BSMH ADVANCED ARRHYTHMIA EXAM
2026/2027 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION!!|JUST RELEASED
what does a faster HR do to the diastole time?
shortens so there is less time for the atria and ventricles to fill
sinus arrhythmia rate
usually normal 60-100 bpm
sinus arrhythmia rhythm
irregular; increases with inspiration and decreases with expiration
sinus arrhythmia P waves
normal (upright and uniform)
sinus arrhythmia PR interval
normal (0.12-0.20 sec)
sinus arrhythmia QRS
normal (0.06-0.10 sec)
sinus arrest/block rate
normal to slow
sinus arrest/block rhythm
1|Page
,irregular whenever an SA block occurs
sinus arrest/block P waves
normal (upright and uniform) except in areas of dropped beats
sinus arrest/block PR interval
normal (0.12-0.20 sec)
sinus arrest/block QRS
normal (0.06-0.10 sec)
what is sinus arrest?
failure of the SA node to fire an impulse
what is sinus block?
SA node fires but the impulse is blocked
premature atrial contractions rate
depends on rate of underlying rhythm
premature atrial contractions rhythm
irregular whenever a PAC occurs
premature atrial contractions P waves
present, occurs during the relative refractory period of the preceding T wave; pointy and
narrow
premature atrial contractions PR interval
varies in the PAC; otherwise normal; may have a different shape (0.12-0.20 sec)
premature atrial contractions QRS
normal (0.6-0.10 sec)
2|Page
, supraventricular tachycardia rate
150-250 bpm
supraventricular tachycardia rhythm
regular
supraventricular tachycardia P waves
frequently buried in preceding T waves and difficult to see
supraventricular tachycardia PR interval
usually not measurable
supraventricular tachycardia QRS
normal (0.06-0.10 sec) but may be wide if abnormally conducted through ventricles
SVT treatment for an unstable patient
immediate cardioversion
SVT treatment for a stable patient
vagal maneuvers, adenosine 6 mg IVP, expert consultation
SVT treatment for recurring episodes
medications or catheter ablation
atrial flutter rate
250-350 bpm
atrial flutter rhythm
regular
atrial flutter P waves
saw-toothed appearance, may be buried in QRS
3|Page
2026/2027 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|BRAND NEW VERSION!!|JUST RELEASED
what does a faster HR do to the diastole time?
shortens so there is less time for the atria and ventricles to fill
sinus arrhythmia rate
usually normal 60-100 bpm
sinus arrhythmia rhythm
irregular; increases with inspiration and decreases with expiration
sinus arrhythmia P waves
normal (upright and uniform)
sinus arrhythmia PR interval
normal (0.12-0.20 sec)
sinus arrhythmia QRS
normal (0.06-0.10 sec)
sinus arrest/block rate
normal to slow
sinus arrest/block rhythm
1|Page
,irregular whenever an SA block occurs
sinus arrest/block P waves
normal (upright and uniform) except in areas of dropped beats
sinus arrest/block PR interval
normal (0.12-0.20 sec)
sinus arrest/block QRS
normal (0.06-0.10 sec)
what is sinus arrest?
failure of the SA node to fire an impulse
what is sinus block?
SA node fires but the impulse is blocked
premature atrial contractions rate
depends on rate of underlying rhythm
premature atrial contractions rhythm
irregular whenever a PAC occurs
premature atrial contractions P waves
present, occurs during the relative refractory period of the preceding T wave; pointy and
narrow
premature atrial contractions PR interval
varies in the PAC; otherwise normal; may have a different shape (0.12-0.20 sec)
premature atrial contractions QRS
normal (0.6-0.10 sec)
2|Page
, supraventricular tachycardia rate
150-250 bpm
supraventricular tachycardia rhythm
regular
supraventricular tachycardia P waves
frequently buried in preceding T waves and difficult to see
supraventricular tachycardia PR interval
usually not measurable
supraventricular tachycardia QRS
normal (0.06-0.10 sec) but may be wide if abnormally conducted through ventricles
SVT treatment for an unstable patient
immediate cardioversion
SVT treatment for a stable patient
vagal maneuvers, adenosine 6 mg IVP, expert consultation
SVT treatment for recurring episodes
medications or catheter ablation
atrial flutter rate
250-350 bpm
atrial flutter rhythm
regular
atrial flutter P waves
saw-toothed appearance, may be buried in QRS
3|Page
