True or false: In an adult, a heart rate below 60 beats per minute is automatically an emergency.
3 Arrhythmias and Conduction Disorders Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Arrhythmias and Conduction Disorders, test your knowledge, and prepare for your next test or exam.
In second-degree AV block, Mobitz I, the PR interval progressively until a P wave is not followed by a QRS.
What is the minimum QRS duration, in milliseconds, that qualifies as a wide QRS?
An ECG shows no consistent discrete P waves and an irregularly irregular ventricular rhythm. Which rhythm best fits this pattern?
- A
Repeating uniform flutter waves, often with a sawtooth appearance
- B
No consistent discrete P waves and an irregularly irregular ventricular rhythm
- C
At least three distinct P-wave shapes with varying PR intervals
- D
Normal-shaped P waves before each QRS with gradual rate changes
Which findings support sinus tachycardia rather than the typical SVT pattern described in the material? Select all that apply.
- A
A normal-shaped P wave precedes each QRS
- B
Abrupt onset and termination
- C
A consistent PR interval
- D
P waves hidden in or close to the QRS
- E
Usually gradual acceleration or slowing
True or false: A 2:1 AV block can be difficult to classify as Mobitz I or Mobitz II from the ECG alone because there are too few consecutive conducted beats to identify the PR pattern.
- A
True
- B
False
What is the upper end of the normal PR interval, in milliseconds?
In a typical right bundle-branch block, which pattern often appears in lead V1?
A tracing shows P waves and QRS complexes occurring independently, with no consistent PR relationship. Which AV block pattern does this indicate?
- A
Every P wave conducts with a prolonged but constant PR interval
- B
The PR interval progressively lengthens before a dropped QRS
- C
P waves and QRS complexes occur independently, without a consistent PR relationship
- D
Conducted beats have a stable PR interval, with occasional P waves not followed by QRS complexes
Which findings are identified as signs of poor perfusion or clinical compromise when assessing a rhythm? Select all that apply.
- A
Hypotension
- B
Shock
- C
A regular narrow-complex rhythm
- D
Altered mental status
- E
Acute heart failure
Describe the ECG characteristics that identify torsades de pointes and the emergency response recommended for sustained polymorphic ventricular tachycardia. Include the qualified role of magnesium described for recurrent cases.
A wide-complex tachycardia cannot be confidently identified. Which approach does the material describe for emergency decision-making?
- A
Treat it as ordinary SVT because wide QRS complexes exclude ventricular origin
- B
Generally treat it as VT in emergency decision-making when it cannot be confidently identified
- C
Classify it as VF because all wide-complex tachycardias lack organized QRS complexes
- D
Use the rate alone to establish its origin and urgency
Which ECG description is characteristic of ventricular fibrillation rather than an organized tachyarrhythmia?
- A
A regular rhythm with similar-looking wide QRS complexes
- B
A repeating pattern of uniform flutter waves
- C
An irregular rhythm with at least three distinct P-wave shapes
- D
Chaotic electrical activity without organized, identifiable QRS complexes
True or false: An ECG rhythm alone is enough to establish that a patient has effective circulation, so checking for a pulse is unnecessary.
- A
True
- B
False
A regular rhythm has four large boxes between consecutive R waves. Using the regular-rhythm estimate, what is the heart rate in beats per minute? Calculate 300÷4.
A narrow-complex tachycardia has a normal-shaped P wave before every QRS and speeds up and slows down gradually. Which interpretation best fits this pattern?
- A
Abrupt onset and termination, with P waves possibly hidden in or close to the QRS
- B
Gradual acceleration or slowing, with a normal-shaped P wave before each QRS
- C
No consistent discrete P waves and an irregularly irregular ventricular rhythm
- D
At least three distinct P-wave shapes with varying PR intervals
What rhythm disturbance is characterized by the temporary disappearance of expected sinus P waves, sometimes followed by an escape beat?
An irregular narrow-complex tachycardia has at least three distinct P-wave shapes and varying PR intervals. Which rhythm best matches these findings?
- A
Atrial fibrillation, because discrete P waves are absent
- B
Atrial flutter, because repeating uniform flutter waves are present
- C
Multifocal atrial tachycardia, because at least three distinct P-wave shapes are present
- D
Supraventricular tachycardia, because the rhythm is typically regular and narrow-complex
An ECG shows one conducted QRS for every two P waves. What conclusion about the type of second-degree AV block is supported by this pattern alone?
- A
It is Mobitz I because every second P wave is not followed by a QRS
- B
The ECG alone may not classify it as Mobitz I or Mobitz II
- C
It is Mobitz II because the conducted beats have a stable PR interval
- D
It is complete AV block because P waves and QRS complexes occur independently
Higher pacemakers fail to produce or conduct impulses, and a slow backup rhythm appears with usually wide QRS complexes. Which rhythm best fits this description?
- A
A ventricular escape rhythm
- B
A junctional escape rhythm
- C
Sinus bradycardia
- D
Atrial flutter