1.

A 12 year old female complaint of frequent palpitation

recently. What does this ECG show?

a.
b.
c.
d.
e.

Atrioventricular Reentrant tachycardia

Normal sinus rhythm
WPW syndrome
Incomplete left bundle branch block
None of the above

2. What is the natural history of this kind of disease, EXCEPT

a. Orthodromic AVRT is most common tachycardia
b. Antidromic AVRT could occurred with antegrade
conduction through AV node
c. More frequent tachycardia episodes by increasing age
d. Sudden cardiac death can occurred
e. More frequent in male
3. Below are the appropriate treatments for the above disease,
EXCEPT
a. Catheter ablation
b. Give beta blocker for control heart rate
c. Calcium channel blocker can be given IV during
tachycardia
d. Amiodarone is not a drug of choice
e. Adenosine IV is given to terminate the tachycardia
4. A 5-year-old male is unresponsive and without a pulse. Highquality CPR is being performed. The patient is intubated and
IV access is obtained. The cardiac rhythm is asystole. Of the
following treatment options, what is the first recommended
intervention?
a. Atopine 0.02 mg/kg IV.
b. Dopamine 2 to 5 mcg/kg/min IV.

c. Synchronized cardioversion at 0.5 j/kg.

d. Epinephrine 0.01 mg/kg (0.1 mL/kg of 1:10,000
dilution) IV.
e. None of the above
5. Which of the following statements represents the PALS
recommendation for the use of magnesium sulfate in the
treatment of a patient in cardiac arrest?
a. It is indicated for VF refractory to multiple defibrillations,
amiodarone and lidocaine.
b. It is indicated for unstable supraventricular for tachycardia.
c. It is indicated for torsades de pointes and VF/pulseless
VT associated with or without hypomagnesemia.
d. It is routinely indicated for monomorphic VT.
e. None of the above
6. Common cause of cardiopulmonary arrest in children are, EXCEPT
:
a. Burns
b. Bronchospasm
c. Atrial Septal Defect
d. Drowning
e. Dysrhythmia
7. Which of the below statement is TRUE about Atrioventricular
Nodal Reentry Tachycardia:
a. Has an accessory pathway for retrograde conduction
b. Atrioventricular connection through fascicle from fasicularventricular
c. Could not be terminated with Adenosine injection
d. Has slow pathway as the circle of reentry
e. None of the above
8. The ECG of Atrioventricular Nodal Reentry Tachycardia are below,
EXCEPT
a. Heart rate between 150-220 bpm
b. Pseudo-R in lead V5
c. Pseudo S in inferior lead
d. very short RP interval (less than 100 ms)
e. No retrograde P is seen
9. The below medications can be used to terminate tachycardia
with reentry mechanism, EXCEPT
a. Propanolol
b. Amiodarone
c. Adenosine
d. Verapamil
e. Diltiazem

10. These are the variant type of supraventricular tachycardia,

EXCEPT
a. Junctional Tachycardia
b. Atrial flutter
c. Atrioventricular nodal reentrant tachycardia
d. Atrioventricular reciprocation tachycardia
e. Bundle branch reentry tachycardia
11. The most common type of sustained/non sustained ventricular
tachycardia in pediatric population is :
a. Idiopathic left ventricular VT
b. Outflow tract VT
c. Inflow tract VT
d. Bundle branch reentry VT
e. Ischemic VT
12. Below is the common mechanism of tachycardia, EXCEPT :
a. Reentry mechanism
b. Focal automaticity
c. Trigger activity
d. Micro/macro reentry
e. Complex fractionated electrogram
13. Below are the TRUE statement about Accelerated
Idioventricular rhythm, EXCEPT :
a. VT rhythm with 10-15% faster than expected sinus rhythm
b. Due to enhanced automaticity of myocardium or HisPurkinje fibers
c. Typically benign
d. Commonly not spontaneous resolution
e. More frequent present in newborn and infant
14. Monomorphic VT from right ventricular outflow tract is
responded to below medication, EXCEPT :
a. beta blocker
b. verapamil
c. adenosine
d. dihydropiridine calcium channel blocker
e. None of the above
15. Below are the TRUE statement about Intrafascicular reentrant
tachycardia, EXCEPT :
a. known as fascicular VT or idiopathic left ventricular VT
b. account for 10-15% of idiopathic ventricular VT
c. the common ECG features are LBBB
d. The tachycardia mechanism is reentry
e. It is more common in male