ADVENT HEALTH EKG QUESTIONS WITH CORRECT ANSWERS
2026
AfibU-UCORRECTUANSWERSU-TheUimpulseUoriginatesUinUtheUAtria
•UTheUAtrialUrateUisU>U300UandUunableUtoUmeasureU[N/A]
•UNoUdiscernableUPUwavesU-UPRIU&UAtrialUrhythmUcannotUbeUmeasuredU[N/A]
•UTheUVentricularUrhythmUisUirregular
•UQRSUwithinUnormalUlimits
•UIfUtheUVentricularUrateUisU<100UtheUrhythmUisUcontrolledUA-fib;
ifUtheUVentricularUrateUisU>U100UtheUrhythmUisUuncontrolledUA-fib
•UThisUisUaUchronicUrhythmUforUsomeUpatientsU
Treatment:UcontrolledUpatients:UanticoagulantsUandUantiarrythmics;UuncontrolledUbutUstableUpati
ents:UBetaUblockers,UcalciumUchannelUblockers,UorUdigoxin;UUnstableUpatients:Ucardioversion
JunctionalURhythmU-UCORRECTUANSWERSU-ImpulseUstartsUinUtheUAVUjunction
•UPUwavesUareUabsent,Ushort,UinvertedUorUretrograde
•UVentricularURhythm:URegular
•UVentricularURate:U40-60Ubpm
•UQRSUisUusuallyUwithinUnormalUlimits
AcceleratedUJunctionalURhythmU-UCORRECTUANSWERSU-AcceleratedUJunctional
SameUcriteriaUasUJunctionalURhythm,UexceptUtheUVentricularUrateUisU60-100
ForUstableUpatients:UIVUaccess,UvagalUmaneuvers,Uadenosine,UO2,UBetaUblockers,UcalciumUchannelU
blockers
IdioventricularURhythmU(IVR)U-UCORRECTUANSWERSU-ImpulseUoriginatesUinUtheUventricles
, ▪URhythm:UVentricularUisUusuallyUregular
▪URate:UVentricularUbetweenU20-40
▪UQRS:U≥U0.12
▪UAtrialUrate,Urhythm,UandUPRI:UN/A
-
UTreatment:UassessUpt,UcheckUforUDNRUinUchart,UtranscutaneousUpacing,Uatropine.UNEVERUGIVEUA
NTI-ARRYTHMICSUMEDICATIONS
AcceleratedUIdioventricularURhythmU-UCORRECTUANSWERSU-
FollowsUtheUsameUcriteriaUasUIVR,UexceptUVentricularUrateUisU40-100.
•UIfUnoUinterventionUhappens,UtheUpatientUwillUdeteriorate.
-UTreatment:UassessUpt,Uatropine,UtranscutaneousUpacing.UNEVERUGIVEUANTI-
ARRHYTHMICUMEDICATIONS
VentricularUPacingU-UCORRECTUANSWERSU-•UTheUpacemakerUleadUisUplacedUinUtoUrightUventricle.
•UTheUpacemakerUgeneratorUfiresUanUimpulseUInitiatingUventricularUactivity.
•UTheUrightUventricleUwillUcontractUfirstUfollowedUbyUtheUleftUventricle.UThisUresultsUinUaUwideUQRS
•UAtrialUactivityUisUtypicallyUabsent.UTherefore,UAtrialUrhythm,Urate,UandUPRIUareUnon-Umeasurable
•URhythm:UVentricularUregular
•URate:UVentricularUwithinUsetUpacerUlimits.UMeasuredUfromUpacerUspikeUtoUpacerUspike
•UQRS:UWide;UPacerUspikeUseenUbeforeUeachUQRS.UMeasuredUfromUpacerUspikeUtoUend
ofUQRS
Atrial-ventricularUPacingU-UCORRECTUANSWERSU-
OneUpacemakerUleadUisUplacedUintoUtheUrightUatriaUandUanotherUisUplacedUintoUtheUright
ventricle.
•UTheUpacemakerUgeneratorUfiresUanUimpulseUtoUtheUatriaUandUthenUtoUtheUventricleUsequentially
2026
AfibU-UCORRECTUANSWERSU-TheUimpulseUoriginatesUinUtheUAtria
•UTheUAtrialUrateUisU>U300UandUunableUtoUmeasureU[N/A]
•UNoUdiscernableUPUwavesU-UPRIU&UAtrialUrhythmUcannotUbeUmeasuredU[N/A]
•UTheUVentricularUrhythmUisUirregular
•UQRSUwithinUnormalUlimits
•UIfUtheUVentricularUrateUisU<100UtheUrhythmUisUcontrolledUA-fib;
ifUtheUVentricularUrateUisU>U100UtheUrhythmUisUuncontrolledUA-fib
•UThisUisUaUchronicUrhythmUforUsomeUpatientsU
Treatment:UcontrolledUpatients:UanticoagulantsUandUantiarrythmics;UuncontrolledUbutUstableUpati
ents:UBetaUblockers,UcalciumUchannelUblockers,UorUdigoxin;UUnstableUpatients:Ucardioversion
JunctionalURhythmU-UCORRECTUANSWERSU-ImpulseUstartsUinUtheUAVUjunction
•UPUwavesUareUabsent,Ushort,UinvertedUorUretrograde
•UVentricularURhythm:URegular
•UVentricularURate:U40-60Ubpm
•UQRSUisUusuallyUwithinUnormalUlimits
AcceleratedUJunctionalURhythmU-UCORRECTUANSWERSU-AcceleratedUJunctional
SameUcriteriaUasUJunctionalURhythm,UexceptUtheUVentricularUrateUisU60-100
ForUstableUpatients:UIVUaccess,UvagalUmaneuvers,Uadenosine,UO2,UBetaUblockers,UcalciumUchannelU
blockers
IdioventricularURhythmU(IVR)U-UCORRECTUANSWERSU-ImpulseUoriginatesUinUtheUventricles
, ▪URhythm:UVentricularUisUusuallyUregular
▪URate:UVentricularUbetweenU20-40
▪UQRS:U≥U0.12
▪UAtrialUrate,Urhythm,UandUPRI:UN/A
-
UTreatment:UassessUpt,UcheckUforUDNRUinUchart,UtranscutaneousUpacing,Uatropine.UNEVERUGIVEUA
NTI-ARRYTHMICSUMEDICATIONS
AcceleratedUIdioventricularURhythmU-UCORRECTUANSWERSU-
FollowsUtheUsameUcriteriaUasUIVR,UexceptUVentricularUrateUisU40-100.
•UIfUnoUinterventionUhappens,UtheUpatientUwillUdeteriorate.
-UTreatment:UassessUpt,Uatropine,UtranscutaneousUpacing.UNEVERUGIVEUANTI-
ARRHYTHMICUMEDICATIONS
VentricularUPacingU-UCORRECTUANSWERSU-•UTheUpacemakerUleadUisUplacedUinUtoUrightUventricle.
•UTheUpacemakerUgeneratorUfiresUanUimpulseUInitiatingUventricularUactivity.
•UTheUrightUventricleUwillUcontractUfirstUfollowedUbyUtheUleftUventricle.UThisUresultsUinUaUwideUQRS
•UAtrialUactivityUisUtypicallyUabsent.UTherefore,UAtrialUrhythm,Urate,UandUPRIUareUnon-Umeasurable
•URhythm:UVentricularUregular
•URate:UVentricularUwithinUsetUpacerUlimits.UMeasuredUfromUpacerUspikeUtoUpacerUspike
•UQRS:UWide;UPacerUspikeUseenUbeforeUeachUQRS.UMeasuredUfromUpacerUspikeUtoUend
ofUQRS
Atrial-ventricularUPacingU-UCORRECTUANSWERSU-
OneUpacemakerUleadUisUplacedUintoUtheUrightUatriaUandUanotherUisUplacedUintoUtheUright
ventricle.
•UTheUpacemakerUgeneratorUfiresUanUimpulseUtoUtheUatriaUandUthenUtoUtheUventricleUsequentially