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EKG Final Exam Complete (Hartman Chapters 1–10) – Comprehensive Questions and Answers Study Guide (2026)

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This document contains comprehensive review questions and answers for the EKG Final Exam based on Hartman Chapters 1–10. It covers essential topics such as cardiac anatomy and physiology, electrical conduction of the heart, EKG waveform interpretation, lead placement, rhythm analysis, arrhythmia recognition, heart rate calculation, cardiac monitoring procedures, and basic electrocardiography principles. It is designed to help students prepare for final examinations and strengthen their understanding of EKG interpretation and cardiovascular assessment.

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EKG
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EKG

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EKG Final Exam Complete (Hartman Ch 1-10)
(Questions and Answers) Latest Update 2026
Guaranteed Pass 100%
SECTION 1: Cardiac Anatomy & Physiology (Hartman Ch 1-2) — 15 Questions

Q1: The right ventricle pumps deoxygenated blood through which valve into the
pulmonary artery?

A. Mitral valve

B. Aortic valve
C. Pulmonic valve [CORRECT]

D. Tricuspid valve

Correct Answer: C

Rationale: Correct because the pulmonic (pulmonary) valve is the semilunar valve
that separates the right ventricle from the pulmonary artery, preventing backflow
of blood into the ventricle during diastole.

Q2: Which coronary artery supplies blood to the anterior wall of the left ventricle
and the anterior two-thirds of the interventricular septum?

A. Right coronary artery

B. Left circumflex artery

C. Left anterior descending artery [CORRECT]
D. Posterior descending artery

Correct Answer: C

Rationale: Correct because the left anterior descending (LAD) artery, a branch of
the left main coronary artery, is the primary blood supply to the anterior left
ventricular wall and the anterior interventricular septum.

Q3: The left atrium receives oxygenated blood from the lungs through which
structures?

A. Superior vena cava
B. Pulmonary veins [CORRECT]

,C. Pulmonary arteries

D. Coronary sinus

Correct Answer: B

Rationale: Correct because the four pulmonary veins carry oxygenated blood
from the lungs into the posterior aspect of the left atrium.

Q4: Which heart valve is located between the left atrium and left ventricle?

A. Tricuspid valve
B. Pulmonic valve

C. Mitral (bicuspid) valve [CORRECT]
D. Aortic valve

Correct Answer: C

Rationale: Correct because the mitral valve, also called the bicuspid valve, is the
atrioventricular valve that controls blood flow from the left atrium into the left
ventricle.

Q5: The tricuspid valve prevents backflow of blood from the right ventricle into
which chamber during systole?

A. Left atrium

B. Pulmonary artery

C. Right atrium [CORRECT]

D. Aorta

Correct Answer: C
Rationale: Correct because during right ventricular systole, the tricuspid valve
closes to prevent regurgitation of blood back into the right atrium.

Q6: Which chamber of the heart has the thickest myocardial wall due to the
highest pressure workload?

A. Right atrium
B. Right ventricle

C. Left atrium
D. Left ventricle [CORRECT]

,Correct Answer: D

Rationale: Correct because the left ventricle must generate systemic arterial
pressure (approximately 120 mmHg systolic), requiring significantly thicker
muscular walls than any other cardiac chamber.

Q7: The posterior descending artery (PDA) in most individuals is a branch of
which coronary artery?

A. Left anterior descending artery

B. Left circumflex artery

C. Right coronary artery [CORRECT]

D. Left main coronary artery

Correct Answer: C

Rationale: Correct because in approximately 85% of the population (right-
dominant circulation), the posterior descending artery arises from the right
coronary artery to supply the inferior wall and posterior septum.

Q8: Which structure separates the right and left atria?

A. Interventricular septum
B. Interatrial septum [CORRECT]

C. Papillary muscles

D. Chordae tendineae

Correct Answer: B
Rationale: Correct because the interatrial septum is the thin muscular wall that
divides the right atrium from the left atrium.

Q9: The aortic valve opens during which phase of the cardiac cycle?

A. Atrial systole

B. Isovolumetric relaxation

C. Ventricular systole [CORRECT]
D. Rapid ventricular filling

Correct Answer: C

, Rationale: Correct because the aortic valve opens during ventricular systole
when left ventricular pressure exceeds aortic pressure, allowing ejection of blood
into the systemic circulation.

Q10: Which coronary artery branch supplies the lateral wall of the left ventricle?

A. Left anterior descending artery

B. Right coronary artery

C. Left circumflex artery [CORRECT]

D. Posterior descending artery

Correct Answer: C
Rationale: Correct because the left circumflex artery, coursing in the left
atrioventricular groove, gives off obtuse marginal branches that supply the lateral
wall of the left ventricle.

Q11: The right coronary artery primarily supplies blood to which area of the
heart?

A. Anterior left ventricle

B. Lateral left ventricle
C. Right ventricle and inferior wall [CORRECT]

D. Left atrium only

Correct Answer: C

Rationale: Correct because the right coronary artery supplies the right ventricle,
right atrium, and in most individuals, the inferior wall of the left ventricle via the
posterior descending artery.

Q12: Which structure anchors the atrioventricular valve leaflets to the ventricular
wall and prevents valve prolapse during systole?
A. Sinoatrial node

B. Papillary muscles and chordae tendineae [CORRECT]

C. Purkinje fibers

D. Coronary sinus

Correct Answer: B

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Uploaded on
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