EKG Interpretations

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Questions and Answers

Which of the following is a characteristic of the compensated stage of circulatory shock?

  • Tissue hypoperfusion and metabolic derangement
  • Leakage of fluid and protein into extracellular space
  • Activation of neurohormonal mechanisms to maintain CO and BP (correct)
  • Severe cell and tissue injury

What is the main reason for the skin to appear pale, cool, and moist in the compensated stage of shock?

  • Cutaneous vasoconstriction (correct)
  • Decreased blood flow to the skin
  • Increased heart rate
  • Increased peripheral vasoconstriction

Which of the following is a characteristic of the irreversible stage of circulatory shock?

  • Tissue hypoperfusion and metabolic derangement
  • Leakage of fluid and protein into extracellular space
  • Activation of neurohormonal mechanisms to maintain CO and BP
  • Severe cell and tissue injury (correct)

Which of the following is true about the PR interval on an EKG?

<p>It is used to determine the baseline of the EKG. (C)</p> Signup and view all the answers

What is the electrical event represented by the T wave on an EKG?

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

What is the direction of current flow on the outer membrane surface of excitable cardiac cells during depolarization?

<p>Positive (C)</p> Signup and view all the answers

Why do the Q and S waves cause negative deflections on the EKG?

<p>Due to initial depolarization of the left side septum before the right side. (A)</p> Signup and view all the answers

Which of the following best describes the alteration of the QRS complex in bundle branch block?

<p>Prolonged QRS complex (C)</p> Signup and view all the answers

Which of the following leads becomes the isoelectric lead in right axis rotation?

<p>Lead V1 (A)</p> Signup and view all the answers

Which of the following is the most common cause of current of injury?

<p>Local ischemia (A)</p> Signup and view all the answers

What is the J point and how is it used to determine current of injury?

<p>The junction point of the QRS wave and the ST segment (A)</p> Signup and view all the answers

Which lead gives the strongest positive QRS deflection in an EKG?

<p>Lead II (A)</p> Signup and view all the answers

Which lead gives a negative QRS deflection in an EKG?

<p>aVR (B)</p> Signup and view all the answers

Which precordial leads give negative QRS deflections in an EKG?

<p>V1 and V2 (B)</p> Signup and view all the answers

Which precordial leads give positive QRS deflections in an EKG?

<p>V5 and V6 (C)</p> Signup and view all the answers

Which of the following is NOT a cause of cardiogenic shock?

<p>Dehydration (A)</p> Signup and view all the answers

What is the most common cause of hypovolemic shock?

<p>Hemorrhage (D)</p> Signup and view all the answers

Which of the following is a clinical feature of septic shock?

<p>Disseminated intravascular coagulation (DIC) (C)</p> Signup and view all the answers

Which therapy is NOT used in the treatment of shock?

<p>Antibiotics (C)</p> Signup and view all the answers

Which one of these is a characteristic of ST segment elevation during acute transmural infarctions?

<p>Abnormally tall T waves followed by T-wave inversion (A)</p> Signup and view all the answers

Which one of these is a characteristic of ST segment alteration during pericarditis?

<p>Flat or concave ST segment elevation that resolves with time (A)</p> Signup and view all the answers

Which one of these is a common EKG finding in anterior infarction?

<p>Q waves in V1, V2, V3, or V4 (B)</p> Signup and view all the answers

Which one of these is a cause of sinus tachycardia?

<p>Sympathetic stimulation (B)</p> Signup and view all the answers

Which type of shock may be effectively treated by sympathomimetics and why do sympathomimetics have little to no value in hemorrhagic shock?

<p>Hemorrhagic shock; sympathomimetics have little to no value in hemorrhagic shock because the SANS is already maximally active (A)</p> Signup and view all the answers

Which two drug therapies are effective in anaphylactic shock and why are they effective?

<p>Antihistamine + glucocorticoids; antihistamines block the effects of histamine and glucocorticoids stabilize lysosomal membrane and prevent the release of enzymes (A)</p> Signup and view all the answers

What are the definitions of 'stenosis' and 'regurgitation' in the context of valvular disease?

<p>Stenosis refers to narrowing of the valve orifice that impedes forward flow, while regurgitation refers to leaflets destroyed by scar tissue, allowing backflow (C)</p> Signup and view all the answers

What are the effects of aortic stenosis on intraventricular pressures?

<p>Intraventricular pressures are very high in aortic stenosis, reaching 200mmHg at rest and 400mmHg during activity (D)</p> Signup and view all the answers

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