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PJCs are thought to result from enhanced automaticity or a reentry mechanism.

A) True
B) False

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When premature junctional complexes occur the first thing you see as you look across the ECG tracing is/are:


A) an irregular rhythm.
B) inverted P' waves.
C) compensatory pauses.
D) wide, bizarre shaped QRS complexes.

E) None of the above
F) A) and C)

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Match the following junctional rhythms with the appropriate heart rate. beats per minute dysrhythmiasjunctional tachycardia: -junctional tachycardia


A) less than 41
B) 40 to 61
C) 60 to 101
D) 100 to 181

E) A) and B)
F) A) and C)

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In AVNRT:


A) accessory conduction pathways exist between the atria and ventricles that bypass the AV node and bundle of His and allow the atria to depolarize the ventricles earlier than usual.
B) increased automaticity causes the AV node to discharge at an abnormally fast rate.
C) fast and slow pathways located within the right atrium in close proximity to or within the AV node allow for development of SVT.
D) the ventricles discharge at an abnormally fast rate and depolarize the AV node in a retrograde fashion.

E) All of the above
F) A) and B)

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P waves resulting from impulses that originate outside the SA node are called:


A) P neutral
B) R'
C) P prime
D) Retro P

E) None of the above
F) A) and B)

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Your patient is experiencing hypotension and lightheadedness as a result of a heart rate of 40 beats per minute. You attach the ECG monitor to see a slow, regular rhythm with an inverted P' wave immediately preceding each narrow, upright QRS complex. You note the P'R intervals are 0.10 seconds in duration. This patient is experiencing:


A) sinus bradycardia.
B) accelerated junctional rhythm.
C) wandering atrial pacemaker.
D) junctional escape rhythm.

E) B) and C)
F) A) and D)

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Accelerated junction rhythm has:


A) a regular rhythm.
B) T waves that take the opposite direction to the QRS complexes.
C) wide QRS complexes.
D) P'R intervals of greater than 0.20 seconds.

E) A) and B)
F) A) and C)

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Initial treatment of unstable junctional tachycardia includes:


A) administering atropine.
B) administering beta blockers.
C) treating the underlying cause.
D) delivering synchronized cardioversion

E) A) and C)
F) B) and C)

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Junctional tachycardia has:


A) an irregular rhythm.
B) a rate of between 60 and 180 beats per minute.
C) inverted QRS complexes.
D) P'R intervals of less than 0.12 seconds.

E) A) and D)
F) A) and B)

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Junctional escape rhythm with a rate of less than 50 beats per minute is usually well tolerated.

A) True
B) False

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