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PBL Case Study 3 Flashcards | StudBud
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PBL Case Study 3
PBL Case Study 3
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Be Still, My Beating Heart (Atrial Fibrillation)
Flashcards
43 cards
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Practice quiz
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Questions
43
Answers
1
Warfarin, Aspirin and Heparin can be used in patients with AF. What type of medicine are they?
Anticoagulant
Analgesic
Antibiotic
Antipyrectic
2
Which of these is
not
a complication of Atrial fibrillation?
Stroke
Cardiomyopathy
Belly ache
Fast pulse rate
3
Bisoprolol is what of class anti-arrythmic drugs
3
4
2
1
4
In lead II / Rhythm Strip what condition are we seeing
Atrial Fibrillation
Ventricular Hypertrophy
Atrial Flutter
Myocardial Infarction
5
How long do symptoms last for in paroxysmal atrial fibrillation?
Symptoms come and go and can last up to < 1 week at a time
Symptoms persist for > 1 week at a time without terminating
Symptoms last for months
6
In this ECG showing a 2
nd
Degree AV Block (Mobitz II) what is missing as denoted by the arrow
P Wave
Delta Wave
T wave
QRS Complex
7
Which of the following is a red flag symptom?
All of the above
Onset of palpitations with exercise
Having breathlessness, chest pain and syncope
History of heart disease
8
IV verapamil hydrochloride should be given:
Only to patients not on a calcium channel blocker
When the Valsalva manoeuvre and IV adenosine are ineffective
Only to patients with heart rate >180bpm
To patients under 65 only
9
Which of the following is NOT an example of supraventricular tachycardia?
Atrial Fibrillation
Wolff-Parkinson White Syndrome
Heart Block
Ventricular Fibrillation
10
Coronary Conduction: which is the correct order of events?
C
D
A
B
11
Identifying ventricular tachycardia
False
True
12
What is classified as Persistent AF?
AF that is continuous and isn’t treated
AF that is intermittent and lasts less than one week
AF that is continuous for > one week but < than 12 months
AF that is continuous and lasts over 1 month.
13
Which of the following statements is correct regarding AF?
C
B
D
A
14
Which of the following statements about focal ventricular tachycardia is true?
D
A
B
C
15
Rivaroxaban is given to A fib patients because
Restore the heart rhythm
Reduce blood pressure
Reduce heart rate
Reduce risk of blood clots and strokes
16
Prescribing for AF
C
A
B
D
17
What SVT condition does the ECG show?
Atrial Flutter
Ventricular Tachycardia
Atrial Fibrillation
AV nodal re-entrant tachycardia
18
When should direct current cardioversion be administered to a patient?
Only after a beta blocker has been administered
When adenosine is effective
patient shows sustained and unstable ventricular tachycardia
If Valsalva manoeuvre is unsuccessful
19
What degree AV Node Block are we seeing in this ECG
1st Degree
2nd Degree Mobitz II
2nd Degree Mobitz I
3rd Degree
20
What Ventricular Tachycardia condition does the ECG show?
Ventricular Tachycardia
Torsades de Pointes
Wolff-Parkinson White Syndrome
Ventricular Fibrillation
21
Amiodarone a class 3 antiarrythmic drug and is a
Uses variable mechanisms
Potassium channel blocker
Calcium channel blocker
Beta blocker
22
What does this ECG show?
AVRT
AVNRT
Atrial Fibrillation
23
How can you define acute AF?
C
A
D
B
24
How is Torsade de pointes (ventricular tachycardia) usually treated?
Sotalol hydrochloride
IV magnesium sulfate
Anti-arrhythmia
Captopril
25
Prescribing with AF
Do nothing
Offer Heparin until a full assessment has been made
Carry out ECG
Fit them with a Holter monitor
26
How many different classes of anti Arrythmic drugs are there
1
3
2
5
27
Who is not considered to be at a higher risk of developing AF?
Individuals with low BP
Binge Drinkers
Individuals with Thyroid complications
Athletes
28
Which of the following is not a trigger of an episode of AF?
Being overweight
Excessive Exercise
Drinking lots of Caffeine
Being a frequent drug user
29
What can we see occurring in lead II on this ECG
Atrial Flutter
Mobitz III AV Block
Ventricular Escape Beat
Atrioventricular Re-Entrant Tachycardia
30
What condition can we see on the above ECG
Atrial Fibrillation
Atrial Flutter
3rd Degree SA node block
Ventricular Tachycardia
31
Which one of would be classed as “red flags” when we’re looking at a patient with palpitations?
Onset with exercise, breathlessness, chest pain, syncope
Depression and anxiety
History of drinking 3 coffee’s per day
32
Diabetes, Asthma and other chronic medical problems increase the risk of AF?
False
True
33
Which node is positioned nearest to the superior vena cava?
SA node
AV node
34
Which of the following is the most frequently seen non-cardiac cause of palpitations?
Alcohol
Cocaine
Side effect of medication
Anxiety
35
Overweight levels using BMI
23+
30+
27+
25+
36
What artery would you expect to supply the most blood to SA node?
Left Coronary Artery
Circum flex
Right Coronary Artery
37
The possible issue using anticoagulants is?
Hemorrhagic Stroke
Ischemic Stroke
38
Which of these diseases puts you at higher risk of developing AFib?
High blood pressure
Type II diabetes
Sleep apnea
All of the above
39
Risk stratification of bundle branch block
Low risk – manage in primary care
Medium - (refer to cardiology/arrhythmia care co-ordinator)
High risk – refer to cardiology with urgency
40
Which of the following is true about atrioventricular nodal re-entry tachycardia (AVNRT)
Caused by scar tissue, making ventricles fire at rapid rate
Wolff-Parkinson-White syndrome is associated with AVNRT
Two pathways running through the AV node: a fast and slow
Wider QRS complex is present on ECG
41
Which of these best describes palpitations?
Raised pulsating/bulging area of the skin
Pounding or thudding from the head
Abnormal sensation/ increased awareness of own heart beat
42
Patient choice in their medicine...
Yes
No
43
What symptoms can occur in atrial fibrillation?
All the above
Palpitations and thumping in chest
dizziness and weakness
Shortness of breath
