EKG Practice Test 1 - Learn & Master ACLS/PALS

EKG Practice Test 1 - Learn & Master ACLS/PALS

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Rick S says

February 9, 2025 at 12:41 pm

Also for #9, while I do see how this could be mobitz type II, to ensure this was an accurate identification, a longer strip would be needed. Although the PR interval does increase, one could easily argue this was complete/3rd degree as well. While the first and second QRS complex do have an increase in PR interval, it could easily be argued that the P-P interval without accompanying QRS complexes are consistent, the P wave may be buried in the 3rd QRS complex. I am not saying that this is not an example of mobitz type II, don’t get me wrong. However, every ACLS course I have ever attended has the classical demonstration of longer longer longer drop, where this is ~ regular PR to VERY increased PR then a “drop” followed by a QRS without a discernible P wave. So nit picking, and I do appreciate the practice quiz for free. But I do believe a better example could be provided, as again without a longer lead this is debatable.

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Rick S says

February 9, 2025 at 12:29 pm

For # 12, while agreed it should be treated as v-fib, in the ten sessions of ACLS I have experienced, this question would typically not be “Identify the rhythm” without context, more like how would you treat this. If it were to say with a pulse, or without a pulse, this would be different, although the examples of PEA given in ACLS typically look as though they are NSR without a pulse, this (in my opinion) would be a better substitute.

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