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What is the rate on the rhythm strip in the image below?

C:\Users\USER\AppData\Local\Microsoft\Windows\INetCache\Content.MSO\F88374E1.tmp

A.

90

B.

110

C.

73

D.

50

Answer and Explanation

The Correct Answer is A

A. To determine the heart rate from a rhythm strip, you can count the number of R-R intervals in a set time frame (typically 6 seconds) and multiply by 10 to convert to beats per minute. If the rhythm is regular, you can also use the 300 method by dividing 300 by the number of large squares between R waves. In this case, the rate is calculated to be 90 beats per minute.

 

B. A heart rate of 110 beats per minute would be classified as tachycardia and is not supported by the observed intervals.


C. A heart rate of 73 beats per minute would be a normal resting heart rate but does not match the calculation from the rhythm strip.


D. A heart rate of 50 beats per minute would indicate bradycardia, which is not reflected in this rhythm strip.


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Correct Answer is D

Explanation

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C. Tenderness in the soles of the feet is not a classic early manifestation of RA.

D. Joint swelling is one of the hallmark early signs of rheumatoid arthritis due to inflammation of the synovial membranes.

Correct Answer is A

Explanation

A. Wheezes are continuous high-pitched sounds that occur during expiration (or sometimes inspiration) and are common in conditions like asthma due to narrowed airways.

B. Crackles are discontinuous sounds often described as popping or crackling and are not typically high-pitched.

C. Rhonchi are low-pitched, snoring-like sounds caused by the obstruction of larger airways and are not characterized as high-pitched.

D. Stridor is a high-pitched sound usually associated with upper airway obstruction and is not typically heard with asthma.

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