WITH 100% CORRECT ANSWERS
What is the period of time from the beginning of ventricular depolarization to the end of
ventricular repolarization? - Answer- beginning of the Q to the end of T (QT interval)
Erratic spikes on the tracing is from ______________. - Answer- somatic muscle
movement
T wave inversion and ST segment elevation indicate _____________________. -
Answer- myocardial injury (injury or infarct)
Inverted T waves in consecutive leads indicates _________________. - Answer-
ischemia (below lines)
Defibrillator is used _________________. - Answer- to send electrical current through
the heart
Load paper in the EKG machine when you see this - Answer- a red line
Where is the deltoid muscle? - Answer- upper arm
Can a pt take a beta-blocker before a stress test? - Answer- no (wouldn't be able to get
HR up)
What is a primary indicator of cardiac compromise? - Answer- pectoral angina
Who is responsible for cleaning the EKG machine? - Answer- the EKG technician
Which leads form Einthoven's triangle? - Answer- I, II, III
The LA (left arm) and LL (left leg) form which lead? - Answer- lead III (3 L's)
Which vital sign(s) show cardiac function? - Answer- BP & Pulse
Close an electronic chart when in a public place to be in compliance with
________________. - Answer- HIPAA Regulations
Which rhythm is associated with an inverted P wave? - Answer- Junctional
, The first thing you should do if an EKG monitor shows a deadly arrhythmia - Answer-
assess the pt
While doing an EKG you notice the pt grab his chest, he is bradycardic, so he is
probably experiencing _________________. - Answer- low cardiac output
Which of these is normal?
¤ Negative P wave
¤ Upright Q wave
¤ Inverted T wave
¤ Positive R wave - Answer- ¤ Positive R wave
Is a blood pressure of 90/60 normal in a school-aged child? - Answer- yes
Pt is grabbing their chest and reports chest pain, HR 45. Which of these should you
suspect?
¤ Pulmonary compromise
¤ Tachycardia
¤ Low cardiac output
¤ Stroke - Answer- ¤ Low cardiac output
How many leads are on the chest for a 12 lead? - Answer- 6
Women tend not to have the "typical" symptoms of an MI. They often experience
__________________. - Answer- mid to low back pain (pick cardiac anything)
When doing an EKG and you see a potentially lethal rhythm what should you do first? -
Answer- assess pt & notify a doctor (MD)
Pt having an MI. Will their skin be warm and dry or cool and clammy? - Answer- cool
and clammy
What should you do if a pt is experiencing angina during a treadmill test? - Answer-
Stop the test, Check the patient first, then notify the MD (doctor)
What would be a contraindication to a stress test? - Answer- an MI (myocardial
infarction) or CHF (congestive heart failure); (anytime you don't want to put stress on
the heart)
Where do you attach the electrodes for telemetry/Holter (ambulatory) monitoring? -
Answer- The chest
Are there hygiene restrictions during Holter monitor testing? - Answer- yes (e.g. don't
shower)