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Defibrillation Rhythm Identification Quiz

This document contains a 10 question quiz on defibrillation and cardioversion. It tests identification of cardiac rhythms based on clinical clues, indications for cardioversion versus defibrillation, the steps of defibrillation, and complications. The quiz covers topics like ventricular fibrillation, ventricular tachycardia, asystole, atrial flutter, and digitalis toxicity.

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Balaji Chinnasami
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773 views3 pages

Defibrillation Rhythm Identification Quiz

This document contains a 10 question quiz on defibrillation and cardioversion. It tests identification of cardiac rhythms based on clinical clues, indications for cardioversion versus defibrillation, the steps of defibrillation, and complications. The quiz covers topics like ventricular fibrillation, ventricular tachycardia, asystole, atrial flutter, and digitalis toxicity.

Uploaded by

Balaji Chinnasami
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Defibrillation E-learning Quiz Part 1
  • Defibrillation E-learning Quiz Part 2
  • Defibrillation E-learning Quiz Part 3

Defibrillation – E-learning Quiz

1. Identify the rhythm (​clinical clue: no consistent heart rate detected; no


detectable pulses​)

Ans : Ventricular Fibrillation (Coarse amplitude)

2. Identify the rhythm (​clinical clue: HR – 214/min)

Ans: ​Wide-complex tachycardia; presumed ventricular tachycardia


(monomorphic)

3. Identify the rhythm​ (​clinical clues: heart rate 44/min; no detectable pulses​)

Ans : Pulseless electrical activity (PEA)


4. Identify the rhythm​ (​Clinical Clue – N​o detectable Pulse)

Ans : Asystole

5. Identify the rhythm (Clinical clue – Regular pulse rate of 60-70/min)

Ans : Atrial Flutter

6. Indication of cardioversion are all except


a. Supraventricular tachycardia
b. Ventricular fibrillation
c. Atrial flutter​ (types I and II)
d. Ventricular tachycardia​ with pulse

Ans: b. Ventricular fibrillation. We do defibrillation for VF & VT without pulse

7. All are steps followed while doing defibrillation except


a. Place gel pads in anterolateral positions of chest wall.
b. After placing paddles select synchronized mode
c. Dial up the appropriate charge (200 J for biphasic).
d. Advise everyone to stand clear and check for clearance visually

Ans : b. we don’t select synchronized mode during defibrillation. Synchronised


mode is used during cardioversion.
8. Complications of defibrillation/cardioversion are all except
a. Ventricular fibrillation
b. Thromboembolization
c. Myocardial necrosis
d. Contraction of all myocardial cells

Ans : d. contraction of all myocardial cells is not a complication but the main effect intended.
This interrupts and terminates abnormal electrical rhythm. This, in turn, allows the sinus
node to resume normal pacemaker activity.

9. Cardioversion if done in patients with enhanced automaticity like digitalis toxicity


could result in
a. Atrial flutter
b. Supraventricular tachycardia
c. Ventricular tachycardia/ventricular fibrillation
d. Ventricular bigeminy

Ans: c. It is dangerous to attempt cardiversion in digitalis toxicity as it can result in post


sshock ventricular tachycardia/ventricular fibrillation.

10. Nonshockable dysrhythmia among the following is


a. Ventricular fibrillation
b. Ventricular tachycardia without pulse
c. Asystole
d. Supraventricular tachycardia

Ans: C. Asystole and pulseless electrical activity are nonshockable rhythms.

Defibrillation – E-learning Quiz 1. Identify the rhythm (​clinical clue: no consistent heart rate detected; no
4. Identify the rhythm​ (​Clinical Clue – N​o detectable Pulse) Ans : Asystole 5. Identify the rhythm (Clinical clue – R
8. Complications of defibrillation/cardioversion are all except a. Ventricular fibrillation b. Thromboembolization c. Myoc

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