Deck 10: Rhythms Originating in the Ventricles
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Deck 10: Rhythms Originating in the Ventricles
1
The wide-QRS beat in Figure 10 is a(n) 
A)Junctional escape beat.
B)Ventricular escape beat.
C)PVC.
D)Compensatory pause.

A)Junctional escape beat.
B)Ventricular escape beat.
C)PVC.
D)Compensatory pause.
B
2
The rhythm in Figure 15 is 
A)Agonal rhythm.
B)Ventricular tachycardia.
C)Torsades de pointes.
D)Ventricular fibrillation.

A)Agonal rhythm.
B)Ventricular tachycardia.
C)Torsades de pointes.
D)Ventricular fibrillation.
C
3
For which of the following rhythms is electrical shock to the heart NOT appropriate?
A)Ventricular tachycardia
B)Ventricular fibrillation
C)Torsades de pointes
D)Asystole
A)Ventricular tachycardia
B)Ventricular fibrillation
C)Torsades de pointes
D)Asystole
D
4
In Figure 12,there are only 
A)P waves.
B)QRS complexes.
C)T waves.
D)U waves.

A)P waves.
B)QRS complexes.
C)T waves.
D)U waves.
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5
QRS complexes in ventricular rhythms are
A)Wide and bizarre.
B)Always absent.
C)Found preceding the P waves.
D)Found following the T waves.
A)Wide and bizarre.
B)Always absent.
C)Found preceding the P waves.
D)Found following the T waves.
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6
The rhythm in Figure 12 is 
A)P wave asystole.
B)Ventricular tachycardia.
C)Ventricular fibrillation.
D)Paced ventricular rhythm.

A)P wave asystole.
B)Ventricular tachycardia.
C)Ventricular fibrillation.
D)Paced ventricular rhythm.
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7
Idioventricular rhythm has a heart rate of
A)60-100.
B)Greater than 100.
C)Less than 20.
D)20-40.
A)60-100.
B)Greater than 100.
C)Less than 20.
D)20-40.
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8
All the following are appropriate treatment for asystole EXCEPT
A)Electrical shock to the heart.
B)CPR.
C)Oxygen.
D)Pacemaker.
A)Electrical shock to the heart.
B)CPR.
C)Oxygen.
D)Pacemaker.
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9
The rhythm in Figure 14 is 
A)Ventricular tachycardia.
B)Accelerated idioventricular rhythm.
C)Sinus rhythm with PVCs.
D)Accelerated junctional rhythm.

A)Ventricular tachycardia.
B)Accelerated idioventricular rhythm.
C)Sinus rhythm with PVCs.
D)Accelerated junctional rhythm.
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10
Ventricular fibrillation has
A)No P waves or QRS complexes.
B)P waves but no QRS complexes.
C)QRS complexes but no T waves.
D)P waves and QRS complexes.
A)No P waves or QRS complexes.
B)P waves but no QRS complexes.
C)QRS complexes but no T waves.
D)P waves and QRS complexes.
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11
PVCs are
A)Premature ventricular complexes.
B)Ventricular escape beats.
C)Slow ventricular rhythms.
D)Post-ventricular compensatory pauses.
A)Premature ventricular complexes.
B)Ventricular escape beats.
C)Slow ventricular rhythms.
D)Post-ventricular compensatory pauses.
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12
The heart rate in Figure 14 is closest to 
A)150.
B)100.
C)75.
D)60.

A)150.
B)100.
C)75.
D)60.
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13
The rhythm in Figure 13 is 
A)Atrial flutter.
B)Ventricular fibrillation.
C)Atrial tachycardia.
D)Ventricular tachycardia.

A)Atrial flutter.
B)Ventricular fibrillation.
C)Atrial tachycardia.
D)Ventricular tachycardia.
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14
The rhythm in Figure 10 is 
A)Sinus rhythm with occasional PACs.
B)Sinus bradycardia with PVC.
C)Sinus rhythm with a sinus arrest and a ventricular escape beat.
D)Idioventricular rhythm.

A)Sinus rhythm with occasional PACs.
B)Sinus bradycardia with PVC.
C)Sinus rhythm with a sinus arrest and a ventricular escape beat.
D)Idioventricular rhythm.
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15
Torsades de pointes means
A)Torsion of the points.
B)Twisting of the points.
C)Tall,pointy T waves.
D)Spiked P waves.
A)Torsion of the points.
B)Twisting of the points.
C)Tall,pointy T waves.
D)Spiked P waves.
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16
The rhythm in Figure 11 is 
A)Atrial fibrillation.
B)Atrial flutter.
C)Sinus rhythm with a burst of PAT.
D)Sinus rhythm converting to ventricular tachycardia.

A)Atrial fibrillation.
B)Atrial flutter.
C)Sinus rhythm with a burst of PAT.
D)Sinus rhythm converting to ventricular tachycardia.
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17
Following PVCs is usually a(n)
A)Complete compensatory pause.
B)Incomplete compensatory pause.
C)Escape beat.
D)Tall,pointy P wave.
A)Complete compensatory pause.
B)Incomplete compensatory pause.
C)Escape beat.
D)Tall,pointy P wave.
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18
Treatment for torsades de pointes can include all the following EXCEPT
A)Overdrive pacing.
B)Magnesium.
C)Electrical shock to the heart.
D)Atropine.
A)Overdrive pacing.
B)Magnesium.
C)Electrical shock to the heart.
D)Atropine.
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19
The QRS interval of the ventricular beat in Figure 10 is closest to 
A)0.40 seconds.
B)0.80 seconds.
C)0.06 seconds.
D)0.20 seconds.

A)0.40 seconds.
B)0.80 seconds.
C)0.06 seconds.
D)0.20 seconds.
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20
The heart rate in Figure 12 is 
A)100.
B)20.
C)40.
D)zero.

A)100.
B)20.
C)40.
D)zero.
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21
Ventricular fibrillation has what effect on the cardiac output?
A)No effect
B)Causes an increase
C)Causes a decrease
D)Causes cardiac output to stop completely
A)No effect
B)Causes an increase
C)Causes a decrease
D)Causes cardiac output to stop completely
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22
Asystole is best treated with electrical shock to the heart.
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23
Defibrillation is the treatment of choice for ventricular fibrillation.
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24
Ventricular fibrillation can be caused by
A)Heart attack.
B)Drowning.
C)Drug overdoses.
D)All of the above.
A)Heart attack.
B)Drowning.
C)Drug overdoses.
D)All of the above.
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25
All ventricular rhythms are life-threatening.
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26
In asystole,the cardiac output is
A)Zero.
B)Greater than in ventricular fibrillation.
C)Enhanced by electrical shock to the heart.
D)Not affected.
A)Zero.
B)Greater than in ventricular fibrillation.
C)Enhanced by electrical shock to the heart.
D)Not affected.
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27
Ventricular tachycardia is usually a result of escape.
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28
Torsades de pointes can be treated with magnesium.
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29
In P wave asystole,there are
A)No P waves or QRS complexes.
B)P waves but no QRS complexes.
C)No waves of any kind.
D)P waves and QRS complexes but no T waves.
A)No P waves or QRS complexes.
B)P waves but no QRS complexes.
C)No waves of any kind.
D)P waves and QRS complexes but no T waves.
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30
PVCs are premature beats from the ventricle.
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31
Idioventricular rhythm is usually a result of usurpation.
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32
Treatment for the rhythm in Figure 16 would include which of the following? 
A)Electrical shock to the heart
B)Atropine
C)Digitalis
D)Oxygen removal

A)Electrical shock to the heart
B)Atropine
C)Digitalis
D)Oxygen removal
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33
Ventricular tachycardia has a heart rate of
A)Greater than 100.
B)60-100.
C)40-60.
D)20-40.
A)Greater than 100.
B)60-100.
C)40-60.
D)20-40.
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34
Dying heart is another name for
A)Idioventricular rhythm.
B)Accelerated idioventricular rhythm.
C)Agonal rhythm.
D)Asystole.
A)Idioventricular rhythm.
B)Accelerated idioventricular rhythm.
C)Agonal rhythm.
D)Asystole.
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35
PVCs are a sign of ventricular irritability.
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36
The rhythm in Figure 16 is 
A)Ventricular tachycardia.
B)Ventricular fibrillation.
C)Accelerated idioventricular rhythm.
D)Asystole.

A)Ventricular tachycardia.
B)Ventricular fibrillation.
C)Accelerated idioventricular rhythm.
D)Asystole.
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37
PVCs are usually followed by an incomplete compensatory pause.
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38
Asystole is usually a terminal event.
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39
Multifocal couplets are
A)Long runs of ventricular tachycardia.
B)A pair of PVCs that look the same.
C)A pair of PVCs that look different.
D)Reason to start CPR.
A)Long runs of ventricular tachycardia.
B)A pair of PVCs that look the same.
C)A pair of PVCs that look different.
D)Reason to start CPR.
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40
Multifocal PVCs are those that
A)Have different shaped P waves preceding them.
B)Have different shaped QRS complexes.
C)Come from the same focus.
D)Resemble each other.
A)Have different shaped P waves preceding them.
B)Have different shaped QRS complexes.
C)Come from the same focus.
D)Resemble each other.
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41
P wave asystole differs from asystole in that P wave asystole has P waves;asystole is _____.
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42
Accelerated idioventricular rhythm has a heart rate between _____.
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43
Torsades de pointes is a form of ventricular tachycardia that _____ around an axis.
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44
Agonal rhythm has a heart rate less than _____.
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45
The treatment of choice for ventricular fibrillation is _____.
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46
PVC stands for _____.
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47
Two consecutive PVCs are called a _____.
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48
QRS complexes in ventricular rhythms should be _____ seconds wide.
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49
Ventricular bigeminy is a term that means the PVCs occur every _____ beat.
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