Transcript Telemetry Workshop Quiz - Dr. I. Tiong, Dr. D. Kagal

Telemetry Quiz
February 11th, 2012
Dr. Irving Tiong
Dr. Darren Kagal
• A.
Atrial fibrillation
• B.
Atrial flutter
• C. Sinus tachycardia
• D. SVT
• A.
Atrial fibrillation
• B.
Atrial flutter
• C. Sinus tachycardia
• D. SVT
What is the cause of chest pain?
• A. Stomach acid
• B. Acute coronary syndrome- call CODE
STEMI
• C. Psychological stress
• D. Bad reaction to hospital food
What is the cause of chest pain?
• A. Stomach acid
• B. Acute coronary syndrome- call CODE
STEMI
• C. Psychological stress
• D. Bad reaction to hospital food
• A. Atrial fibrillation
• B. Artifact
• C. Ventricular tachycardia
• D. Looks pretty bad- call a “Code Blue”
• A. Atrial fibrillation
• B. Artifact
• C. Ventricular tachycardia
• D. Looks pretty bad- call a “Code Blue”
• A. SVT
• B. VT
• C. Artifact
• D. Don’t know. Hope it won’t happen again
• A. SVT
• B. VT
• C. Artifact
• D. Don’t know. Hope it won’t happen again
• A. Complete Heart block
• B. Second degree Mobitz I (Wenchebach)
• C. Second degree Mobiz II
• D. Complete heart block
• A. Complete Heart block
• B. Second degree Mobitz I (Wenchebach)
• C. Second degree Mobiz II
• D. Complete heart block
What is wrong with this strip?
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A. Normal
B. Atrial fibrilation
C. First degree AV block
D. Prolonged QT interval
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A. Normal
B. Atrial fibrilation
C. First degree AV block
D. Prolonged QT interval
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What Should You Do?
• A. Go back to sleep. Patient is likely on a
walk
• B. Quickly assess patient. Ensure leads are
properly on. Ensure gain is up. If no change
call Code Blue
• C. Start compressions
• D. Call a CODE BROWN
What Should You Do?
• A. Go back to sleep. Patient is likely on a
walk
• B. Quickly assess patient. Ensure leads are
properly on. Ensure gain is up. If no change
call Code Blue
• C. Start compressions
• D. Call a CODE BROWN
• A. Atrial tachycardia
• B. Atrial Flutter
• C. Ventricular flutter
• D. Ventricular fibrillation
• A. Atrial tachycardia
• B. Atrial Flutter
• C. Ventricular flutter
• D. Ventricular fibrillation
• A. Ventricular fibrillation
• B. Atrial flutter
• C. Atrial fibrillation
• D. Sinus tachycardia
• A. Ventricular fibrillation
• B. Atrial flutter
• C. Atrial fibrillation
• D. Sinus tachycardia
• A. Atrial flutter
• B. Atrial fibrillation
• C. Supraventricular tachycardia
• D. Subventricular tachycardia
• A. Atrial flutter
• B. Atrial fibrillation
• C. Supraventricular tachycardia
• D. Subventricular tachycardia
• A. Poor ventricular sensing
• B. Poor ventricular capture
• C. Pacemaker mediated tachycardia
• D. Pacemaker is working fine. Go back to
sleep.
• A. Poor ventricular sensing
• B. Poor ventricular capture
• C. Pacemaker mediated tachycardia
• D. Pacemaker is working fine. Go back to
sleep.
A. Atrial bigeminy
B. Ventricular tachycardia
C. Artifact
D. Ventricular bigeminy
A. Atrial bigeminy
B. Ventricular tachycardia
C. Artifact
D. Ventricular bigeminy
A. Atrial Fibrillation
B. Ventricular Fibrillation
C. Sinus tachycardia
D. Atrial tachycardia
A. Atrial Fibrillation
B. Ventricular Fibrillation
C. Sinus tachycardia
D. Atrial tachycardia
A. Atrial fibrillation
B. Sinus node disease (sinus pauses)
C. Normal rhythm
D. Ventricular fibrillation
A. Atrial fibrillation
B. Sinus node disease (sinus pauses)
C. Normal rhythm
D. Ventricular fibrillation
A. First degree AV block
B. PVCs
C. Second degree AV block Mobitz II
D. Wenchebach
A. First degree AV block
B. PVCs
C. Second degree AV block Mobitz II
D. Wenchebach
A. Premature atrial complex
B. Premature ventricular complex with R on T
phenomenon
C. Sinus tachycardia
D. Sinus pause
A. Premature atrial complex
B. Premature ventricular complex with R on T
phenomenon
C. Sinus tachycardia
D. Sinus pause
A. Normal sinus rhythm
B. Isorhythmic dissociation
C. Complete heart block
D. First degree heart block
A. Normal sinus rhythm
B. Isorhythmic dissociation
C. Complete heart block
D. First degree heart block
A. Completely normal rhythm.
B. Completed anterior myocardial infarction.
C. Complete heart block.
D. Completely challenging rhythm.
A. Completely normal rhythm.
B. Completed anterior myocardial infarction.
C. Complete heart block.
D. Completely challenging rhythm.
A. Normal sinus rhythm
B. VVI pacemaker.
C. DDD pacemaker
D. DDD pacemaker with atrial undersensing
A. Normal sinus rhythm
B. VVI pacemaker.
C. DDD pacemaker
D. DDD pacemaker with atrial undersensing
A. Normal DDD pacemaker function
B. Atrial undersensing
C. Ventricular undersensing
D. Can’t figure it out. Call EP!!
A. Normal DDD pacemaker function
B. Atrial undersensing
C. Ventricular undersensing
D. Can’t figure it out. Call EP!!
A. Normal sinus rhythm
B. Loss of capture
C. Oversensing
D. ICD shock
A. Normal sinus rhythm
B. Loss of capture
C. Oversensing
D. ICD shock
Quiz Part 2
• A. Sinus tachycardia
• B. Atrial flutter
• C. Third Degree AV block
• D. Second degree, Mobitz I
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• A. Sinus tachycardia
• B. Atrial flutter
• C. Third Degree AV block
• D. Second degree, Mobitz I
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A. Sinus bradycardia
B. Second degree AV block Mobitz I
C. First degree AV block
D. Third degree AV block
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Complete heart block
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A. Atrial Fibrillation
B. Sinus tachycardia
C. Multifocal atrial tachycardia
D. Atrial tachycardia
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A. Atrial Fibrillation
B. Sinus tachycardia
C. Multifocal atrial tachycardia
D. Atrial tachycardia
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A. Complete AV block
B. Second degree AV block, Mobitz II
C. Second degree AV block, Mobitz I
D. Sinus bradycardia with junctional escape
(Isorhythmic disassociation)
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A. Complete AV block
B. Second degree AV block, Mobitz II
C. Second degree AV block, Mobitz I
D. Sinus bradycardia with junctional escape
(Isorhythmic disassociation)
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A. Ventricular tachycardia
B. Atrial fibrillation
C. SVT with aberrancy
D. Atrial tachycardia
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A. Ventricular tachycardia
B. Atrial fibrillation
C. SVT with aberrancy
D. Atrial tachycardia
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A. Pacemaker oversensing
B. Pacemaker undersensing
C. Pacemaker over and undersensing
D. Doctor connected the leads the wrong way
during implant.
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A. Pacemaker oversensing
B. Pacemaker undersensing
C. Pacemaker over and undersensing
D. Doctor connected the leads the wrong way
during implant.
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Dual chamber pacemaker with
lead reversal (atrial lead
connected to ventricular port and
vice versa
A. Supraventricular tachycardia with aberrancy
B. First degree AV block
C. Non sustained Ventricular tachycardia
D. Complete heart block with ventricular escape
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A. Supraventricular tachycardia with aberrancy
B. First degree AV block
C. Non sustained Ventricular tachycardia
D. Complete heart block with ventricular escape
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Bonus Question
What are the blue arrows signifying?
A. Artifact?
B. ST elevations?
C. Intermittent retrograde p waves (V-A
conduction)
D. Atrial flutter with concomitant VT
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A. Artifact?
B. ST elevations?
C. Intermittent retrograde p waves (V-A
conduction)
D. Atrial flutter with concomitant VT
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A. First degree AV block
B. Second degree, Mobitz One
C. Second degree, Mobitz Two
D. Third degree AV block
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A. First degree AV block
B. Second degree, Mobitz One
C. Second degree, Mobitz Two
D. Third degree AV block
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A. Atrial fibrillation
B. Supraventricular tachycardia
C. Sinus bradycardia
D. Atrial flutter
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A. Atrial fibrillation
B. Supraventricular tachycardia
C. Sinus bradycardia
D. Atrial flutter
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Bonus Question:
If Atrial Fibrillation, Why is there a
regular rhythm (stable R-R)?
A. It is actually irregular, but not irregular
enough to be seen by the naked eye.
B. It is not atrial fibrillation?
C. Atrial fibrillation with complete AV block, and
escape junctional rhythm
D. I do not know. I would call EP.
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A. It is actually irregular, but not irregular
enough to be seen by the naked eye.
B. It is not atrial fibrillation?
C. Atrial fibrillation with complete AV block,
and escape junctional rhythm
D. I do not know. I would call EP.
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A. Torsade de Pointe
B. Ventricular fibrillation
C. Atrial fibrillation
D. Artifact
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A. Torsade de Pointe
B. Ventricular fibrillation
C. Atrial fibrillation
D. Artifact
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A. Torsade de Pointe
B. Ventricular fibrillation
C. Atrial fibrillation
D. Artifact
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A. Torsade de Pointe
B. Ventricular fibrillation
C. Atrial fibrillation
D. Artifact
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A. Normal sinus rhythm
B. Second degree AV block, Mobitz II, and PVC
C. PVC. Normal sinus rhythm
D. PVC and PAC, then initiating SVT.
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A. Normal sinus rhythm
B. Second degree AV block, Mobitz II, and PVC
C. PVC. Normal sinus rhythm
D. PVC and PAC, then initiating SVT.
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A. Sinus pause
B. Atrial fibrillation and pause
C. Junctional bradycardia
D. Ventricular bradycardia
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A. Sinus pause
B. Atrial fibrillation and pause
C. Junctional bradycardia
D. Ventricular bradycardia
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Bonus Question:
How long is the pause?
A. ~2 seconds
B. ~3 seconds
C. ~4 seconds
D. ~5 seconds
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A. ~2 seconds
B. ~3 seconds
C. ~4 seconds
D. ~5 seconds
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THANK YOU FOR YOUR
ATTENTION!
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