Ekg Final Assesment Part 1

Front 1

Leads I II III

Back 1

If a pt is connected to a 3 lead ECG monitor, these leads are being recorded

Front 2

Increase the paper speed

Back 2

Ecg shows ventricular rate of 188, a regular rhythm but pr interval and qrs complex are very hard to assess. What kind of action do you perform to have a better reading

Hint 2

From Run 25 to Run 50 to stretch it out

Front 3

T wave inversion

Back 3

This type of inversion is an indicator of a myocardial ischemia

Front 4

Three

Back 4

When using a holter test, what is the minimum amount of electrodes to put on a pt

Front 5

Myocardial injury

Back 5

The ST segment elevation is a characteristic sign of:

Front 6

3-5 small boxes

Back 6

A normal pr interval should measure 0.12 to 0.20 seconds, which is how many boxes

Front 7

Yes, this is a true statement

Back 7

An ecg tech is about to place electrodes on the pts chest for holter monitorting test. The pt says

"I'm supposed to record any symptoms i experience in the pt diary." Does he understand?

Hint 7

Holter cannot be taken off or get wet

Front 8

Activate code blue

Back 8

When an ecg shows tracings of ventricular tachycardia on a geriatric pt(pic shown in hint). What is the FIRST thing the tech should do

Hint 8

Front 9

The pt has a demand pacemaker

Back 9

What does it mean when vertical spikes appear on an ecg tracing sporadically

Hint 9

It works when needed (when in demand)

Front 10

Continue taking the ecg

Back 10

A pt is asymptomatic during an ecg test. What should you do first?

Hint 10

Asymptomatic= not showing any symptoms

Front 11

Ventricular tachycardia

Back 11

75 yo pt complains of sudden onset of palpitations and lightheadedness. What is this rhythm on the pt ecg

Hint 11

Remember; we haven't discussed vfib in class

Front 12

Third degree block

Back 12

What type of block is this an example of

Hint 12

Nothing is consistent. P waves and rr intervals are working independantly

Front 13

Hospital's operation manual

Back 13

What should you consult when you have questions related to holter monitoring electrodes placement

Hint 13

Different hospitals have different procedures

Front 14

Sinus arrhythmia

Back 14

A pt is experiencing a change of respiratory cycle and variations in vagal tone. What irregularity does this indicate

Hint 14

Respiratory cycle - respiratory arrhythmia

Front 15

5th intercostal space, junction of left midclavicular line

Back 15

Where is the apical pulse located

Hint 15

V4

Front 16

A trained athelete

Back 16

What kind of individual may normally experience bradycardia

Front 17

Brachial artery

Back 17

What is the most appropriate site for taking the pulse of an infant

Front 18

Corporal interference/somatic

Back 18

Ecg tech puts a geriatric pts hands under his butt. What kind of artifact does he expect to observe

Front 19

10

Back 19

Standardization mark is how many small boxes

Front 20

Ventricles depolarize slowly

Back 20

Qrs complex=0.18 sec. What does this mean

Front 21

LL

Back 21

Theres a broken recording artifact in lead III and avf. Which electrode to check?

Front 22

128 BPM

Back 22

Stress test on a 60 yo pt at 80% THR. What's the minimum heart rate to acheive?

Hint 22

220-60=160*0.80

Front 23

There is a red line on bottom of the paper

Back 23

When should the paper be changed in the ecg machine

Front 24

Cover the pt with a blanket

Back 24

What should a tech do if they see this artifact on a pts ecg

Hint 24

Somatic

Front 25

aVR

Back 25

Which lead is the p wave expected to be inverted

Front 26

Ventricular tachycardia

Back 26

Front 27

39/min

Back 27

Rr interval equals 38 small boxes. Whats the hr

Front 28

T wave inversion

Back 28

Correct indicator of myocardial ischemia

Front 29

20 mm

Back 29

How high is the standard gain when sensitivity is 2

Front 30

Reattach a new electrode and repeat the recording

Back 30

Front 31

Pr interval

Back 31

This represents the time from the beginning of atrial depolarization to the beginning of ventricular depolarization

Front 32

1 small box, more than 0.04 sec

Back 32

Abnormal q wave measures more than:

Front 33

Myocardial injury

Back 33

St segment elevation is a sign of:

Front 34

20-40bpm

Back 34

Ventricles typically produce impulse with a rate of:

Front 35

P wave

Back 35

This wave is the deflection produced by atrial depolarization

Front 36

PVC

Back 36

Front 37

Bradycardia

Back 37

Rr interval equals 7 large boxes, what is the pt experiencing

Front 38

RL green

Back 38

Grounding electrode during 12 lead ecg test is placed __ and its colored__

Front 39

30

Back 39

25mm/ sec on a 6 second strip represents how many large boxes

Front 40

0.04

Back 40

Small box represents how many seconds

Front 41

Calibration of the machine

Back 41

Front 42

True

Back 42

Asystole, isoelectric line, baseline, are synonymous if see no voltage record on ecg. T/f

Front 43

T wave

Back 43

This wave represents the electrical recovery of the ventricles

Front 44

Sinus tachycardia

Back 44

Ventricular rate 146, pr interval 0.14 sec, qrs duration 0.06, one upright p. What's this rhythm

Front 45

F waves or sawtooth waves present

Back 45

Front 46

Increase the gain to 2

Back 46

Amplitude of waves on ecg is very small. What do you do to improve the quality

Front 47

True

Back 47

"I can experience mild fatigue and shortness of breath during the test" is patient understanding of stress test. True/false

Front 48

Qrs complex

Back 48

Ventricular depolarization is represented on ecg strip by:

Front 49

Galvonometer

Back 49

This part of machine is responsible for changing an electrical activity picked up from the pt skin into a mechanical motion of a stylus

Front 50

True

Back 50

P wave upright in lead II reflects normal sinus rhythm. T/f

Front 51

Hippa

Back 51

Informing pts wife about her husband stress test is a violation of:

Front 52

Q wave

Back 52

First negative reflection after p wave

Front 53

True

Back 53

Hippa is a national standard. T/f

Front 54

Junctional rhythm

Back 54

Presence of inverted p wave is what kind of rhythm

Front 55

QT interval

Back 55

This interval is measured from beginning of qrs to end of t wave

Front 56

Av node

Back 56

A delay in electrical activity at this level allowing blood to flow from the atria to the ventricles

Front 57

Right lower rib cage

Back 57

Pt has a whole right lower extremity cast application. Where does the green electrode go?

Front 58

Wenckenbach

Back 58

When analyzing the strip you notice progressively prolonged pr intervals until a qrs is dropped. What is this

Front 59

Orthopnea

Back 59

Difficulty breathing when pt is supine

Front 60

Atrial fibrillation

Back 60

Front 61

Lead II

Back 61

The lead that is typically recorded to attach to the pts chart

Front 62

V7

Back 62

The electrode placed on the 5th intercostal space in a left posterior axillary line

Front 63

SVT

Back 63

Front 64

25mm/sec

Back 64

Ecg normally recorded with paper moving at a speed of

Front 65

125 BPM

Back 65

Rr interval measures 12 small boxes. Hr?

Front 66

Second degree type 1

Back 66

Front 67

PVC

Back 67

Wide, bizarre and prolonged qrs complexes

Front 68

Inverted

Back 68

If seen, the p wave of a rhythm originating in the av junction will appear ___ in lead II

Front 69

Lightheaded

Back 69

Perspiring

Lightheaded

Jaundice

Flushed

Which is a s/s of cardiac compromise and reason to terminate a test

Front 70

5

Back 70

How many electrodes do you apply on a pt with a standard telemetry monitor

Front 71

V9

Back 71

This electrode is placed on 5th intercostal space in a left paraspinous line

Hint 71

Spine

Front 72

Inferior infarction

Back 72

ST segment elevation in leads II, III, and avf indicates (what surface of heart impairment):

Front 73

Atrial fibrillation

Back 73

F waves are present. What ectopic rhythm is this

Front 74

Myocardial infarction

Back 74

While performing a stress test pt experiences heaviness on his chest and diaphoresis. These are symptoms of: