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EKG Cards > EKG > Flashcards

EKG Flashcards

1
Q

When analyzing a rhythm strip, it qualifies as being regular when….

A

The R - R intervals measure the same.

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2
Q

Which of the following steps is not one of the five-steps of rhythm analysis?

A. PR interval measurement
B. Rhythm regularity
C. ST segment analysis
D. QRS complex measurement

A

C. ST segment analysis

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3
Q

What is the normal Range of the PR interval?

A

0.12 - 0.20 seconds

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4
Q

What is the normal Range of the QRS complex?

A

0.06 - 0.10 seconds

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5
Q

Which feature is most closely associated with Normal Sinus Rhythm?

A. Wide & Bizarre QRS complexes.
B. PR interval measuring greater than 0.20 seconds.
C. Each of the five steps of rhythm analysis are within normal limits.
D. Three or different shaped P waves.

A

C. Each of the five steps of rhythm analysis are within normal limits.

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6
Q

When compared with Normal Sinus Rhythm, which feature is most closely associated with Sinus Bradycardia.

A. Lower case “f” waves
B. Heart rate greater than 100 bpm
C. Inverted P waves
D. Heart rate less than 60 bpm

A

D. Heart rate less than 60 bpm

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7
Q

When compared with Normal Sinus Rhythm, which feature is most closely associated with Sinus Tachycardia.

A. Lower case “f” waves
B. Heart rate greater than 100 bpm br
C. Inverted P waves
D. Heart rate less than 60 bpm

A

B. Heart rate greater than 100 bpm br

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8
Q

Which feature is most closely associated with junctional complexes and rhythms?

A. Wide and bizarre QRS complexes
B. PR interval measuring greater than 0.20 seconds
C. Prolonged QT interval
D. Inverted or buried P waves

A

D. Inverted or buried P waves

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9
Q

Which heart rate is the most closely associated with junctional escape rhythm?

A. 40 - 60 bpm
B. 60 - 100 bpm
C. 100 - 180 bpm
D. All responses are incorrect

A

A. 40 - 60 bpm

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10
Q

Which feature is most closely associated with junctional escape beats?

A. Lower case “f” waves, wide QRS complex
B. Complex with inverted P wave that may occur as the first complex terminating sinus arrest
C. Inverted P wave on a complex that occurs sooner than it is anticipated
D. Heart rate greater than 100 bpm

A

B. Complex with inverted P wave that may occur as the first complex terminating sinus arrest

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11
Q

In addition to the premature junctional complexes being an early cardiac complex in a rhythm strip; which morphologic feature most closely identifies this complex as being junctional rather than another locus of stimulation?

A. At least a potion of the P wave is positively deflected
B. P waves are inverted or buried
C. QRS complex measures greater than 0.10 seconds
D. PR interval presents in a prolonging repetitious pattern

A

B. P waves are inverted or buried

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12
Q

Which heart rate range is most closely associated with supraventricular tachycardia?

A. 40 - 60
B. 60 - 100
C. 100 - 180
D. 150 - 250

A

D. 150 - 250

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13
Q

Which feature is most closely associated with ventricular rhythms?

A. Narrow QRS complex
B. PR interval measuring greater than 0.20 seconds
C. Absence of P waves and wide & bizarre QRS complexes

A

C. Absence of P waves and wide & bizarre QRS complexes

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14
Q

Bigeminy PVC’s occur how often in a cardiac tracing?

A. Not at all
B. Every fourth complex
C. Every third complex
D. Every second complex

A

D. Every second complex

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15
Q

What is the difference between Accelerated idioventricular rhythm and ventricular tachycardia?

A. Absence of P waves
B. Heart rate greater than 100 bpm
C. Inverted P waves
D. Wide and bizarre QRS complex

A

B. Heart rate greater than 100 bpm

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16
Q

What is another name for Run of Ventricular Tachycardia?

A. Triplet or Salvo PVC’s
B. Trigeminy PVC’s
C. Bigeminy PVC’s
D. Quadgeminy PVC’s

A

A. Triplet or Salvo PVC’s

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17
Q

Which rhythm presents with regularly occurring P waves and a total absence of QRS complexes?

A. Ventricular Fibrillation
B. Ventricular Tachycardia
C. Ventricular Standstill
D. Asystole

A

C. Ventricular Standstill

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18
Q

What is Ventricular Standstill?

A

Rhythm with only P waves

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19
Q

What are premature junctional complexes? (PJC’s)

A

Premature QRS complexes with no P waves or buried P waves

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20
Q

Define Wandering Atrial Pacemaker Rhythm (Also known as Aarhythmia)

A

All P’s look different

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21
Q

Arrhythmia

A

Is a problem with the rhythm or rate of your heartbeat.

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22
Q

Which feature is most closely associated with Wandering Atrial Pacemaker rhythm?

A. Wide & bizarre QRS complexes
B. PR interval measuring greater than 0.20
C. Prolonged QT interval
D. Three or more different shaped P waves

A

D. Three or more different shaped P waves

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23
Q

Which feature is most closely associated with Atrial Fibrillation?

A. Lower case “f” waves
B. Upper case “F” waves
C. Inverted P waves
D. Heart rate less than 60 bpm

A

A. Lower case “f” waves

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24
Q

Which feature is most closely associated with Atrial Flutter?

A. Lower case “f” waves
B. Upper case “F” waves
C. Inverted P waves
D. Heart rate less than 60 bpm

A

B. Upper case “F” waves

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25
Q

Define Idioventricular Rhythm

A

Rate of less than 50 bpm, absence of P waves, widening of QRS complexes

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26
Q

Accelerated idioventricular rhythm

A

Heart rate between 50 - 110 bpm

27
Q

Ventricular Tachycardia

A

Rate exceeds 120 bpm

28
Q

In addition to Premature Atrial Complexes being an early cardiac complex in a rhythm strip; which morphologic feature most closely identifies this complex as being atrial rather than another locus of stimulation?

A. At least a portion of the P wave is positively deflected
B. P waves are inverted or buried
C. QRS complex measures greater than 0.10 seconds
D. PR interval presents in a prolonging repetitious pattern

A

A. At least a portion of the P wave is positively deflected

29
Q

Junctionals?

A

Inverted or buried P’s

30
Q

Which rhythm is Multifocal Atrial tachycardia most often confused with?

A. Supraventricular Tachycardia
B. Atrial Flutter
C. Atrial Fibrillation
D. Wolfe parkinson white syndrome

A

C. Atrial fibrillation

31
Q

Small square

A

0.04 seconds

32
Q

Big square

A

0.20 seconds (5x5)

33
Q

PAC attacks….

A

P waves

34
Q

PVC’s attack…..

A

QRS complexes

35
Q

What are the upper chambers of the heart known as?

A

Atria

36
Q

What are the lower chambers of the heart known as?

A

Ventricles

37
Q

What is an inverted rhythm?

A

Upside down rhythm

38
Q

Sinus Rhythm with PAC…..

A

Has a beat that appears early and leaves a pause

39
Q

A PVC….

A

Goes with a regular rhythm could be up or down drops the P wave

40
Q

Unifocal….

A

Is all the same. All can go up or down

41
Q

Multi……

A

It’s different. Have up and down

42
Q

Pulmonary Circulation

A

Un oxygenated, right side of the heart

43
Q

Systemic Circulation

A

Oxygenated, left side of the heart

44
Q

Atrial Rate

A

Count the number of P waves

45
Q

Ventricular Rate

A

Count the number of QRS complexes

46
Q

Normal Sinus Rhythm

A

60 bpm - 100 bpm

47
Q

Sinus Bradycardia

A

Less than 60 bpm

48
Q

Sinus tachycardia

A

100 bpm - 160 bpm

49
Q

Sinus Arrhythmia

A

60 bpm - 100 bpm

50
Q

Sinus pause / Arrest

A

Defined as the transient absence of P waves that last from 2 seconds to several minutes

51
Q

Atrial Flutter

A

Coordinated rapid beating of atria / SAW TOOTH. 150 bpm - 250 bpm

52
Q

Atrial Fibrillation

A

Uncontrolled / Irregular, no distinguishable P waves

53
Q

Supraventricular Tachycardia

A

Rate is greater than 150 bpm

54
Q

Premature Atrial Contractions (PAC’s)

A

PAC is not a rhythm, it is an ectopic beat that originates from atria. Normal beat but occurs early.

55
Q

Premature Ventricular Contractions (PVC’s)

A

QRS complexes are always wide and bizarre. P waves are absent

56
Q

Ventricular Fibrillation (VFib)

A

Total chaotic, can’t measure waves or complexes. No QRS, No P waves

57
Q

Indioventricular Rhythm

A

Rate is 20 - 40 but can drop below 20 bpm. No P waves and wide, bizarre QRS

58
Q

Ventricular Bigemity

A

PVC occurs every other beat

59
Q

Ventricular trigemity

A

PVC occurs every 3rd beat

60
Q

Ventricular Quadrigemity

A

PVC occurs every 4th beat

61
Q

Couplets

A

2 PVC’s together

62
Q

Runs of Ventricular Tachycardia (VT)

A

3 or more PVC’s in a row

63
Q

Accelerated idioventricular

A

Rate between 40 - 100 bpm

64
Q

Agonal Rhythm

A

Rate is less than 20 bpm

EKG Cards (1 decks)

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