---

Welcome to the 3 Step Practice Quiz!

To track your results over time, create a free SkillStat account and take the quiz while logged in.

As an added bonus, you can easily find and access a number of other freely accessible resources from your SkillStat Dashboard.

This "quiz" is set up as an opportunity to practice the basics of the 3 Step Method to identify where the rhythm originates from. To keep it simple, we've kept it to 3 possible answers, the SA Node, Junction, and the Ventricles.

The Second ECG Quick Steps basics are:

1. HEART RATE - Too fast? Too slow? GO!!

2. QRS - Narrow (supraventricular) or Wide (ventricular)?

3. P’s – P waves and Pattern

P waves?
Upright P wave = SA origin
Biphasic P wave = Atrial origin
Inverted or absent P wave = Junctional origin

NOTABLE EXCEPTION
• wide QRS complexes consistently preceded by P waves likely form a supraventricular rhythm with aberrant ventricular conduction i.e. bundle branch block

We hope you find this valuable!

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---

---