Arrhythmia McQ and cases

‫ومنك الفت ُح والفر ُج‬
َ ‫"فيك الرّ جا ُء‬

َ
َ
‫بذا وذاك لساني بالدُّعا له ُج‬
‫والفضل نأملُ ُه‬

ِ ‫وأنت ربُّ ال َّندى‬
َ
‫وأنت أدرى بما في القلب يعتل ُج‬
‫نشكو إليك هُمومًا أنت تعلمُها‬

‫باتت عليها حنايا الصدر َتـختلِ ُج‬
‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

."♥️ُ‫ـئت َتن َف ِرج‬
َ ِ‫وك ُّل ضائق ٍة إن ش‬
Arrhythmia McQ and cases
### 51. A 50-year-old male monitored during fibrinolytic therapy exhibits frequent premature
ventricular complexes (PVCs). What is the appropriate next step?
A. Continue to monitor
B. Administer amiodarone
C. Perform defibrillation
D. Start anticoagulation
**Answer**: A
### 52. A 25-year-old female presents with premature atrial contractions (PACs). The
characteristic feature of PACs on ECG is:
A. Absent P waves
B. Narrow QRS complex
C. Wide QRS complex
D. Elevated ST segment
**Answer**: B
### 53. A patient with rapid atrial fibrillation is in shock. What is the next best intervention?
A. Start beta-blockers
B. Administer digoxin
C. Perform synchronized cardioversion
D. Use defibrillation
**Answer**: C
### 54. A 20-year-old female presents with palpitations and a monitor showing narrow
complex tachycardia. What is the most likely diagnosis?
A. Atrial flutter
B. Sinus bradycardia
C. Supraventricular tachycardia (SVT)
D. Ventricular tachycardia
**Answer**: C
### 55. A 50-year-old female with ischemic heart disease (IHD) presents in shock with
Torsades de Pointes. The first-line treatment is:
A. IV magnesium sulfate
َ
َ

َ


B. Cardioversion
C. Defibrillation
D. Lidocaine
**Answer**: A
### 56. A 12-year-old boy presents with palpitations in shock, and his ECG shows irregular
ventricular tachycardia. What is the best next step?
A. Amiodarone
B. Defibrillation
C. Pacemaker
D. Beta-blockers
**Answer**: B
### 57. A 45-year-old male with palpitations is found to have regular ventricular tachycardia.
What should be done next?
A. Start adenosine
B. Perform synchronized cardioversion
C. Defibrillate
D. Monitor and observe
**Answer**: B
### 58. In a patient with Wolff-Parkinson-White (WPW) syndrome, which ECG feature is
characteristic?
A. Prolonged QT interval
B. Delta wave
C. Tall peaked T waves
D. ST-segment elevation
**Answer**: B
### 59. A patient with Brugada syndrome is at increased risk of:

A. Supraventricular tachycardia
B. Sudden cardiac death
C. Atrial fibrillation
D. Sinus arrhythmia
**Answer**: B
### 60. A 50-year-old female in shock is found to have ventricular tachycardia on the
monitor. What is the next best step?
A. Administer lidocaine
َ
َ

َ


B. Start IV fluids
C. Perform synchronized cardioversion
D. Administer magnesium
**Answer**: C
### 61. A patient is found to have premature ventricular complexes (PVCs) in a bigeminal
pattern. This means:
A. PVCs occur every second beat
B. PVCs occur every third beat
C. PVCs occur every fourth beat
D. PVCs are continuous
**Answer**: A
### 62. What is the most appropriate treatment for a patient with regular ventricular
tachycardia?
A. Cardioversion
B. Beta-blockers
C. Magnesium sulfate
D. Lidocaine
**Answer**: A
### 63. What is the treatment of choice for a patient with rapid atrial fibrillation in shock?
A. Electrical cardioversion
B. Anticoagulation
C. Beta-blockers
D. Magnesium sulfate
**Answer**: A
### 64. A 20-year-old female presents with supraventricular tachycardia (SVT). What is the
first-line treatment for stable SVT?
A. Amiodarone
B. Vagal maneuvers
C. Defibrillation
D. Beta-blockers
**Answer**: B
### 65. Torsades de Pointes can result from which electrolyte disturbance?
A. Hyperkalemia
B. Hypomagnesemia
َ
َ

َ


C. Hypercalcemia
D. Hypoglycemia
**Answer**: B
### 66. A 30-year-old female known to have rheumatic heart disease (RHD) presents in
shock with rapid atrial fibrillation. The next best step is:
A. Electrical cardioversion
B. Rate control with beta-blockers
C. Defibrillation
D. Start anticoagulation
**Answer**: A
### 67. In Wolff-Parkinson-White syndrome, what triggers supraventricular tachycardia?

A. Slow conduction through the AV node
B. Pre-excitation through an accessory pathway
C. Bradycardia
D. Atrial fibrillation
**Answer**: B
### 68. What is the most appropriate treatment for a patient presenting with Brugada
syndrome and ventricular tachycardia?
A. Cardioversion
B. Defibrillation
C. Beta-blockers
D. Amiodarone
**Answer**: A
### 69. What is the characteristic ECG finding in Torsades de Pointes?

A. Prolonged QT interval
B. Narrow QRS complexes
C. Short PR interval
D. Elevated ST segments
**Answer**: A
### 70. In a patient with rapid atrial fibrillation, what is the initial step for rate control?
A. Beta-blockers
B. Digoxin
C. Cardioversion
َ
َ

َ


**Answer**: A
### 71. A 50-year-old female presents with Torsades de Pointes. What is the main risk factor
for this arrhythmia?
A. Long QT interval
B. Short PR interval
C. Sinus bradycardia
D. Wolff-Parkinson-White syndrome
**Answer**: A
### 72. A 12-year-old boy presents in shock with irregular ventricular tachycardia. What is
the most appropriate immediate treatment?
A. Defibrillation
B. Lidocaine
C. Cardioversion
D. Beta-blockers
**Answer**: A
### 73. In a patient with premature ventricular complexes (PVCs), what ECG characteristic
is typically seen?
A. Wide QRS complexes
B. Narrow QRS complexes
C. Absence of P waves
D. Prolonged PR interval
**Answer**: A
### 74. A 45-year-old male presents with regular ventricular tachycardia. What is the best
treatment option?
A. Cardioversion
B. Amiodarone
C. Beta-blockers
D. Defibrillation
**Answer**: A
### 75. What is the defining ECG characteristic of Wolff-Parkinson-White (WPW) syndrome?
A. Delta wave
B. ST elevation
C. Prolonged PR interval
D. Tall T waves
َ
َ

َ


**Answer**: A
### 1. Which is the first step in the approach to a patient with arrhythmia?
A. Give oxygen, IV, and monitor
B. Administer medication
C. Check electrolytes
D. Perform defibrillation
**Answer**: A
### 2. What is the primary distinction between tachyarrhythmia and bradyarrhythmia?

A. Blood pressure
B. Heart rate
C. Respiratory rate
D. Oxygen saturation
**Answer**: B
### 3. A narrow complex tachycardia indicates:

A. Supraventricular origin
B. Ventricular origin
C. Bradyarrhythmia
**Answer**: A
### 4. What is the recommended management for a stable arrhythmia?

A. Rhythm control
B. Rate control
C. Immediate defibrillation
D. Cardiopulmonary resuscitation
**Answer**: B
### 5. In an unstable arrhythmia, what should be the immediate management approach?

A. Administer IV fluids
B. Provide electrical cardioversion
C. Monitor heart rate
D. Give diuretics
**Answer**: B
### 6. A 56-year-old male with central chest pain radiating to the left arm most likely has:
َ
َ

َ


A. Angina
B. Myocardial infarction
D. Ventricular fibrillation
**Answer**: B
### 7. A 50-year-old female in a gasping state should be managed with:

A. Oxygen therapy only
B. Cardiopulmonary resuscitation
C. Beta-blockers
D. Nitroglycerin
**Answer**: B
### 8. A 4-year-old child presenting with sinus arrhythmia most likely has:
A. Ventricular tachycardia
B. A benign condition
C. Atrial flutter
D. Torsades de Pointes
**Answer**: B
### 9. Premature ventricular complexes (PVCs) are often detected in patients during:
A. Bradyarrhythmia
B. Fibrinolytic therapy
C. Atrial flutter
D. Myocardial infarction
**Answer**: B
### 10. Which of the following describes Bigeminy PVC?

A. A premature beat every third beat
B. A premature beat every second beat
C. A regular ventricular rhythm
D. A slow heart rate
**Answer**: B
### 11. What is the correct management for a patient with rapid atrial fibrillation in shock?
A. Rate control with beta-blockers
B. Rhythm control with electrical cardioversion
D. Thrombolytic therapy
َ
َ

َ


**Answer**: B
### 12. Which arrhythmia is characterized by a narrow complex tachycardia?

B. Ventricular tachycardia
C. Atrial flutter
D. Sinus bradycardia
**Answer**: A
### 13. Torsades de Pointes is most commonly associated with:

A. Hyperkalemia
B. Long QT syndrome
C. Bradyarrhythmia
D. Wolff-Parkinson-White syndrome
**Answer**: B
### 14. A 12-year-old boy presenting in shock with an irregular ventricular tachycardia most
likely requires:
A. Immediate defibrillation
B. IV fluids
C. Beta-blockers
D. Cardiac catheterization
**Answer**: A
### 15. Regular ventricular tachycardia should be managed with:

A. Antiarrhythmic medication
B. Immediate defibrillation
C. Pacemaker
D. Oxygen only
**Answer**: A
### 16. Wolff-Parkinson-White (WPW) syndrome is characterized by:

A. Long QT intervals
B. Delta wave on ECG
C. Frequent PVCs
D. Sinus arrhythmia
**Answer**: B
### 17. Brugada syndrome increases the risk of:

َ
َ

َ


A. Atrial fibrillation
C. Sinus arrhythmia
D. PVCs
**Answer**: B
### 18. Which rhythm is best treated with DC cardioversion?

A. Ventricular fibrillation
B. Bradycardia
C. Atrial flutter
D. Torsades de Pointes
**Answer**: A
### 19. Which is not a feature of premature atrial contraction (PAC)?

A. Irregular heartbeat
B. Early P waves
C. Wide QRS complex
D. Palpitations
**Answer**: C
### 20. Which type of arrhythmia is typically associated with palpitations in a young, healthy
female?
B. Atrial fibrillation
C. Ventricular fibrillation
**Answer**: A
### 21. The treatment of choice for Torsades de Pointes is:

A. Magnesium sulfate
B. Amiodarone
C. Defibrillation
D. Beta-blockers
**Answer**: A
### 22. What rhythm is characterized by a wide QRS complex with a regular rhythm?
B. Atrial flutter
َ
َ

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D. Supraventricular tachycardia
**Answer**: A
### 23. What is the first-line treatment for Wolff-Parkinson-White syndrome in an acute
setting?
A. Amiodarone
B. Adenosine
C. Cardioversion
D. Beta-blockers
**Answer**: C
### 24. A patient with Brugada syndrome should avoid which of the following?
A. Beta-blockers
B. Fever
C. Physical activity
D. Potassium supplements
**Answer**: B
### 25. Cardiopulmonary resuscitation is primarily indicated in which arrhythmia?

A. Sinus arrhythmia
B. Ventricular fibrillation
C. Supraventricular tachycardia
**Answer**: B
Continuing with the case-based multiple-choice questions:
### 26. In a 50-year-old male undergoing fibrinolytic therapy, the appearance of premature
ventricular complexes (PVCs) should be:
A. Treated with amiodarone
B. Closely monitored for progression
C. Managed with defibrillation
D. Ignored as they are always benign
**Answer**: B
### 27. A 25-year-old female with chest pain and premature atrial contractions (PACs) most
likely has:
A. Benign ectopic beats
َ
َ

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B. Ventricular tachycardia
**Answer**: A
### 28. In rapid atrial fibrillation, which of the following is a priority if the patient is in shock?
A. Rhythm control with electrical cardioversion
B. Rate control with beta-blockers
C. Anticoagulation therapy
D. Defibrillation
**Answer**: A
### 29. A 20-year-old female presenting with palpitations and narrow complex tachycardia
most likely has:
B. Supraventricular tachycardia
C. Ventricular tachycardia
**Answer**: B
### 30. In a patient with Torsades de Pointes, the first step in management is:
A. Defibrillation
B. Administration of magnesium sulfate
C. Beta-blockers
D. Pacemaker insertion
**Answer**: B
### 31. Which of the following arrhythmias is characterized by an irregularly irregular

rhythm?
B. Ventricular fibrillation
**Answer**: A
### 32. A 50-year-old female in shock with Torsades de Pointes is at risk for:
A. Pulmonary embolism
َ
َ

َ


D. Hypertension
**Answer**: B
### 33. Which of the following best describes the ECG finding in Wolff-Parkinson-White
syndrome?
A. Delta wave
B. U wave
D. ST elevation
**Answer**: A
### 34. A 12-year-old boy presenting in shock with irregular ventricular tachycardia requires:
A. Immediate cardioversion
B. Beta-blockers
C. Defibrillation
D. Anticoagulation therapy
**Answer**: C
### 35. What is the main difference between regular and irregular ventricular tachycardia?
A. Rate of conduction
B. Consistency of QRS complexes
C. Presence of P waves
D. Frequency of PVCs
**Answer**: B
### 36. Which of the following arrhythmias is most likely to require defibrillation?
A. Ventricular fibrillation
**Answer**: A
### 37. In Brugada syndrome, the ECG typically shows:

A. RSR' pattern in V1-V3
B. ST-segment depression
C. Prolonged QT interval
D. Delta waves
**Answer**: A
َ
َ

َ


### 38. Which of the following conditions is most associated with an increased risk of
sudden cardiac death?
B. Supraventricular tachycardia
C. Brugada syndrome
D. Sinus arrhythmia
**Answer**: C
### 39. For a patient with a history of Wolff-Parkinson-White syndrome presenting with rapid
heart rate, the first step in management is:
A. Adenosine
B. Electrical cardioversion
C. Beta-blockers
**Answer**: B
### 40. A 30-year-old female in shock with rapid atrial fibrillation should first be treated with:
A. Rate control
B. Rhythm control via cardioversion
C. Antiarrhythmic medication
D. Defibrillation
**Answer**: B
### 41. In which of the following arrhythmias is magnesium sulfate the first-line treatment?
A. Torsades de Pointes
D. Ventricular fibrillation
**Answer**: A
### 42. What is the characteristic rhythm disturbance in sinus arrhythmia?

A. A regularly irregular rhythm
B. A completely irregular rhythm
C. A rhythm that varies with respiration
D. An absence of P waves
**Answer**: C
### 43. Which of the following ECG patterns is typically seen in premature ventricular
complexes (PVCs)?
َ
َ

َ


A. Narrow QRS complexes
B. Wide QRS complexes without preceding P waves
C. Irregularly irregular QRS complexes
D. U waves
**Answer**: B
### 44. What is the main management goal in a patient with premature atrial contractions
(PACs)?
A. Rhythm control with cardioversion
B. Symptomatic relief
D. Anticoagulation therapy
**Answer**: B
### 45. Which of the following arrhythmias is commonly associated with ischemic heart
disease (IHD)?
A. Torsades de Pointes
D. Ventricular tachycardia
**Answer**: D
### 46. Which of the following is the most appropriate treatment for an irregularly irregular
rhythm in atrial fibrillation?
A. Beta-blockers for rate control
B. Electrical defibrillation
C. Cardiopulmonary resuscitation
D. Lidocaine
**Answer**: A
### 47. Which of the following describes the arrhythmia in Wolff-Parkinson-White syndrome?
A. Atrial fibrillation with rapid ventricular response
B. Supraventricular tachycardia with a delta wave
C. Bradyarrhythmia with prolonged PR interval
D. Ventricular tachycardia with a regular rhythm
**Answer**: B
### 48. Which of the following patients is at highest risk for sudden cardiac death?
A. A 12-year-old boy with ventricular tachycardia
َ
َ

َ


B. A 30-year-old female with supraventricular tachycardia
C. A 45-year-old male with sinus arrhythmia
D. A 50-year-old female with Torsades de Pointes
**Answer**: D
### 49. Which of the following arrhythmias typically presents with a wide QRS complex?
**Answer**: A
### 50. What is the key ECG finding in Brugada syndrome?

A. ST-segment elevation in the right precordial leads
B. Delta wave
D. U waves
**Answer**: A
These MCQs are based on the.

(### General Approach to Arrhythmia
1. **What is the first step in managing a patient with arrhythmia?**

- A) Give Aspirin
- B) Administer O2, IV, and Monitor
- C) Perform Cardioversion
- D) Administer Beta-Blockers
**Answer**: B
2. **Which question is NOT part of the arrhythmia assessment?**

- A) Is the patient tachycardic or bradycardic?
- B) Is the rhythm narrow or wide?
- C) Is the patient’s family history relevant?
- D) Is the rhythm regular or irregular?
**Answer**: C
3. **For unstable arrhythmias, what is the immediate intervention?**

- A) Administer calcium channel blockers
- B) Start CPR
َ
َ

َ


- C) Initiate electrical cardioversion
- D) Give antibiotics
**Answer**: C
4. **In arrhythmias, what is the priority in stable patients?**

- A) Rhythm control
- B) Rate control
- C) Cardioversion
- D) Defibrillation
**Answer**: B
5. **Which of the following arrhythmias requires immediate defibrillation?**

- A) Sinus arrhythmia
- B) Atrial fibrillation
- C) Ventricular fibrillation
- D) Supraventricular tachycardia
**Answer**: C
### Case Studies
6. **A 56-year-old man with chest pain radiating to the left arm likely has what arrhythmia?**
- A) Ventricular tachycardia
- C) Sinus tachycardia
- D) Premature atrial contraction
**Answer**: A
7. **What is the appropriate first step in a 50-year-old female who is gasping and
unresponsive?**
- A) Administer fluids
- B) Start chest compressions
- C) Administer antiarrhythmics
- D) Give oxygen only
**Answer**: B
8. **A 4-year-old child with sinus arrhythmia usually requires what treatment?**
- A) Electrical cardioversion
- B) No specific treatment, observation only
- C) Beta-blockers
َ
َ

َ


- D) Antiarrhythmic drugs
**Answer**: B
9. **A 50-year-old male with fibrinolytic therapy is found to have premature ventricular
complexes (PVCs). What is the best next step?**
- A) Immediate defibrillation
- B) Continue monitoring
- C) Administer amiodarone
- D) Perform cardioversion
**Answer**: B
10. **A 25-year-old woman with chest pain has premature atrial contraction (PAC). What is
the appropriate treatment?**
- B) Beta-blockers if symptomatic
- C) Antiarrhythmic therapy
- D) No specific treatment needed
**Answer**: D
### Rhythm Control
11. **Which arrhythmia is commonly treated with rate control rather than rhythm control?**
- A) Supraventricular tachycardia
- C) Ventricular fibrillation
- D) Torsades de Pointes
**Answer**: B
12. **A patient with atrial fibrillation who is hemodynamically unstable should undergo which
treatment?**
- A) Rate control with beta-blockers
- B) Electrical cardioversion
- C) Observation
- D) Antiarrhythmic drugs
**Answer**: B
13. **Which drug is most commonly used for rate control in atrial fibrillation?**
- A) Amiodarone
- B) Adenosine
َ
َ

َ


- C) Metoprolol
- D) Lidocaine
**Answer**: C
14. **A 30-year-old woman with RHD and rapid atrial fibrillation presents in shock. What is
the immediate treatment?**
- A) Rhythm control with amiodarone
- B) Immediate cardioversion
- C) Rate control with beta-blockers
- D) Observation
**Answer**: B
15. **Which arrhythmia is characterized by narrow complex tachycardia?**

- A) Ventricular tachycardia
- B) Supraventricular tachycardia
- C) Atrial fibrillation
- D) Torsades de Pointes
**Answer**: B
### Ventricular Arrhythmias
16. **What is the treatment for Torsades de Pointes?**

- A) Beta-blockers
- B) Magnesium sulfate
- C) Electrical cardioversion
- D) Lidocaine
**Answer**: B
17. **A 50-year-old female with IHD in shock is found to have Torsades de Pointes. What is
the immediate treatment?**
- A) Cardioversion
- B) Magnesium sulfate
- C) Amiodarone
- D) Lidocaine
**Answer**: B
18. **Which rhythm is characterized by wide QRS complexes and is usually treated with
cardioversion or defibrillation?**
- A) Supraventricular tachycardia
َ
َ

َ


- B) Ventricular fibrillation
- C) Atrial fibrillation
- D) Sinus arrhythmia
**Answer**: B
19. **In ventricular tachycardia, what is the most appropriate treatment in an unstable
patient?**
- A) Amiodarone infusion
- B) Electrical cardioversion
- C) Magnesium sulfate
- D) Lidocaine
**Answer**: B
20. **A 12-year-old boy with irregular ventricular tachycardia in shock should receive which
treatment?**
- B) Antiarrhythmic therapy
- C) Observation
- D) Rate control drugs
**Answer**: A
### Special Syndromes
21. **Wolff-Parkinson-White syndrome is characterized by which type of ECG finding?**

- A) Prolonged PR interval
- B) Delta wave
- C) Inverted P wave
- D) Wide QRS
**Answer**: B
22. **What is the preferred treatment for patients with Wolff-Parkinson-White (WPW)
syndrome presenting with tachyarrhythmia?**
- A) Beta-blockers
- B) Amiodarone
- C) Ablation therapy
- D) Calcium channel blockers
**Answer**: C
23. **Brugada syndrome is associated with which type of arrhythmia?**

َ
َ

َ


- A) Atrial fibrillation
- B) Sinus bradycardia
- C) Ventricular tachycardia
- D) Supraventricular tachycardia
**Answer**: C
24. **The characteristic ECG finding in Brugada syndrome is:**

- A) Delta wave
- B) ST-segment elevation in leads V1-V3
- C) Wide QRS complexes
- D) Prolonged PR interval
**Answer**: B
25. **What is the immediate treatment for Brugada syndrome if ventricular arrhythmias
occur?**
- A) Antiarrhythmic drugs
- B) Electrical defibrillation
- C) Magnesium sulfate
- D) Observation
**Answer**: B
---

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‫ومنك الفت ُح والفر ُج‬

َ ‫"فيك الرّ جا ُء‬

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

### 59. A patient with Brugada syndrome is at increased risk of:

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

### 67. In Wolff-Parkinson-White syndrome, what triggers supraventricular tachycardia?

### 69. What is the characteristic ECG finding in Torsades de Pointes?

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

### 2. What is the primary distinction between tachyarrhythmia and bradyarrhythmia?

### 3. A narrow complex tachycardia indicates:

### 4. What is the recommended management for a stable arrhythmia?

### 5. In an unstable arrhythmia, what should be the immediate management approach?

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

### 7. A 50-year-old female in a gasping state should be managed with:

### 10. Which of the following describes Bigeminy PVC?

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

### 12. Which arrhythmia is characterized by a narrow complex tachycardia?

### 13. Torsades de Pointes is most commonly associated with:

### 15. Regular ventricular tachycardia should be managed with:

### 16. Wolff-Parkinson-White (WPW) syndrome is characterized by:

### 17. Brugada syndrome increases the risk of:

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

### 18. Which rhythm is best treated with DC cardioversion?

### 19. Which is not a feature of premature atrial contraction (PAC)?

### 21. The treatment of choice for Torsades de Pointes is:

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

### 25. Cardiopulmonary resuscitation is primarily indicated in which arrhythmia?

Continuing with the case-based multiple-choice questions:

‫والفضل نأملُ ُه‬

‫نشكو إليك هُمومًا أنت تعلمُها‬

‫فاكشفْ بفضلك يا ربّاهُ ُكربتنا‬

### 31. Which of the following arrhythmias is characterized by an irregularly irregular

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### 37. In Brugada syndrome, the ECG typically shows:

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1. What is the first step in managing a patient with arrhythmia?

2. Which question is NOT part of the arrhythmia assessment?

3. For unstable arrhythmias, what is the immediate intervention?

4. In arrhythmias, what is the priority in stable patients?

5. Which of the following arrhythmias requires immediate defibrillation?

15. Which arrhythmia is characterized by narrow complex tachycardia?

16. What is the treatment for Torsades de Pointes?

21. Wolff-Parkinson-White syndrome is characterized by which type of ECG finding?

23. Brugada syndrome is associated with which type of arrhythmia?

24. The characteristic ECG finding in Brugada syndrome is: