AMCA EKG EXAM 2026|ACTUAL EXAM
QUESTIONS AND ANSWERS|100%
VERIFIED|A+GRADE ASSURED
Q1. Which chamber of the heart receives deoxygenated blood
from the body via the superior and inferior vena cava?
a) Left atrium
b) Right atrium
c) Left ventricle
d) Right ventricle
Correct Answer: b) Right atrium
Rationale: The right atrium receives deoxygenated systemic blood
from the SVC and IVC. The left atrium receives oxygenated blood
from the lungs via pulmonary veins. Ventricles pump blood out.
Q2. The pacemaker cells of the heart are located primarily in
the:
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a) Atrioventricular (AV) node
b) Purkinje fibers
c) Sinoatrial (SA) node
d) Bundle of His
Correct Answer: c) Sinoatrial (SA) node
*Rationale: The SA node is the primary pacemaker, generating
electrical impulses at 60-100 bpm. AV node (40-60 bpm) and
Purkinje fibers (20-40 bpm) are latent pacemakers.*
Q3. Which structure conducts the electrical impulse from the atria
to the ventricles?
a) Bachmann's bundle
b) AV node and bundle of His
c) SA node
d) Internodal pathways
Correct Answer: b) AV node and bundle of His
Rationale: The AV node delays the impulse, then the bundle of His
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conducts it to the bundle branches and Purkinje fibers. Bachmann's
bundle conducts interatrial signals.
Q4. The P wave on an EKG represents:
a) Ventricular depolarization
b) Atrial depolarization
c) Ventricular repolarization
d) Atrial repolarization
Correct Answer: b) Atrial depolarization
Rationale: P wave = atrial depolarization (contraction). QRS
complex = ventricular depolarization. T wave = ventricular
repolarization. Atrial repolarization is hidden by QRS.
Q5. Which coronary artery supplies the sinoatrial (SA) node in
most people?
a) Right coronary artery (RCA)
b) Left anterior descending (LAD)
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c) Left circumflex (LCx)
d) Posterior descending artery (PDA)
Correct Answer: a) Right coronary artery (RCA)
Rationale: The RCA supplies the SA node in approximately 60% of
people (right dominant circulation). The LCx supplies the SA node
in the other 40%.
Q6. The normal PR interval duration is:
a) 0.12-0.20 seconds (3-5 small boxes)
b) 0.04-0.10 seconds (1-2.5 small boxes)
c) 0.20-0.40 seconds (5-10 small boxes)
d) 0.08-0.12 seconds
Correct Answer: a) 0.12-0.20 seconds (3-5 small boxes)
*Rationale: PR interval measures AV conduction time. Each small
box = 0.04 sec. Prolonged PR >0.20 sec suggests first-degree
AV block.*