1. Arrhythmias result from disturbances in impulse formation or impulse conduction.

Which of the following types occurs during exercise or other condition that
increases SA node firing rate?
A. Sinus bradycardia
B. Sinus tachycardia
C. Atrial tachycardia
D. Sick sinus syndrome

2. When there is uncoordinated atrial depolarization. Which type of arrhythmia
occurs?
A. AV blocks
B. Atrial flutter
C. Atrial fibrillation
D. Junctional escape rhythm

3. Premature beats are either atrial or ventricular which result from atrial or
ventricular complexes. What diagnostic procedure detects the case?
A. EEG
B. ECG
C. Chest X-ray
D. Plasma level drug taken

4. Atrio-ventricular blocks can occur during excessive vagal stimulation. Which tips
the autonomic balance toward a more dominant vagal influence.
Electrophysiological changes occur in what part of the heart?
A. Right & left atria B. Right & left ventricles
C. AV node and bundle of his D. Atrio-ventricular valve
C. Atrial fibrillation
D. Junctional escape rhythm

5. Class I classification of antiarrhythmic drugs are sodium channel blockers which
either prolong or shorten action potentials. Which group of drugs prolongs action
potentials.
A. Quinidine, disopyramide, procalnamide
B. Lidocaine, mexiletine, quinidine
C. Lidocain, mexiletine
D. Flecanide, propatenone

6. Procainamide has extracardiac effects, a ganglion-blocking properties that
reduces peripheral vascular resistance. What would you expect to your patient?
A. Headache
B. Hypotension
C. Hypertension
D. Blurring of vision

7. Lidocaine is the agent of choice for termination of ventricular tachycardia and
ventricular fibrillation. Which of the following is not TRUE to Lidocaine?
A. Must be given parenterally
B. Has a half-life of 1-2 hours
C. In preexisting heart failure lidocaine may cause hypertension
D. There is extensive first-pass hepatic metabolism

8. A 55 year old female patient is treated for an atrial arrhythmia. She complains of
headache, dizziness, and tinnitus. Which of the following antiarrhythmic drugs is
the most likely cause?
A. Verpamil
B. Quinidine
C. Propanolol
D. Procainamide

9. A 60 year old female patient is admitted at BMC ER because of developing
myocardial infarction which was relieved after emergency management. Which of
the following drug would be appropriate prophylactic for recurrent infarction?
A. Quinidine
B. Lidocaine
C. Propanolol
D. Procainamide