ECG

Question 1

which heart sound is heard in early diastole

Answer 1

S3

Question 2

which heart sound is heard in late diastole

Answer 2

S4

Question 3

S3 heart sounds are associated with what diagnosis

Answer 3

CHF

can be seen with athletes and pregnant woman

aka ventricular gallop

(

Question 4

what is associated with s4 heart sounds (diagnosis)

Answer 4

HTN
pulmonary HTN
MI
L ventricular hypertrophy
L ventricular end diastolic pressure
pulmonary stensis

Question 5

P waves means what

Answer 5

atrial depolarization

Question 6

QRS complex means what

Answer 6

ventricular depolariztion and atrial repolariztion

Question 7

T waves means what

Answer 7

ventricular repolariztion

Question 8

When would you call 911 when working with a patient

regardining cardiovascular

Answer 8

3rd degree AV block
more than 2-4 couplets/min
3+ PVC in a row
V tach
V fib
ST depression > 2mm
ST elevation > 1mm
multifocal PVC

Question 9

1st degee AV block

Answer 9

PR interval is greater than 1 large box (>0.2 sec)

seen in athletes with increased vagal tone (activity)

generally wont progress, benign condition

Question 10

2nd degree block, type 1

Answer 10

PR interval is increasingly getting larger and a drop occurs.

Question 11

when do you stop an exercise and refer (not immediate)

Answer 11

1 couplet (2 consequative PVCs together with no normal beat between them)
2 degree block type 2
A Fib
symptomatic A flutter

Question 12

2nd degree block, type 2

Answer 12

PR intervals are constant and a QRS is dropped
unexpected
no pattern

Question 13

3rd degree AV block

Answer 13

no symmetry/relationship
the atrial rate is independent of ventricular rate

emergency

Question 14

what to do if you notive a first degree AV block

exercise wise

Answer 14

continue exercise

Question 15

what do you do when you notice a 2nd degree block, type 1 during exercise

Answer 15

monitor and continue with lower intensity

Question 16

what do you do when you notice a 2nd degree block, type 2 during exercise

Answer 16

stop exercise

Question 17

what do you do when you notice a 3nd degree block during exercise

Answer 17

stop immediatelt and activate emergency

Question 18

compare R v L side HF symptoms

Answer 18

R: peripheral edema
L: respiration symptoms

think about the circulatory system. the R side receives from the body. if there is something wrong with the heart, than there is pooling in the extremeties becasue they have no where to go.

with L side HF, fluid gets stuck in the heart which will show as SOB, couching, respiratory symptoms

Question 19

what occurs to the ST segment if it is depressed? elevated?

Answer 19

depression >2mm = ischemia
elevation >1mm = infarction

Question 20

do you stop an exercises with A flutter?

Answer 20

with symptoms: yes, stop but not emergency
without: no, monitor and continue at lower intensity

Question 21

do you stop exercises wih A Fib

Answer 21

yes but not emergnecy

Question 22

do you stop an exercise with PAC?

Answer 22

no symptoms: monitor and cont at lower intensity

Question 23

do you stop an exercises with A Tach

Answer 23

no, monitor and continue at lower intensity

Question 24

PVCs that occur with 3 or more in a row is called what

Answer 24

v tach

Question 25

multifocal PVC

Answer 25

more than 1 PVC is present and it does not appear similiar in configuration - STOP exercise and call 911

Question 26

couplet

Answer 26

1 consecutive PVC together with no normal beat between them - stop exercise