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CORE DOMAINS
1. Cardiac Anatomy and Physiology
2. Electrophysiology and Cardiac Conduction
3. EKG Waveform Interpretation
4. Dysrhythmia Identification and Management
5. Clinical Decision-Making and Emergency Response
6. Pharmacology Related to Cardiac Care
7. EKG Lead Placement and Technical Accuracy
8. Regulatory, Ethics, and Patient Safety
TABLE OF CONTENTS
1. Introduction ........................................ Page 1
2. Cardiac Anatomy and Physiology .............. Page 2
, 3. Electrophysiology and Conduction ............ Page 3
4. EKG Interpretation ................................. Page 4
5. Dysrhythmias ......................................... Page 5
6. Clinical Response and Pharmacology ........ Page 6
7. Lead Placement and Technical Skills ........ Page 7
8. Ethics and Patient Safety ......................... Page 8
9. Answer Key Summary ............................. Page 9
INTRODUCTION
The CAMC EKG Exam evaluates a candidate’s competency in cardiac monitoring, rhythm
interpretation, and clinical response. It assesses knowledge of cardiac anatomy, electrical
conduction, waveform analysis, and recognition of both normal and pathological rhythms.
The exam includes multiple-choice and scenario-based questions that simulate real clinical
environments. Emphasis is placed on accurate interpretation, rapid decision-making, and
adherence to professional and ethical standards. Candidates must demonstrate the ability
to identify life-threatening arrhythmias, apply appropriate interventions, and ensure
patient safety in diverse healthcare settings.
,SECTION 1: QUESTIONS 1–35
1. Which structure is responsible for initiating the electrical impulse of the heart?
A. AV node
🔴 B. SA node
C. Bundle of His
D. Purkinje fibers
🔵 Explanation: The sinoatrial (SA) node is the primary pacemaker and initiates the
heartbeat.
2. What does the P wave represent on an EKG?
A. Ventricular contraction
🔴 B. Atrial depolarization
C. Ventricular repolarization
D. Atrial relaxation
🔵 Explanation: The P wave reflects atrial depolarization before contraction.
3. A normal PR interval ranges between:
A. 0.04–0.10 seconds
🔴 B. 0.12–0.20 seconds
C. 0.20–0.30 seconds
D. 0.30–0.40 seconds
🔵 Explanation: The PR interval indicates AV conduction time and is normally 0.12–
0.20 seconds.
, 4. Which rhythm is characterized by an irregularly irregular pattern?
A. Sinus bradycardia
🔴 B. Atrial fibrillation
C. Ventricular tachycardia
D. First-degree AV block
🔵 Explanation: Atrial fibrillation produces chaotic atrial activity and irregular
ventricular response.
5. What is the normal heart rate range for adults?
A. 40–60 bpm
🔴 B. 60–100 bpm
C. 100–140 bpm
D. 120–160 bpm
🔵 Explanation: Normal resting adult heart rate is 60–100 bpm.
6. Which wave represents ventricular depolarization?
A. P wave
B. T wave
🔴 C. QRS complex
D. U wave
🔵 Explanation: The QRS complex reflects ventricular depolarization.
7. What condition is indicated by ST elevation?
A. Hypokalemia