EKG
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Questions and Answers

which of the following terms refers to EKG artifact that occurs when the signal is compromised by frayed or faulty wires?

Broken Recording

Which of the following can cause a wandering baseline?

patient shivering

what is the term for an extra beat that appears on an EKG that is not part of an arrhythmia?

escape beat

what type of test is used to evaluate the hearts function during physical activity?

<p>stress test</p> Signup and view all the answers

what is the term for a metallic clip on an EKG machine that helps the adhesive make contact with a lead wire?

<p>electrode</p> Signup and view all the answers

a sinus rhythm at a rate of 48 would be considered

<p>bradycardia</p> Signup and view all the answers

The QRS measurement for a premature atrial complex (PAC) should be

<p>Less than 0.12 seconds</p> Signup and view all the answers

which of the following small waves sometimes appear between the T wave and the P wave

<p>U wave</p> Signup and view all the answers

what is the name of the flat line between the end of the P wave and the onset of the QRS complex

<p>PR segment</p> Signup and view all the answers

what is the name of the straight line between a T wave and the next P wave

<p>isoelectric line</p> Signup and view all the answers

a regular rhythm with a normal rate a(n)

<p>normal sinus rhythm</p> Signup and view all the answers

what are U waves thought to represent

<p>repolarization of the purkinje fibers</p> Signup and view all the answers

how many lead wires does an EKG machine have

<p>10</p> Signup and view all the answers

In a sinus arrhythmia the rate will be

<p>Irregular</p> Signup and view all the answers

On EKG paper one large box represents

<p>20 seconds</p> Signup and view all the answers

The PR segment represents electrical conduction through the

<p>atrioventricular (AV) node and bundle of His</p> Signup and view all the answers

which of the following can EKG graph paper be used to measure

<p>Amplitude of electrical activity</p> Signup and view all the answers

AHA is the abbreviation for

<p>American Heart Association</p> Signup and view all the answers

Which of the following describes tachycardia

<p>heart rate faster than 100 bpm</p> Signup and view all the answers

what is a Holter monitor used diagnose

<p>arrhythmias</p> Signup and view all the answers

A 12-lead EKG provides views from which two planes

<p>frontal and horizontal</p> Signup and view all the answers

how long is a normal PR interval

<p>12 to 0.20 seconds</p> Signup and view all the answers

what does the T wave represent

<p>Ventricular repolarization</p> Signup and view all the answers

Ventricular rate is determined by measuring from

<p>R wave to R wave</p> Signup and view all the answers

What does the P wave represent

<p>Atrial depolarization</p> Signup and view all the answers

the upper chambers of the heart are called

<p>Atria</p> Signup and view all the answers

the bicuspid valve is also called the

<p>mitral valve</p> Signup and view all the answers

the innermost lining of the heart

<p>endocardium</p> Signup and view all the answers

which one of these electrolytes plays an important role in cardiac conduction

<p>sodium</p> Signup and view all the answers

which electrolytes triggers the first step in and electrical impulse in the heart

<p>sodium</p> Signup and view all the answers

systolic pressure occurs when the ventricles

<p>contract</p> Signup and view all the answers

which body system sends, receives, and interprets information and coordinates internal body functions in response to environmental conditions

<p>nervous</p> Signup and view all the answers

what is the pericardium

<p>the sac that encloses the heart</p> Signup and view all the answers

what describes a regular rhythm at 100-200 beats per minute with absent P waves?

<p>Ventricular Tachycardia</p> Signup and view all the answers

which of the following describes characteristics of atrial fibrillation

<p>no clear P waves, Irregular rhythm, PR interval not measurable, QRs duration less that 0.12 seconds</p> Signup and view all the answers

which of the following describes characteristics of atrial tachycardia

<p>regular rhythm, rate of 150-250 bpm, PR interval 0.12-0.20 seconds QRS duration less than 0.12 seconds</p> Signup and view all the answers

what term describes an irregular atrial rhythm with a rate of 60-100 bpm, variations in PR interval, and at least three P wave variations in one lead

<p>wandering atrial pacemaker</p> Signup and view all the answers

a dysrhythmia is best defined as a(n)

<p>abnormal heart rhythm</p> Signup and view all the answers

what is the term used to describe a pacemaker site outside of the sinoatrial (SA) node

<p>ectopic</p> Signup and view all the answers

A junctional tachycardia is

<p>irregular</p> Signup and view all the answers

which of the following originate in the AV junction

<p>accelerated junctional rhythm</p> Signup and view all the answers

if the rate in atrial fibrillation is less that 100 bpm it is considered to be

<p>controlled</p> Signup and view all the answers

in second degree heart block mobitz type 1

<p>some beats are completely blocked</p> Signup and view all the answers

what term is used to describe the condition where the electrical signal from the atria to the ventricles is completely blocked

<p>third degree heart block</p> Signup and view all the answers

in a sinus arrhythmia a gradual decreasing of the heart rate is usually associated with

<p>expiration</p> Signup and view all the answers

In 2:1 AV block the PR interval

<p>remains the same</p> Signup and view all the answers

what is the most common type of supraventricular tachycardia

<p>atrioventricular nodal reentrant tachycardia (AVNRT)</p> Signup and view all the answers

In first degree AV block the PR interval is

<p>Greater than 0.2 seconds</p> Signup and view all the answers

which of these patients requires special lead placement for an EKG

<p>A 36 year old woman who is 7 months pregnant</p> Signup and view all the answers

what is the name for spikes that do not align with the patients cardiac activity on an EKG tracing from a patient with an implanted permanent pacemaker

<p>failure to sense</p> Signup and view all the answers

what type of cardiac testing is performed only in the inpatient setting

<p>telemetry</p> Signup and view all the answers

a complete EKG typically consists of __ leads

<p>12</p> Signup and view all the answers

what can improve electrode contact

<p>removing body hair</p> Signup and view all the answers

what can cause artifact on an EKG

<p>patient movement</p> Signup and view all the answers

Leads II, III, and aVF view which portion of the heart

<p>inferior</p> Signup and view all the answers

leads V1 and V2 view which portion of the heart

<p>septal</p> Signup and view all the answers

Leads V3 and V4 view which portion of the heart

<p>septal</p> Signup and view all the answers

which of the following are chest leads

<p>V1, V2, V3, V4, V5, V6</p> Signup and view all the answers

which of the following EKG leads are bipolar leads

<p>I, II, III</p> Signup and view all the answers

Where is lead V2 placed

<p>fourth intercostal space</p> Signup and view all the answers

Flashcards

EKG artifact (Broken Recording)

An EKG artifact caused by frayed or faulty wires, compromising the signal.

Wandering Baseline

An EKG artifact caused by patient shivering or movement.

Escape Beat

An extra heartbeat not part of a regular EKG rhythm or an arrhythmia.

Stress Test

A test evaluating heart function during physical activity.

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Electrode

A metallic clip aiding adhesive lead wire contact for EKG.

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Bradycardia

Slow heart rate (less than 60 bpm), considered abnormal.

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PR interval

The time taken for the electrical impulse to travel from the atria to the ventricles.

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PR segment

The flat line between the P wave and the QRS complex.

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Isoelectric Line

The straight line between the T wave and the next P wave.

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Normal Sinus Rhythm

Regular rhythm with normal heart rate.

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U wave

Small waves sometimes appearing between the T wave and the P wave, associated with purkinje fibers repolarization.

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QRS duration

Duration of time taken for ventricular depolarization.

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12-Lead EKG

EKG providing views of the heart from frontal and horizontal planes.

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Amplitude

Magnitude of electrical activity, measurable on EKG paper.

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Tachycardia

Fast heart rate (over 100 bpm)

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Holter Monitor

A portable device used to diagnose arrhythmias.

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Normal PR Interval

Duration of 0.12 to 0.20 seconds.

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T Wave

Represents ventricular repolarization (relaxation).

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Ventricular Rate

Measured from R wave to R wave, expressing heartbeats per minute.

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P wave

Represents atrial depolarization (contraction).

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Atria

Upper chambers of the heart.

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Mitral Valve

Another name for the bicuspid valve.

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Endocardium

Inner lining of the heart.

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Electrolytes in the heart

Electrolytes important for proper cardiac electrical conduction.

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Systolic Pressure

Blood pressure during ventricular contraction.

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Nervous System

The body system responsible for coordinating internal functions and responses to environmental changes.

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Pericardium

The sac enclosing the heart.

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