Lead 1 picks up from
right arm to left arm, RA TO LA (BOTH ARMS)
LEAD 2 PICKS UP FROM
RIGHT ARM TO LEFT LEG, RA TO LL
LEAD 3 PICKS UP FROM
LEFT ARM TO LEFT LEG, LA TO LL
AVR PICKS UP FROM
THE CENTER OF THE HEART TO THE RIGHT ARM, C TO RA
AVL PICKS UP FROM
THE CENTER OF THE HEART TO LEFT ARM C TO LA
AVF PICKS UP FROM
CENTER OF THE HEART TO LEFT LEG, C TO LL
V1 PICKS UP FROM
THE 4TH INTERCOSTAL SPACE, RIGHT SIDE OF THE STERNUM
V2 PICKS UP FROM
THE 4TH INTERCOSTAL, LEFT SIDE OF THE STERNUM
V3 PICKS UP FROM
THE MIDPOINT BETWEEN V2 AND V4
V4 PICKS UP FROM
THE 5TH INTERCOSTAL SPACE, LEFT SIDE, MID CLAVICULAR LINE
V5 IS AT
THE 5TH INTERCOSTAL SPACE, LEFT SIDE, ANTERIOR AXILLARY LINE
V6 PICKS UP FROM
THE 5TH INTERCOSTAL SPACE, LEFT SIDE, MID ""AXILLARY LINE
IF R TO R IS 37MM, RATE IS
40 PER MIN. 1500 DIVIDED BY 37
IF THE LEFT LEG IS AMPUTATED
LOWER ELECTRODES SHOULD BE ON THE UPPER ABDOMEN
STRESS TEST SHOULD BE STOPPED WHEN A PATIENT
EXPERIENCES MILD FATIGUE
QT STARTS FROM
THE BEGINNING OF QRS TO THE END OF THE T
WHEN LIMB LEADS ARE REVERSED
QRS AND AVR MAY BE POSITIVE
HEART RATE CAN BE DETERMINED BY
DIVIDING 300 BY THE NUMBER OF BIG SQUARES BETWEEN R WAVES
A CHANGE IN HEART RHYTHM
IS NOT A REASON TO STOP A STRESS TEST
ON AN EKG A JUNCTIONAL RHYTHM WILL HAVE INVERTED
P WAVES
IN A STANDARD EKG TELEMETRY(HOLTER), HOW MANY ELECTRODES ARE PLACED ON THE PATIENT
5
WHEN USING AN AUTOMATED EXTERNAL DEFIBRILLATOR (AED) THE FIRST STEP IS TO
APPLY ELECTRODES TO THE CHEST
A PR OF 0.16 SEC INDICATES
NORMAL SINUS RHYTHM
IN PREPARATION FOR A HOLTER MONITOR OR A STRESS TEST YOU DRY SHAVE THE CHEST BEFORE
PLACING ELECTRODES
TO RECORD AN EKG ON A PATIENT WITH DEXTROCARDIA YOU SHOULD
REPOSITION MODIFIED CHEST LEADS
A PROLONGED QRS SIGNIFES
VENTRICULAR ARRHYTHMIA (PVC'S) & BUNDLE BRANCH BLOCK
10 QRS COMPLEXES IN A SIX SECOND PERIOD INDICATES
HEART RATE OF 100
ONE MINUTED EQUALS
1500 MM OF EKG PAPER
A BETA BLOCKER MEDICATION IS CONTRAINDICATED IN TAKING
A STRESS TEST
IF A PATIENT GOES INTO VENTRICULAR FIBRILLATION DURING AN EKG, APPLY
A DEFIBRILLATOR
SECOND DEGREE AV BLOCK SHOWS A
PROGRESSIVELY PROLONGED PR INTERVAL
WHEN A PATIEN HAS A LEFT ARM AMPUTATION
THE LA ELECTRODE SHOULD BE PLACED AT THE SUPERIOR SUPRASTERNAL NOTCH
IF A PATIENT WITH SHORTNESS OF BREATH NEEDS AN EKG, WHAT SHOULD YOU DO
PLACE THE PATIENT IN SMI-FOWLER'S POSITION
ON AN EKG MACHINE, WHAT CONTROLS THE AMPLITUDE OF THE WAVES
THE SENSITIVITY OR GAIN
WHAT SHOULD YOU DO IF A PATIENT SUFFERS FROM SOMATIC TREMOR THAT INTERFERES WITH THE EKG TRACING
COVER THE PATIENT WITH A BLANKET
IF THE PATIENT LOSES CONSCIOUSNESS DURING AN EKG TRACING, YOU SHOULD
CALL THE PRACTITIONER
THE NORMAL CALIBRATION BEFORE EACH LEAD IN AN EKG TRACING IS
2 LARGE BOXES
ON AN EKG A U WAVE MAY OCCASIONALLY BE SEEN
AFTER THE T WAVE
ON AN EKG A SEGMENT IS
A LINE BETWEEN WAVES
AN AV JUNCTION RATE IS APPROXIMATELY
40-60
THE HEARTS PACEMAKERS THAT GENERATES IMPULSES HAS THE PROPERTY OF
AUTOMATICITY
WHEN LEADS I AND AVL SHOW A BROKEN TRACING YOU SHOULD
CHECK THE LEFT ARM ELECTRODE
AN INDICATION TO DEFIBRILLATE A PATIENT IN ATRIAL FIBRILLATION WOULD BE
ANGINA
ATRIAL FLUTTER SHOWS
SAW TOOTH WAVES BETWEEN THE QRS'S
WHEN APPLYING A TELEMETRY PACK
APPLY THE ELCTRODES ON THE ANTERIOR THORACIC REGION
TELEMETRY IS
CONTIONOUS MONITORING OF A PATIENTS HEART RHYTHM IN A HOSPITAL
IF THE QRS COMPLEX IS LESS THAN THREE SMALL BOXES
THIS IS NORMAL
ELECTRODES CAN ALSO BE CALLED
SENSORS
WHEN USING HOLTER MONITOR, ELECTRODES FROM TWO DIFFERENT MANUFACTURERS
SHOULD NOT BE USED ON THE SAME PATIENT
THE LIMB LEAD I IS
RA TO LA
WHAT IS THE FIRST WAVE IN THE CARDIAC CYCLE
P WAVE
IF A PATIENT GOES IN TO VENTRICULAR FIBRILLATION, WHAT SHOULD YOU DO
APPLY AN AUTOMATED EXTERNAL DEFIBRILLATOR (AED)
A HEART MURMUR IS MOST OFTEN DUE TO
STRUCTURAL PROBLEM SUCH AS DAMAGED VALVE
THE GROUP OF LEADS IN A 3 LEAD EKG ARE
I, II, III
LEADS I, II AND III ARE ALSO CALLED THE
STANDARD LEADS
TO IDENTIFY VENTRICULAR ARRYTHMIAS, YOU SHOULD
FOCUS ON THE QRS BECAUSE A VENTRICULAR ARRHYTHMIA WILL PRODUCE ABNORMAL QRS
IN PROPER LEAD WIRE CONNECTION, AVR HAS
NEGATIVE QRS DEFLECTION
THE ANGLE OF LOUIS PROVIDES LOCATION OF
THE 2ND INTERCOSTAL SPACE
WHEN THE RED LINE APPEARS ON THE EKG PAPER
YOU SHOULD LOAD NEW EKG PAPER
JUNCTIONAL RHYTHM HAS
INVERTED OR ABSENT P WAVE
WHEN PLACING ELECTRODES FOR A HOLTER MONITOR YOU SHOULD
CONSULT THE MANUFACTURER'S GUIDE
A HEART RATE OF 46 PER MINUTE IS CONSIDERED
BRADYCARDIA
THE BUNDLE BRANCHES CONDUCT IMPULSES TO THE
PURKINJE FIBERS
A WAVE PLUS A SEGMENT IS CLASSIFIED AS AN
INTERVAL
A PATIENT UNDERSTANDS THE PROCEDURE WHEN HE KNOWS
HE SHOULD NOT SHOWER WHILE WEARING A HOLTER MONITOR
THE QRS IS
VENTRICULAR DEPOLARIZATION
ON A 5 LEAD HOLTER MONITORING, THE BLACK LEAD IS LOCATED
ON THE LEFT SIDE, V4/V5 AREA, CENTERED OVER THE RIB
THE T WAVE REPRESENTS
VENTRICULAR REPOLARIZATION
THE VERTICAL AXIS OF THE EKG MEASURES
VOLTAGE, AMPLITUDE
THE Q WAVE IS THE
FIRST NEGATIVE WAVE DEFLECTION AFTER THE P WAVE
AMPLITUDE OF SMALL WAVES CAN BE AMPLIFIED BY
INCREASING SENSITIVITY OR GAIN
THE PR INTERVAL STARTS FROM
THE BEGININNG OF ATRIAL DEPOLARIZATION TO THE BEGINNING OF VENTRICULAR DEPOLARIZATION
IF THE PATIENTS HAS AN EXTREME TACHYCARDIA, YOU CAN
INCREASE THE PAPER SPEED
WHICH OF THE FOLLOWING DOESNT REPRESENT THE RIGHT LEG ELECTRODE IS USED FOR
A STANDARD LEAD
THE P WAVE REPRESENTS
ATRIAL DEPOLARIZATION
IF THE ELECTRODES ARE DRIED OUT
THE BASELINE MAY WANDER
THE NORMAL HOLTER MONITOR ELECTRODES INCLUDE
5 ELECTRODES IN TOTAL, ON THE ANTERIOR TRUNK OF THE BODY
THE MYOCARDIUM IS
THE LAYER OF THE HEART THAT PRODUCES CONTRACTION
THE EKG TECHNICIAN MAY TELL A PATIENT FOR TELEMETRY THAT THEY CAN
GO HOME WITH THE MONITOR
IF THE PATIENT IS SLEEPING
IT WILL NOT INTERFERE WITH THE EKG
THE LEFT ATRIUM RECEIVES
OXYGENATED BLOOD FROM THE PULMONARY VEINS
THE STANDARDIZATION BUTTON IS USE TO
CHECK THE CALIBRATION OF THE EKG MACHINE
IF THE QRS IS MORE THAN 0.12 SECONDS, THIS MAY MEAN
BUNDLE BRANCH BLOCK
THE PERICARDIUM IS
THE PROTECTIVE SAC OF THE HEART
THE EKG RECORDS THE HEARTS
ELECTRICAL ACTIVITY
TO HONOR A PATIENTS CONFIDENTIALITY
AN EKG TECHNICIAN MAY REQUEST ANOTHER EKG TECHNICIAN TO TRANSLATE FOR A SPANISH SPEAKING PATIENT
IN SECOND DEGREE AV BLOCK TYPE 1
THE PR INTERVAL BECOMES PROGRESSIVELY PROLONGED UNTIL A QRS IS DROPPED
A PATIENT WITH PARKINSONS WILL LIKELY SHOW
SOMATIC TREMOR ON THE TRACINGS
AN ELECTRICAL EVENT IN THE HEART RESULTS IN
CONTRACTION/DEPOLARIZATION OF THE HEART CHAMBER
IF THE PATIENTS BREASTS ARE VERY LARGE
HAVE THE PATIENT LIFE THE BREAST AND PLACE THE ELECTRODES UNDER
STANDARD GAIN OR SENSITIVTY IS
10MM/MV
A HEART RATE OF 110 PER MINUTE IS
TACHYCARDIA
IF A FAMILTY MEMBER ASKS FOR AN EKG COPY
STATE THAT IT IS CONFIDENTIAL INFORMATION AND CONUSLT THE PHYSCIAN
A PATIENTS IS 10 MINUTES INTO A STRESS TEST AND IS ASYMPTOMATIC YOU SHOULD
CONTINUE WITH THE STRESS TEST
MITRAL STENOSIS IS
NARROWING OF THE VALVE BETWEEN THE LEFT ATRIUM AND LEFT VENTRICLE
THE NORMAL PR INTERVAL IS
BETWEEN 0.12 AND 0.20 SECONDS IN NORMAL SINUS RHYTHM
A WOMAN HAS HAD A LEFT SIDED MASTECTOMY, YOU SHOULD
PLACE V2 THROUGH V6 ON THE LEFT SIDE OF THE CHEST
IN NORMAL SINUS RHYTHM, THE P WAVE SHOULD BE
UPRIGHT IN LEAD II
IN A 12 LEAD EKG THERE ARE
10 ELECTRODES
THE AV NODE ALLOWS
THE ATRIA TO COMPLETE THEIR CONTRACTION
THE HEAT'S APEX POINTS
DOWNWARD TO THE LEFT
IF A PATIENT LOSES CONSCIOUSNESS DURING AN EKG
CALL THE LICENSED PRACTITIONER
THE S WAVE IS
THE NEGATIVE WAVE AFTER THE R WAVE
THE Q WAVE IS ALWAYS
NEGATIVE
THE SA IS THE HEART
PRIMARY PACEMAKER
CARDIAC OUTPUT IS
THE AMOUNT OF BLOOD PUMPED BY THE HEART PER MINUTE
SYSTOLIC PHASE OF THE HEART REPRESENTS
CONTRACTION
DIASTOLIC PHASE OF THE HEART REPRESENTS
RELAXATION
WHAT DOES THE EKG RECORD
CONDUCTION OF THE HEART
WHAT ARE 4 UNIQUE QUALITIES OF CARDIAC CELLS
AUTOMATICITY, CONDUCTIVITY, EXCITABILITY, CONTRACTILITY
WHAT IS MYOCARDIAL INFARCTION
HEART ATTACK
THE LAST ELECTRICAL IMPULSE RECORDED ON AN ECG DURING A NORMAL CARDIAC CYCLE IS
T-WAVE
WHO ASSIGNED THE LETTERS PQRS TO THE ECG WAVES
EINTHOVEN
IF R-R IS 5 LARGE SQUARES WHAT IS THE HEART RATE
300/5=60
SWEAT AND LOTION ON A PT.S SKIN CAN CAUSE WHAT KIND OF ARTIFACT
WANDERING BASELINE
A PT, IS COMPLAINING BEING TOO TIRED TO CONTINUE A STRESS TEST IS THIS A REASON TO STOP
NO
THE EKG RECORDS
ELECTRICAL CONDUCTIVITY OF THE HEART
THE DEFINTION OF "VENTRICULAR DEPOLARIZATION" AS ASSOCIATED WITH EKG IS
QRS COMPLEX
WHICH PART OF THE CONDUCTION SYSTEM IS AT THE INTRAVENTRICULAR SEPTUM AND CONDUCTS IMPULSES TO THE PURKINJE FIBERS
BUNDLE BRANCHES
THE PRIMARY PACEMAKER OF THE HEART IS THE
SA NODE
A MURMUR IS AN ABNORMAL HEART SOUND THAT MAY INDICATE
VALVE PROBLEMS
CARDIAC OUTPUT IS
AMOUNT OF BLOOD PUMPED BY VENTRICLE IN 1 MIN
YOU ARE DOING AN EKG ON A PT. THAT STARTS TO C/O CHEST PAIN AND YOU SEE ABNORMAL BEATS ON THE TRACING WHAT SHOULD YOU DO
CALMY GET THE DOCTOR
WHAT WOULD YOU DO IF A PATIENT COMPLAINS OF CHEST TIGHTNESS WITH A NORMAL EKG RHYTHM
CONTINUE THE PROCEDURE
ON AN EKG 60 CYCLE INTERFERENCE IS CAUSED BY
ELECTRICITY
WHICH LIMB IS THE GROUND ON AN ECG
RIGHT LEG
ST SEGMENT ELEVATION SHOWN ON AN EKG (ECG) IS ASSOCIATED WITH A
MYOCARDIAL INFARCTION
IF A PT. IS HAVING AN EKG (ECG) AND IS DIAPHORETIC, THE CCMA SHOULD APPLY
CONDUCTION GEL
WHEN A PATIENT HAVE A HOLTER MONITOR, THEY SHOULD AVOID WEARING
JEWELRY
20 SMALL BOXES BETWEEN THE R'S ON AN EKG STRIP WOULD EQUAL THE RATE OF
75
A CCMA IS PREPARING TO PERFORM AN EKG ON A 3 YEAR OLD PATIENT. WHICH OF THE FOLLOWING IS AN APPROPRIATE ACTION FOR THE CCMA TO TAKE BEFORE THE PROCEDURE
TELL THE CHILD THAT THE PROCEDURE WONT HURT
WHICH OF THE FOLLOWING INDICATES AN UPSHIFT AND DOWNSHIFT OF AN EKG BASELINE
WANDERING BASELINE
WHICH OF THE FOLLOWING WAVES SHOULD A CCMA USE TO DETERMINE THE REGULARITY OF VENTRICULAR DEPOLARIZATION
R
WHICH OF THE FOLLOWING TECHNIQUES SHOULD THE CCMA USE FOR ROUTINE CLEANING OF EKG CABLES
DISINFECT
A CCMA IS MEASURING THE INTERVALS ON AN EKG TRACING. WHICH OF THE FOLLOWING IS AN ANTICIPATED FINDING OF IMPAIRED CONDUCTION THROUGH AV NODE
PROLONGED PR INTERVAL
WHICH OF THE FOLLOWING LEAD GROUPS REPRESENTS EINTHOVENS TRAINGLE
LEADS I II III
A PATIENT IS RESTRICTED FROM DOING WHICH OF THE FOLLOWING WHILE WEARING A HOLTER MONITOR
SHOWER
OUT OF THE FOLLOWING ARTIFACTS WHICH OF THE FOLLOWING ARE CAUSED BY A SERIOUS OF UNIFORM SMALL SPIKES ON THE EKG STRIP
AC INTERFERENCE
FOR A 12 LEAD EKG, WHICH OF THE FOLLOWING IS THE CORRECT PLACEMENT FOR THE FOURTH PRECORDIAL ELECTRODE(V4)
AT THE FIFTH INTERCOSTAL SPACE, LEFT '''MID-CLAVICULAR LINE'''
A CCMA IS PREPARING A PATIENT FOR A 12 LEADS EKG. WHICH OF THE FOLLOWING IS THE CORRECT PLACEMENT FOR V6
THE 5TH INTERCOSTAL SPACE AT THE LEFT MID-CLAVICULAR LINE
WHAT IS THE NORMAL SPEED OF AN EKG TRACING
10 MM/MIN
WHICH OF THE FOLLOWING METHODS FOR CALCULATING A PATIENTS HEART RATE FROM THE EKG IS CORRECT
DIVIDE 1,500 BY THE NUMBER OF SMALL BOXES BETWEEN TWO R WAVES
PATIENTS ARE RESTRICTED FROM DOING WHICH OF THE FOLLOWING WHILE WEARING A HOLTER MONITOR
TAKING A SHOWER
A SHIFT IN THE BASE LINE OF AN EKG TRACING IS AN INDICATION OF WHICH OF THE FOLLOWING TYPES OF TREMORS
WONDERING BASELINE