WorksheetsEKG Interpretation: Bundle 3
Total questions: 28
Worksheet time: 14mins
Figure 4 is known as what type of rhythm?
2nd Degree Type 2 (Mobitz II)
1st Degree AV Block
Wenckeback
3rd Degree Heart Block
Figure 1 represents a 1st Degree AV Block.
True
False
Which figure(s) is known as a Mobitz type II (2nd Degree type 2) heart block?
Figure 4
Figure 3
Figure 2
Figure 1 & 2
Which of the figure(s) above show electrical impulses moving slowly through the AV node and is usually present in well conditioned athletes?
Figure 3
Figure 1
Figure 4
Figure 2
A normal PR interval measures?
0.12 to 0.20 seconds
greater than 0.20 seconds
0.06 to 0.16 seconds
0.20-0.26 seconds
In 3rd degree heart block, the SA node generates impulses but those impulses do not go to the ventricles. Therefore, the atrial and ventricles are independent.
True
False
In 3rd degree heart block, the SA node generates impulses but those impulses do not go to the ventricles. Therefore, the atrial and ventricles are independent.
True
False
In 1st degree AV heart block, the p-waves are always accompanied by the QRS complex.
True
False
2nd Degree Type 2 Heart Blocks are sometimes called Wenckebach Heart Blocks.
True
False
S1 is best heard where?
2nd intercostal space left of the sternal border
2nd right sternal border
Apex of the heart
Base of the heart
S2 is best heard where?
Base of the heart
5th intercostal space right of the sternal border
Apex of the heart
Right lower sternal border
The order of heart valve auscultation is the following (starting at the angle of Louis..downward):
Pulmonic, aortic, tricuspid, mitral
Mitral, tricuspid, pulmonic, aortic
Aortic, pulmonic, tricuspid, mitral
Tricuspid, pulmonic, aortic, mitral
True or false: The semilunar valves are the tricuspid and mitral valves.
True
False
Select ALL the statements that are TRUE:
S1 represents the opening of the mitral and tricuspid valves.
It is best to listen with the bell of the stethoscope for S3 and S4.
The pulmonic valve is auscultated on the left of the sternum in 2nd intercostal space.
S2 is louder than S1 at the base of the heart.
The ____________ separate the atria and ventricles.
Semilunar valves
Atrioventricular valves
Pulmonic valve
Aortic valve
During _______, the ventricles are relaxed and the AV valves are ________ to allow blood to flow through the atria and ventricles.
Systole, closed
Diastole, opened
Diastole, closed
Systole, closed
S2 represents the closure of?
Aortic and Pulmonic valves
Aortic and Mitral valves
Mitral and Pulmonic valves
Tricuspid and Aortic valves
The contraction phrase of the heart so blood can be pumped through the body’s system and lungs is known as?
Diastole
Systole
Pericardial closure
Repolarization
What is a cause of the extra heart sounds known as S3?
Atrial “kick” due to resistant ventricles caused by hypertrophic left ventricle
Valves defects
Mitral Stenosis
Ventricle filling due to fluid volume overload or heart failure
S3 is heard?
After S2
Before S2
After S1
Randomly
S4 is heard?
During Diastole
Over the aortic valve
Before S1
After S2
Which of the following conditions can cause the extra heart sound S4?
Fluid volume overload
Fluid volume deficient
Hypertrophic left ventricle
Aortic regurguitation
What is the best way to assess for extra heart sounds, such as S3 and S4?
Place the patient on their right side and listen with the diaphragm of the stethoscope over the apex of the heart.
Place the patient on their left side and listen with the bell of the stethoscope over the base of the heart.
Place the patient forward (leaning slightly) and have them exhale while listening with the diaphragm over the aortic and pulmonic areas.
Place the patient on their left side and listen with the bell of the stethoscope over the apex of the heart.
While auscultating heart sounds you heard a blowing/swooshing noise over the apex of the heart. You note when you lift up the chest piece of the stethoscope you can still hear the sound through the ear pieces (a thrill is also present as well). You would grade this heart murmur as:
4
3
6
1
In order to auscultate for an aortic regurgitation heart murmur, what is the best position to place the patient in?
Place the patient in a supine position
Turn the patient onto their left side
Have the patient sitting-up, leaning forward
Turn the patient onto their right side
True or False: S1 split is due to the asynchronous closing of the aortic and pulmonic values.
True
False
S1 split can be caused by which of the following:
Right bundle branch block
Left bundle branch block
Ventricular tachycardia
Asystole
Which figure(s) above represents a rhythm where the PR intervals are cyclic in getting longer with a dropped QRS complex and then the pattern is repeated?
Figure 2
Figure 1 & 2
Figure 1
Figure 4
