Module 1: Assessment, Vitals, Diagnostic, Hx

Question 1

Urinalysis specific gravity

Answer 1

1.002 - 1.035
Less than 1.005 is decreased.
Greater than 1.035 is increased

Question 2

Urinalysis pH

Answer 2

4.5-8.0 normal (mean of 6)
Dependent on diet, acid-base balance, infection, metabolism.

Question 3

Urinalysis protein

Answer 3

Not to exceed 150mg/24hrs or 10mg/100ml.

Question 4

ECG intervals

Answer 4

PR interval: .08 - .20 seconds
QT interval: .39 - .46 if female; .39 - .45 if male

Question 5

ECG waveforms and complexes normal times

Answer 5

P wave: .12 or less
QRS: q wave less than .03. Total .075 - .11
T wave: .16

Question 6

RBBB

Answer 6

QRS > .12
Terminal R wave in V1
Terminal S wave in L1, aVL, V6

Ischemia, MI, cor pulmonale, PE

Question 7

LBBB

Answer 7

QRS > .12
Terminal S wave in V1
Terminal R wave in L1, aVL, V6

Ischemia, MI, aortic valve stenosis, aortic root dilation, dilated cardiomyopathy

Question 8

Lead 1 and aVF quadrant method for axis deviation

Answer 8

L1 and aVF positive: normal
L1 positive and aVF negative: left axis deviation
L1 negative and aVF positive: right axis deviation

“Left away and right towards”

Question 9

ECG lead views

Answer 9

L1: Lateral
aVL: Lateral
V5: Lateral
V6: Lateral
L2: inferior
L3: inferior
aVF: inferior
V1: septal
V2: Septal
V3: Anterior
V4: Anterior

Question 10

2, 3, aVF artery involvement

Answer 10

RCA or LCx

Question 11

Lead 1 and aVL artery involvement

Answer 11

LCx or branch of LAD

Question 12

Lead V1, V2, V3, V4 artery involvement

Answer 12

LAD

Question 13

Lead V5, V6 artery involvement

Answer 13

LCx or branch or LAD

Question 14

Stemi evaluation

Answer 14

J point elevation.
>1mm in limb leads
>2mm in chest leads
Present in 2 or more contiguous leads.

Question 15

Anterolateral reciprocal changes

Answer 15

2, 3, aVF

Question 16

Lateral reciprocal changes

Answer 16

2, 3, aVF

Question 17

Inferior reciprocal changes

Answer 17

1, aVL

Question 18

Posterior reciprocal changes

Answer 18

V1, V2, V3, V4