2 Flashcards
Which chamber of the heart receives deoxygenated blood from the bodys circulation
Right Atrium
Paroxysmal Supraventricular tachycardia is typically caused by
Overexcitement
which cardiac stress test method increases the speed and incline every three minutes
Bruce Protocol
the collection of electrical conducting cells that innervate the ventricles are called
Purkinje system
what typically happens to the rhythm after a pause in sinus arrest occurs
Escape
depolarization of the atrial myocardial cells result in
contraction of the atria
which is the correct method attaching the leads to the electrodes
connect the snap wire to the electrode before application
which of the following is the group pacemaker cells responsible for firing an action potential
Sinoatrial node
which of the following is true regarding microshock
the shock is caused by a damaged or frayed cord
which of the following is true regarding junctional bradycardia
treatment is immediate trancutaneous pacing
systole can be broken down into four phases. during which phase do the ventricles contract while the semilunar valves remain closed
isovolumetric contraction
there are three types of EKG leads. which type of leads are placed on the limbs, and contain only one positve pole
augmented leads
which of the following is the appropriate method of ventilating an unresponsive patient with an advanced airway
deliver one breath every six seconds
which of the following is true regarding sinus block
P waves are not affected
before mounting a completed EKG, what information should be written on the strip
Date,time, providers’s name special circumstances
which of the following statment is true regarding atrial fibrillation
if p waves are present, the rhythm is not atrial fibrillation
There are 5 types of arrhyhmias. which type causes the electrical current to bypass the normal conduction pathways by directing them to shortcuts
preexcitation syndrome
a 70 year old male comes to the emergency department with chest pain. As you prepare to place the electrodes for a 12 lead EKG, he askes how much pain will the EKG will cause him. What would you tell the patient
obtaining an EKG is a painless procedure
which of the following is not a criterion for an arrhythmia
Narrow qrs complexes
what is the single most important task to prevent the spread of pathogens
washing your hands
what type of rhythm is atrial fibrillation
irregular
which of the following is true concerning bipolar leads
the right arm is always negative
all of the following are normal findings in an infant patient except
a heart rate less than 100
which of the following is the group of pacemakers cells responsible for firing an action potential
Sinoatrial node SA
what great vessel sends oxygentated blood from the heart to the systemic circulation of the body
Aorta
which of the following term refers to dilation of a chamber of the heart
enlargment
where should the technician place the EKG strip after teh test is finished
in the patients medical record
you examine the EKG machine and after turning it on recieve an error message on the screen. what is the next best action.
call your facility’s biomedical engineering
which of the following is not normal symptom during the stress test
a drop in blood pressure
which of the following is true regarding electrocardiography
an upward QRS complex occurs when an electrical impulse travels towards a positive electrode
which of the following is true regarding ventricular rhythms
The p wave is lost in the abundance of wide QRS complexes
which of the following is an appropriate way to interact with patients during an exam
reassure the patient that this is a safe procedure
which heart valve is located between the aorta and the left ventricle
aortic valve
which of following is not an acceptable method of filing a HIPAA complaint
phone
which layer of the heart contains the coronary arteries
epicardium
which of the following statement is true regarding premature atrial complex
the premature p wave may or may not be followed by a QRS complex
what length of time do the five block oulined in the image represent
1 second the
broken recordings, a type of artifact,is caused by
a broken wire
what is the ratio chest compression of to breaths when performing two rescue cpr on an unconscious adult
30:2
which of the following statments best describes an action potential
spontaneous depolarization results in a wave of new action potentials
which of the following is true concerning J point elevaton
The EKG will return to baseline with exercise
what important ion is released into the myocardial cells to cause heart muscle contraction
calcium
which great vessel returns oxygenated blood from the lungs back to the heart
pulmonary vein
you prepare to place electrodes on a 55 year old female for a 12 lead EKG when she asks about risks associated with the test. what is your response
possible skin irritation from the adhesive
on a 3 lead EKG, which lead is the most reliable when identifying an artifact
lead V1
where is lead AVL located
Left arm
which of the following is true regarding P wave asystole
only the sinus node is firing
which of the following is true about the HIPPA privacy rule
the HIPPA privacy rule extends to protected health information in all form of medial, including paper, electronic, and oral
Somatic tremor, a type of artifact, can be caused by
a patient having tremors
which of the following lead placement is correct on a fie lead EKG
brown leads to chest
according to the national heart, lung and blood institute, of teh national insitute of health, which value is definition of high blood pressure
sytolic pressure of 140 mmhg or greater
you are an EKG tech who is working at the front desk during the night shift. A man comes up to the desk, frantic. He says that he is the uncle of a patients on your floor and would like an update regarding her condition. what is your response
verify the persons identity with the patient or the nurse before you disclose any information
systole can be broken down into four phases. During which phase do the ventricles contract while the semilunar valves remain closed
isovolumetric contraction
which great vessel returns deoxygenated blood to the right atrium from the upper body
superior vena cava
identify the correct sequence of numbers used in the memory method to determine the heart rate
300-150-100-75-60-50-43-37-30
select the correct path of blood flow through the human body
aorta-arteries-arterioles-capillary bed-venules-veins-vena cava
which of the following can cause a 60 cycle interference artifact
a patient using his smartphone
what is a serious adverse effect of prolonged atrial fibrillation
blood clots
when should the cardiac stress test be concluded
when the patient experiences fatigue
the six precordial leads ( leads v1-v6) are arranged across the chest along a horizontal plane. where is lead v2 placed
fourth intercostal space, left sternal border
what type of rhythm is atrial fibrilation
irregular
during disatole, artia slightly contract to squeeze its remaining amount of blood in the ventricles. what is this phase called
Atrial kick
which heart valve is located between the left atrium and left ventricle
mitral valve
which method of calculating heart rate on an ekg strip is considered the fastest.
the memory method
which great vessel returns deoxygenated blood to the heart from the lower body
inferior vena cava
which of the following is the correct way to place holter monitor leads
clipping a male patients chest hair to allow the electrodes to adhere properly
what represents atrial enlargment on an ekg strip
prolonged p wave
which of the following is not done prior to the stress test
an ergometer is applied to the patients upper arm
which of the following is true regarding accelerate junctional rhythms
the heart rate is usually between 60 and 100 beats per minute
when applying electrodes to a patient for holter monitoring, where do you place the white (RA) lead
directly below the clavicle and near the right shoulder
which of the following is true regarding ventricular fibrillation
its an irregular rhythm
you are taking vitals on a one month old female and find that her heart rate is 160. based on your knowledge of pediatric cardiac function, what do you do
document as a normal finding
there are five types of arrhythmias. the type that causes normal sinus rhythm to become too fast or too slow is called
arrhythmias of sinus origin
during continous monitoring, what does MCL1 access cor
WIde QRS complexes
which of the following is indicated as a treatment for atrial fibrilation lasting greater than 48 hours
IV heparin
which of the following temperatures would be expected in a hypothermic patient
94.8 f
which of the following is the appropriate measure for storing gel electrodes
place the electrodes in a resealable plastic bag
Electrical waves are sent from the SA node to the AV node, where conduction slows down. the reason for this pause in conduction is:
to allow time for the atria to contract completly before ventricular contraction
which of the following is true regarding sinus arrhythmia
its rate usually varies with the patients breathing pattern
the HIPAA privacy rule includes business associtates as entitlies that are required to comply with the privacy rue. which of the following is not a example of a business associate
a third party construction team hired to renovate a clinic
what is the providers correct response when a patient requests a copy of her medical records.
to contact the medical records deparment
which stress test method would be appropriate for a 75 year old male who recently recovered from a hip fracture
an iv infusion of dobutamine
an increase in muscle mass is called
hypertrophy
which of the following is true regarding torasdes de pointes
a prolonged QT interval is present
you are performing a cardiac stress test on a 51 year old male with a history of stable angina. which of the following would demonstrate a positive stress test
St segment elevation
systole can be broken down into four phases. During which phase does the pressure between the ventricles and pulmonary artery/aorta become equal
protodiastole
in what scenario can a provider open the medical record of a patient seen by one of his associates
if the provider becomes a part of the treatment team
which is an important first step before performing an EKG on a patient
explain the procedure to the patient
The way to distinguish Torsade de Pointes from ventricular tachycardia is
The QRS complexes in torsade de pointes vary in axis and amplitude
on an EKG strip, what is counted to determine a patients heart rate
the number of QRS complexes
on the EKG, what does the QRS interval measure
The duration of ventricular depolarization
which leads are involved with forming the triaxial diagram
leads I,II, III
in which of the following scenarios would you terminate a stress test
patient states that he wishes to stop test
which pair of leads are simultaneously recorded in the holter monitor
Leads V1 and II
which of the following is not appropriate care of EKG equipment
Cover all frayed broken wires with electrical tape to prevent electrical injuries
which of the following is true regarding junctional tachycardia
if there are no visible p waves, it is considered supraventricular tachycardia
Which of the following AV blocks forces the lower pacemaker of the heart( the ventricles) to assume control of conduction
Third degree AV Block
which of the following is included in the rules of mailgnancy for PVC
Runs of consecutive PVC
which characteristic of cardiac cells is mechanical
contractility
what is the indicated treatment for frequent sinus block rhythms
a cardiac pacemaker
which of the following leads are considered the anterior leads
V2,V3,V4
which of the following is not measured by pulse rate
Blood pressure
What are two consecutive PVCs called
Couplets
which of the following is considered an abnormal vital sign
SPO2 of 88%