Week 3 EKG Interp

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Questions and Answers

What is the mean QRS vector?

  • The sum of all smaller vectors of depolarization (correct)
  • The general direction and magnitude of the movement of depolarization
  • The general direction and magnitude of the movement of repolarization
  • The sum of all smaller vectors of repolarization

In which direction does the mean QRS vector normally point in the frontal plane?

  • Downward and to the patient's left (correct)
  • Downward and to the patient's right
  • Upward and to the patient's left
  • Upward and to the patient's right

Why does the mean QRS vector point more left?

  • Due to the thicker RV having larger small vectors of repolarization
  • Due to the thicker LV having larger small vectors of depolarization (correct)
  • Due to the thicker RV having larger small vectors of depolarization
  • Due to the thicker LV having larger small vectors of repolarization

What is the axis direction if the QRS is upright in lead I, negative in lead aVF, and Lead II is downward (negative)?

<p>Toward -120 with the presence of LAD (B)</p> Signup and view all the answers

What can cause a right axis deviation (RAD) according to the text?

<p>Limb lead reversal (C)</p> Signup and view all the answers

Which condition does NOT lead to left axis deviation?

<p>Right ventricular hypertrophy (C)</p> Signup and view all the answers

What happens to the mean QRS vector if the heart is displaced?

<p>It moves in the same direction as heart displacement (D)</p> Signup and view all the answers

In ventricular hypertrophy, how does the mean QRS vector get displaced?

<p>Toward the hypertrophied side (A)</p> Signup and view all the answers

How is left axis deviation (LAD) defined in terms of degrees?

<p>Between -30 and -90 degrees (B)</p> Signup and view all the answers

What method is suggested for determining the QRS axis?

<p>Finding the major direction of the QRS complex in leads I and aVF (C)</p> Signup and view all the answers

Causes of RAD include normal variant and conditions such as right ventricular ________

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

RAD can also be caused by preexcitation syndromes like Wolff-Parkinson-White syndrome and ventricular ________

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

Dextrocardia is characterized by the apex of the heart being on the right side of the body, which can lead to ______.

<p>right axis deviation</p> Signup and view all the answers

Limb-lead reversal, right ventricular overload syndromes, and ventricular tachycardia are also potential causes of ______

<p>right axis deviation (RAD)</p> Signup and view all the answers

Another cause of RAD is right ______ enlargement

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

The P wave on an ECG represents ventricular depolarization.

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

The QT Interval measures the contraction of the ventricle from the beginning of the Q wave to the end of the T wave.

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

A mean QRS vector pointing more left indicates right axis deviation (RAD).

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

LAD can indicate the presence of Left Anterior Fascicular Block (LAFB).

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

Mechanical shift of the heart in the chest due to conditions like lung disease can lead to Right Axis Deviation (RAD).

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

Right Axis Deviation (RAD) can be caused by Ventricular Arrhythmias like atrial fibrillation.

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

The QT interval should be less than the preceding R-R interval.

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

The J point is the junction at which the S wave meets the ST segment.

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

A 12-Lead EKG consists of 6 limb leads and 6 precordial leads.

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

The mean QRS axis provides information about the overall electrical activity of the heart.

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

Which condition can cause left anterior fascicular block or LBBB, leading to left axis deviation (LAD)?

<p>Left ventricular hypertrophy (D)</p> Signup and view all the answers

Which of the following is a potential cause of mechanical shift of the heart in the chest, leading to right axis deviation (RAD)?

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

What is the normal duration of a Q wave on an ECG?

<p>Less than 0.04 seconds (D)</p> Signup and view all the answers

In which phase of the cardiac cycle does the ST segment occur?

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

How is the QTc interval calculated?

<p>QT interval + square root of RR interval (A)</p> Signup and view all the answers

Which leads are associated with Lateral Wall MI?

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

What is a potential EKG finding in Posterior Wall MI?

<p>Tall R waves in V1 and V2 (A)</p> Signup and view all the answers

During which stage does part of the myocardium become electrically inert?

<p>Stage II: Infarction (B)</p> Signup and view all the answers

What is the potential consequence of right axis deviation?

<p>Right ventricular strain (A)</p> Signup and view all the answers

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