Normal Sinus Rhythm Overview
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Questions and Answers

Which of the following Class I agents lengthens the action potential?

  • Ic
  • Ia (correct)
  • Ib
  • Id

What is the preferred method for rhythm control in AFib?

  • Digoxin
  • Beta-blockers
  • Direct current cardioversion (correct)
  • Non-DHP CCBs

Which Class Ib agent can be used for acute termination of VT if unresponsive to procainamide or amiodarone?

  • Quinidine
  • Mexiletine
  • Lidocaine (correct)
  • Procainamide

Which of the following medications is not recommended for maintaining sinus rhythm in AFib?

<p>Digoxin (A)</p> Signup and view all the answers

Which Class Ia agent has been used in patients with Brugada syndrome?

<p>Quinidine (C)</p> Signup and view all the answers

Which Class Ic agent can be used in SVT caused by AVNRT?

<p>Propafenone (A)</p> Signup and view all the answers

What is the normal heart rate range in Beats Per Minute (BPM)?

<p>60 to 100 BPM (D)</p> Signup and view all the answers

Where does the electrical impulse begin in a normal sinus rhythm?

<p>SA node (A)</p> Signup and view all the answers

In a normal heart rhythm, what happens when the signal reaches the AV node?

<p>Electrical conduction slows down (D)</p> Signup and view all the answers

What is the phase where rapid ventricular repolarization occurs in response to an efflux of K?

<p>Phase 3 (D)</p> Signup and view all the answers

Some arrhythmias may be asymptomatic and only detected during what?

<p>A medical exam (A)</p> Signup and view all the answers

What is the primary function of the sinoatrial (SA) node?

<p>To act as the heart's natural pacemaker (C)</p> Signup and view all the answers

A patient with a regular rhythm and bradycardia presents to the ED. Which is the best treatment?

<p>Administer atropine 0.5 mg intravenously (C)</p> Signup and view all the answers

What is the first step of treatment for a patient experiencing polymorphic ventricular tachycardia (VT) with a stable TG?

<p>Immediate direct current cardioversion (DCC) (D)</p> Signup and view all the answers

Which of the following is NOT a recommended therapy for rate control in patients with atrial fibrillation?

<p>Amiodarone (D)</p> Signup and view all the answers

After cardioversion and 4 weeks of anticoagulation, which of the following is an appropriate therapy to prevent thromboembolic complications in a patient with atrial fibrillation?

<p>Warfarin with INR goal of 2-3 (C)</p> Signup and view all the answers

What is the goal of rate control in patients with atrial fibrillation?

<p>Controlling ventricular rate (B)</p> Signup and view all the answers

In managing atrial fibrillation, what is the primary difference between rate control and rhythm control?

<p>Rate control focuses on controlling ventricular rate, while rhythm control focuses on restoring sinus rhythm (D)</p> Signup and view all the answers

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