QAL CATEGORY M EXAM SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Which is the ground lead for EKG? Answer: right leg
◉ What do you do if the patient is diaphoretic, sweating heavily
during EKG? Answer: Dry skin when placing electrodes
◉ Somatic tremor is due to... Answer: body movement
◉ Wandering baseline is due to... Answer: impeded electrode
◉ What is ischemia? Answer: reduced blood flow supply to an organ
◉ Prolonged ischemia can cause what? Answer: Necrosis—localized
death of tissue aka infarction related to heart attack (MI-
myocardial infarction)
◉ Ambulatory EKG monitoring Answer: allows us to monitor a
patient's HR, rhythm and QRST morphology during their normal
daily activities
,◉ Holter monitor Answer: 3/5 lead EKG; usually worn for 24 hours;
used to rule out intermittent arrhythmias; portable machine;
records a continuous EKG on a magnetic tape *keep a diary of
changes throughout the day
◉ Holter placement Answer: White right. Snow over grass. Brown
ground. Smoke over fire
◉ Event monitoring Answer: Only records during symptoms that the
patient feels; patient controls when recoding occurs
◉ When should you terminate a GXT, a graded exercise test?
Answer: At the sign of any heart dysrhythmia
◉ How long does a Holter monitor record? Answer: 24-48 hours,
leads go on chest and abdomen
◉ SA node is the.. Answer: pacemaker of the heart
◉ What does EMR/ EHR stand for? Answer: Electronic Medical
Record/Electronic Health Record
◉ What does POMR stand for? Answer: problem-oriented medical
record
, ◉ SOAP method of charting Answer: Subjective (chief concern,
history of present illness, medical/surgical/family history)
Objective (physical examination, lab and test data)
Assessment
Plan
◉ What is a tickler file? Answer: A chronological file used as a
reminder
◉ Clustering schedule Answer: booking based on subject, conditions
◉ Wave scheduling Answer: A certain # of patients are scheduled to
arrive at the same time and are seen in which the order they arrive.
◉ Modified wave scheduling Answer: system where multiple
patients are scheduled at the beginning of each hour, followed by
single appointments every 10 to 20 minutes the rest of the hour
◉ Double booking Answer: Scheduling two patients to see the
physician at the same time
◉ Appointment time intervals Answer: 15 min intervals for internal
visit or Est patients
QUESTIONS WITH SOLUTIONS GRADED A+
◉ Which is the ground lead for EKG? Answer: right leg
◉ What do you do if the patient is diaphoretic, sweating heavily
during EKG? Answer: Dry skin when placing electrodes
◉ Somatic tremor is due to... Answer: body movement
◉ Wandering baseline is due to... Answer: impeded electrode
◉ What is ischemia? Answer: reduced blood flow supply to an organ
◉ Prolonged ischemia can cause what? Answer: Necrosis—localized
death of tissue aka infarction related to heart attack (MI-
myocardial infarction)
◉ Ambulatory EKG monitoring Answer: allows us to monitor a
patient's HR, rhythm and QRST morphology during their normal
daily activities
,◉ Holter monitor Answer: 3/5 lead EKG; usually worn for 24 hours;
used to rule out intermittent arrhythmias; portable machine;
records a continuous EKG on a magnetic tape *keep a diary of
changes throughout the day
◉ Holter placement Answer: White right. Snow over grass. Brown
ground. Smoke over fire
◉ Event monitoring Answer: Only records during symptoms that the
patient feels; patient controls when recoding occurs
◉ When should you terminate a GXT, a graded exercise test?
Answer: At the sign of any heart dysrhythmia
◉ How long does a Holter monitor record? Answer: 24-48 hours,
leads go on chest and abdomen
◉ SA node is the.. Answer: pacemaker of the heart
◉ What does EMR/ EHR stand for? Answer: Electronic Medical
Record/Electronic Health Record
◉ What does POMR stand for? Answer: problem-oriented medical
record
, ◉ SOAP method of charting Answer: Subjective (chief concern,
history of present illness, medical/surgical/family history)
Objective (physical examination, lab and test data)
Assessment
Plan
◉ What is a tickler file? Answer: A chronological file used as a
reminder
◉ Clustering schedule Answer: booking based on subject, conditions
◉ Wave scheduling Answer: A certain # of patients are scheduled to
arrive at the same time and are seen in which the order they arrive.
◉ Modified wave scheduling Answer: system where multiple
patients are scheduled at the beginning of each hour, followed by
single appointments every 10 to 20 minutes the rest of the hour
◉ Double booking Answer: Scheduling two patients to see the
physician at the same time
◉ Appointment time intervals Answer: 15 min intervals for internal
visit or Est patients
