Ex Phys Exam 2 (EKGs)

NSR

Which Arrythmia is this?

Sinus Tach

BPM>100

Which Arrythmia is this?

MAT

>100 bpm

QRS <0.12

3 diff shaped Ps within same lead

Irregular R-R

Which Arrythmia is this?

Wandering Atrial Pacemaker

<100 bpm

QRS <0.12

3 diff shaped Ps within same lead

Irregular R-R

Which Arrythmia is this?

Atrial Flutter

More than 1 P per QRS

Which Arrythmia is this?

Atrial Fib

No discernable Ps

Irregular R-R

(multiple irritable foci attempt depol)

Which Arrythmia is this?

SVT

Reg R-R

Tach

Normal QRS

No diacernable Ps

Which Arrythmia is this?

Junctional Brady

<40 bpm

No P or Retrograde P

Normal QRS

Reg R-R

Which Arrythmia is this?

Junctional Rhythm

40-60 bpm

No P or Retrograde P

Normal QRS

Reg R-R

Which Arrythmia is this?

Accelerated Junctional

60-100 bpm

No P or Retrograde P

Normal QRS

Reg R-R

Which Arrythmia is this?

Junctional Tach

>100 bpm

No P or Retrograde P

Normal QRS

Reg R-R

Which Arrythmia is this?

Junctional Escape

Which Arrythmia is this?

Ventricular Escape

Which Arrythmia is this?

V Tach

Vent Rhythm

No P

Wide QRS (>0.14 sec)

T wave opp

Which Arrythmia is this?

TdP

Vent Rhythm

QRS "Ribbons" in same lead

Which Arrythmia is this?

V Fib

No discernable wave forms

-Only treatment is AED

Which Arrythmia is this?

SA Block

No P

Which Arrythmia is this?

1st Degree AV Block

Which Arrythmia is this?

2nd Degree Type 1 (Wenckebach)

P-R int increases until QRS is dropped

Which Arrythmia is this?

2nd Degree Type 2 (Mobitz)

P with no QRS

PR int doesn't change

Which Arrythmia is this?

3rd Degree AV Block

Atria and ventricles pace at their own rate

PR int changes

Only treatment is pacemaker

Which Arrythmia is this?

Sinus Arrythmia

HR varies in same lead in response to breathing

Sinus Rhythm

Irregular R-R

Which Arrythmia is this?

Right BBB

RSR or RR' in V1/V2

QRS >0.12 sec

Which Arrythmia is this?

Left BBB

RsR or RR' in V5/V6

QRS >0.12

T wave opp

DO NOT TEST

Which Arrythmia is this?

Left Anterior Fasicular Block

Q in I

S in III

LAD

Which Arrythmia is this?

Left Posterior Fasicular Block

S in I

Q in III

RAD

Which Arrythmia is this?

WPW

Delta Wave

Which Arrythmia is this?

LGL

Short PR int

No delta wave

Which Arrythmia is this?

Atrial Pacer

Which Arrythmia is this?

Ventricular Pacer

Which Arrythmia is this?

Sequential Pacer

Which Arrythmia is this?

PAC

Which Arrythmia is this?

PJC

Which Arrythmia is this?

PVC

Which Arrythmia is this?

RAE

>2.5 mm tall

Prox greater than terminal component

Which Arrythmia is this?

LAE

>2.5 mm wide

Terminal greater than prox component

Which Arrythmia is this?

RVH

Tall R in V1

T wave strain V1/2

Reverse RR prog

RAD

Which Arrythmia is this?

LVH

S in V1/2 and R in V5/6 >35mm

T wave strain V5/6

LAD, can be normal

Which Arrythmia is this?

Ischemia

ST seg depression

2 boxes down, 2 boxes past J point

Symmetrically inverted T wave

Which Arrythmia is this?

Acute Injury

Forming Q

ST seg elevation

Small Q, High elevation

Which Arrythmia is this?

Old Injury

Diagnostic Q (>1 box wide, >1/3 height QRS)

Big Q, low elevation

Which Arrythmia is this?

Asystole

Which Arrythmia is this?

Lost lead

Which Arrythmia is this?