Telemetry Quiz

Telemetry QuizFebruary 11th, 2012

Dr. Irving TiongDr. Darren Kagal

• A. Atrial fibrillation

• B. Atrial flutter

• C. Sinus tachycardia

• D. SVT

• 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

• B. Artifact

• C. Ventricular tachycardia

• D. Looks pretty bad- call a “Code Blue”

• 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

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

• C. Atrial fibrillation

• D. Sinus tachycardia

• A. Ventricular fibrillation

• 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

B. Ventricular Fibrillation

A. Atrial fibrillation

B. Sinus node disease (sinus pauses)

C. Normal rhythm

D. Ventricular 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

B. PVCs

C. Second degree AV block Mobitz II

D. Wenchebach

A. Premature atrial complex

B. Premature ventricular complex with R on T phenomenon

D. Sinus pause

A. Premature atrial complex

B. Premature ventricular complex with R on T phenomenon

D. Sinus pause

A. Normal sinus rhythm

B. Isorhythmic dissociation

C. Complete heart block

D. First degree heart block

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.

B. VVI pacemaker.

C. DDD pacemaker

D. DDD pacemaker with atrial undersensing

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!!

B. Loss of capture

C. Oversensing

D. ICD shock

B. Loss of capture

C. Oversensing

D. ICD shock

Quiz Part 2

• A. Sinus tachycardia

• C. Third Degree AV block

• D. Second degree, Mobitz I

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• A. Sinus tachycardia

• C. Third Degree AV block

• D. Second degree, Mobitz I

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A. Sinus bradycardia

B. Second degree AV block Mobitz I

D. Third degree AV block

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Complete heart block

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B. Sinus tachycardia

C. Multifocal atrial tachycardia

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B. Sinus tachycardia

C. Multifocal 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

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A. Ventricular tachycardia

B. Atrial fibrillation

C. SVT with aberrancy

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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 VT12-01-31

A. Artifact?

B. ST elevations?

C. Intermittent retrograde p waves (V-A conduction)

D. Atrial flutter with concomitant VT12-01-31

B. Second degree, Mobitz One

C. Second degree, Mobitz Two

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B. Second degree, Mobitz One

C. Second degree, Mobitz Two

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B. Supraventricular tachycardia

C. Sinus bradycardia

D. Atrial flutter

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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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D. Artifact

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D. Artifact

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D. Artifact

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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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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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Telemetry Quiz

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