Cardioversion and Medication Contraindications Quiz

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35 Questions

What is the ideal way of establishing a causal relationship between a symptom and rhythm disturbance?

Electrocardiographic monitoring

Which class of antiarrhythmic agents block membrane sodium channels?

Class Ia

What mechanism is responsible for paroxysmal supraventricular arrhythmias and atrial flutter?

Reentry

Which technique employs intracardiac electrocardiographic recordings and programmed atrial or ventricular stimulations?

Electrophysiologic testing

Which subclass of Class I antiarrhythmic agents slows the rate of rise of the action potential and prolongs its duration?

Class Ia

What is responsible for evaluation of individuals with an imbalance between sympathetic and parasympathetic autonomic activity?

Autonomic Testing

Which type of antiarrhythmic drug prolongs Vmax and slows depolarization, thus slowing conduction and prolonging refractoriness?

Class Ic agents

What is the normal intrinsic heart rate of the AV Node, which acts as a back-up pacemaker?

40 - 60 beats/minute

What is the term for a heart rate faster than 100 beats/min caused by rapid impulse formation from the normal pacemaker?

Sinus tachycardia

What is a common cause of sinus tachycardia and other supraventricular arrhythmias?

Alcohol withdrawal

What is the term for contractions that fire continuously from a looping re-entrant circuit in the atria?

Atrial Flutter

Which mechanical measure stimulates the vagus, delays AV conduction, and blocks reentry mechanisms, terminating arrhythmias?

Valsalva's maneuver

What is the initial bolus dose of i.v. adenosine used to terminate episodes of paroxysmal supraventricular tachycardia?

6 mg

What percentage of patients may experience transient flushing and chest discomfort after receiving i.v. adenosine?

~20%

Which drug therapy rapidly induces AV block and breaks most reentry supraventricular tachycardia?

Calcium channel blockers

Which type of arrhythmia is characterized by a cyclic increase in normal heart rate with inspiration and decrease with expiration?

Respiratory sinus arrhythmia

What is the term for a heart rate that is slower than 50/min due to vagal influence on the normal pacemaker or organic disease of the sinus node?

Sinus bradycardia

Which of the following is the drug of choice for preventing attacks of supraventricular tachycardia (SVT)?

Verapamil

What is the preferred approach for patients with recurrent SVT?

Radiofrequency ablation

In which condition should electrical cardioversion be avoided?

WPW syndrome

What is the commonest chronic arrhythmia?

Atrial fibrillation

What may precipitate atrial fibrillation, often referred to as 'holiday heart'?

Alcohol intoxication

What is the major risk associated with chronic atrial fibrillation?

Stroke

What is the typical rate for ventricular tachycardia?

160-240/min

Which drug is recommended for treating Ventricular Tachycardia if the patient is tolerating the rhythm?

Amiodarone

In which condition may Torsade de pointes occur spontaneously or after certain drugs?

Ventricular Tachycardia

What is the treatment indicated for Acute Ventricular Tachycardia if hypotension, heart failure, or angina is present?

Synchronized DC cardioversion

What is the best treatment for nonsustained ventricular tachycardia in the case of recurrent ventricular tachycardia post AMI?

Sotalol or amiodarone

What is the emergency treatment for a patient in cardiac arrest due to Ventricular Fibrillation?

Electrical cardioversion

Which condition is often caused or exacerbated by drug therapy such as digitalis, Ca channel blockers, beta-blockers, and antiarrhythmics?

Sick Sinus Syndrome

What characterizes Second-degree AV Block, Type II?

'All or nothing' conduction with no prolongation of PR interval

'Complete (third- degree) heart block' due to a lesion distal to the His bundle results in:

Slow, regular ventricular rate usually less than 45/min

'Mobitz type I (Wenckebach)' pattern of PR interval lengthening before the blocked beat occurs in which type of AV Block?

'Second degree AV Block, Type I'

In which condition may Premature Ventricular Contractions be revealed more frequently and complex during ambulatory ECG monitoring or an exercise test?

Ventricular Arrhythmias

What is a common factor associated with Sick Sinus Syndrome?

Atrial Flutter and Fibrillation

Test your knowledge of medication administration and cardioversion in the context of different cardiac conditions. Explore the contraindications for specific medications and the use of synchronized electrical cardioversion in hemodynamically unstable patients.

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