg)
**unsure/no P-wave (non-distinguishable)**
- irreg rhythm BUT reg QRS!
Danger: increase the risk of thromboemoblic events don't convert unless
occurring less than 48 hrs, if don't know pt need to be put on thrombolytics)
18.Asystole (LETHAL) - ANSWER ✔ Regularity: none
Rate: zero
P wave: none
PRI : none
QRS: none
QTI: none
T wave: none
19.Heart Block 1st Degree AVB - ANSWER ✔ Regularity: atrial and
ventricular rate are regular
Rate: varies depends on underlying rhythm
P wave: upright, smooth, round and uniform shape, one for every QRS
complex
PRI : greater than 0.20 seconds, prolonged but constant
QRS: 0.06 to 0.10 seconds
QTI: 0.36 to 0.46 seconds
T wave: upright, smooth and round uniform shape, normal