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EKG Study Guide

Total questions: 100

Worksheet time: 50mins

Name
Class
Date
1.

What are electrodes?

a)

An instrumental to calculate BMI

b)

A measurement unit of the heart's rythm

c)

A blood component

d)

A conductor of electric current

2.

The MAJOR circulation is...

a)

Right ventricle, lungs, right atria

b)

Left ventricle, systematic circulation, right atrium

c)

Right ventricle, lungs, left atria

d)

Left atria, systematic circulation, right atria

3.

What part is this in an EKG Wave?

a)

Q Wave

b)

R Wave

c)

S Wave

d)

P Wave

4.

How many leads does the EKG machine produce?

a)

6

b)

10

c)

12

d)

18

5.

Which blood vessel comes out of the left ventricle?

a)

The aorta

b)

The vena cava

c)

The pulmonary vein

d)

The pulmonary artery

6.

What part is this in an EKG wave?

a)

Q Wave

b)

R Wave

c)

S Wave

d)

P Wave

7.

All of the following functions might be determined by the electrocardiogram
except...

a)

Computes the duration of the repolarization

b)

Length of time it takes to conduct the impluses

c)

Measuring the patient's internal temperature

d)

None of the above

8.

Which of the following might NOT be shown by the ECG?

a)

Duration of depolatization

b)

Duration of repolarization

c)

Data on the myocardium

d)

All of the Above

9.

What is this part in an EKG Wave?

a)

QR Segment

b)

ST Interval

c)

PR Segment

d)

QRS Complex

10.

When the oxygenated blood is being transported back to the left
atrium by the pulmonary veins, where is it coming from?

a)

Right Atrium

b)

Lungs

c)

Kidneys

d)

Left Ventricle

11.

Which blood vessel comes out of the right ventricle?

a)

The vena cava

b)

The pulmonary vein

c)

The pulmonary artery

d)

The aorta

12.

A cardiac cycle is the same as...

a)

Blood pressure

b)

One heart beat

c)

Pulse

d)

Oxygenation of the blood

13.

The precordial V1 is placed on...

a)

Fifth intercostal space to the right

b)

Fourth intercostal space aligned with mid clavicle line

c)

Fourth intercostal space to the left

d)

Fourth intercostal space to the right

14.

Which is the biggest blood vessel?

a)

Aortic artery

b)

Pulmonary Artery

c)

Venules

d)

Arteriole

15.

The specialized blood cells in charge of defending the body from pathogens are called...

a)

Erythrocytes

b)

Leucocytes

c)

Electrolytes

d)

Osteoblast

16.

The left atria receives blood from...

a)

The vena cava

b)

The pulmonary arteries

c)

The pulmonary veins

d)

The aorta

17.

Which of the following are bipolar leads?

a)

AVR, AVL, AVF

b)

DI, DII, DIII

c)

V1, V2, V3, V4, V5, V6

d)

DI, DII, DIII, AVF, AVL, AVR

18.

The ventricles are considered...

a)

Low pressure chambers

b)

High pressure chambers

c)

Electrical chambers

d)

Isoelectric chambers

19.

The AV node is also known as...

a)

The Gate Keeper

b)

Natural Pacemaker of the heart

c)

Natural Producer of electricity

d)

Natural defibrillator of the heart

20.

Which of the following would be considered correct for the layer of the heart which produces the contraction?

a)

Epicardium

b)

Subcutaneous

c)

Myocardium

d)

Endocardium

21.

What does an EKG Machine records?

a)

The circulation of the heart

b)

The electrical conduction of the heart

c)

The pulse of the heart

d)

The patient's heart rate

22.

Fifth inercostal space to the left aligned with mid clavicular line corresponds to which lead?

a)

V4

b)

V2

c)

V3

d)

V6

23.

The Tunica _________ is the layer of the blood vessel that allows for them to attach to the muscles.

a)

Media

b)

Adventitia

c)

Interna

d)

Endothelium

24.

Which are the types of circulation?

a)

Tachycardic and Bradycardic

b)

Dyastollic and Systolic

c)

Systemic and Pulmonary

d)

Latrogenic and Ferropenic

25.

Which of the following does standard EKG paper becomes sensitive to damages?

a)

Artificial light

b)

Heat

c)

Darkness

d)

Cold

26.

The intrinsic electricity refers to...

a)

The external simulations of the heart

b)

The conduction between electrodes

c)

The electricity produced by the heart of its own

d)

The electrical current between two ions

27.

Where is The Bundle of His is located?

a)

The Myocardial Wall

b)

The Septal Wall

c)

The AV Node

d)

The SA Node

28.

If an EKG tech has a patient with an amputated left arm, where would the LA electrode be placed?

a)

On the left leg

b)

On the left abdomen

c)

On the superior suprasternal notch

d)

On the right arm

29.

Where in the heart does the right atria receives blood from?

a)

The pulmonary vein

b)

The pulmonary artery

c)

The vena cava

d)

The aorta

30.

Which of the following are a part of a MINOR circulation?

a)

Right ventricle, lungs, left atria

b)

Left ventricle, lungs, right atria

c)

Right atria, lungs, left atria

d)

Left ventricle, systematic circulations, right atria

31.

Which of the following structures is in charge of electrifying the Apex of the heart?

a)

Purkenjie Branches

b)

Bundles of His Branches

c)

Bundle of His

d)

Purkenjie Fibers

32.

Which of the following is the 5th intercostal space, left midaxillary line is located?

a)

V5

b)

V6

c)

V4

d)

V3

33.

Where would the posterior V leads V7-V9 be placed?

a)

Below the scapula on the left side

b)

Above the scapula on the right side

c)

Below the scapula on the right side

d)

All are correct

34.

In a Limb Lead, which of the following is the color of the ground electrode?

a)

Red

b)

Green

c)

White

d)

Black

35.

Which of the following are semilunar valves?

a)

Aortic and Pulmonary

b)

Mitral and Aortic

c)

Tricuspid and Bicuspid

d)

Biscuspid and Pulmonary

36.

Which of the following are monopolar leads?

a)

DI, DII, DIII, AVL, AVF, AVR

b)

V1-6, AVR, AVL, AVF

c)

AVR, AVL, AVF

d)

DI, DII, DIII

37.

Cardiovascular would be defined as...

a)

The Heart

b)

Blood

c)

Blood Vessels

d)

All the above

38.

The blue lead corresponds to which electrode?

a)

V1

b)

V3

c)

V4

d)

V6

39.

Which is the smallest vein?

a)

Vena Cava

b)

Arteriole

c)

Venules

d)

Median Cubital Vein

40.

What are Electrolytes?

a)

The unit of measurements of electric impulses of the heart

b)

Chemical elements capable of producing electricity

c)

Biological components of the heart

d)

An electric reaction produce when the heart beats

41.

What does depolarization mean?

a)

Activation of the myocardial cells

b)

The process in which a cell transfers ions to another

c)

An augmentation of calcium in a cell

d)

An irregular QRS complex reading

42.

Clotting appears when which of the following stick to each other on a wound or lesion?

a)

Erythrocytes

b)

Leucocytes

c)

Platelets

d)

Plasma

43.

Which of the following is a false statement?

a)

The P wave represents atrial depolarization

b)

The RR interval represents atrial repolarization

c)

The QRS complex represents ventricular depolarization

d)

The T wave represents ventricular repolarization

44.

When preparing a patient for an EKG in the supine position, where should a technician stand to apply the electrodes?

a)

The head of the bed

b)

The foot of the bed

c)

Patient's right side

d)

Patient's left side

45.

The pericardium is...

a)

The protective sac of the heart

b)

The protective layer of the ventricles

c)

The protective layer of the septum

d)

The most outer layer of the veins

46.

Which of the following has a pulse?

a)

Vein

b)

Arteries

c)

Capillaries

d)

Valves

47.

The deflections on an the Isoelectric Line/Baseline are from what field?

a)

The negative field

b)

The positive field

c)

The neutral field

d)

None of the above

48.

Which of the following are precordial leads?

a)

DI, DII, DIII, AVL, AVF, AVR

b)

V1, V2, V3, V4, V5, V6

c)

AVR, AVL, AVF

d)

DI, DII, DIII

49.

A slow respiration rate is also known as...

a)

Hypotension

b)

Bradycardia

c)

Hypothermia

d)

Bradypnea

50.

The purple lead corresponds to which electrode?

a)

V1

b)

V3

c)

V6

d)

V5

51.

Which blood vessel are capable of transporting O2 and CO2?

a)

Arteries

b)

Arterioles

c)

Venules

d)

Capillaries

52.

Where is the heart located?

a)

Behind the sternum

b)

Between the 2nd and 6th ribs

c)

In the thorax

d)

All of the above

53.

How does a pacemaker help Cardiac Conduction?

a)

Checks blood pressure

b)

Controls abnormal heart rhythms

c)

Checks blood sugar

d)

Controls blood pressure

54.

Which of the following blood component brings nutrition and serves as a transportation method?

a)

Water

b)

Blood

c)

Plasma

d)

Hemoglobin

55.

On a standard/common Telemetry monitoring, how many leads are used?

a)

3 Leads

b)

5 Leads

c)

12 Leads

d)

10 Leads

56.

Which of these is NOT a type of blood vessel?

a)

Lymph

b)

Artery

c)

Vein

d)

Capillary

57.

Gas exchange happens inside the...

a)

Stomach

b)

Brain

c)

Lungs

d)

Diaphragm

58.

The specialized cell of the cardiovascular system is known as...

a)

The Myocardial Cell

b)

The Mitochondrial Cell

c)

The Musculoskeletal Cell

d)

The Myocytes Cell

59.

Which component of the blood transports oxygen?

a)

Plasma

b)

Platelets

c)

Red Blood Cells

d)

White Blood Cells

60.

A patient experiencing a body temperature below 95 degrees F is

a)

Hyperthermic

b)

Febrile

c)

Hypovolemic

d)

Hypothermic

61.

When taking a radial pulse, the medical assistant should do all of the following, EXCEPT...

a)

Point the patient's palms downard

b)

Use the thumb to palpate the artery

c)

Assess the pulse rate, rhythm, and volume

d)

Use two or three fingertips to palpate the pulse at the inner wrist

62.

The pulse point on the top of the foot is the...

a)

Femoral

b)

Dorsalis pedis

c)

Temporal

d)

Popliteral

63.

When performing the palpatory method, which of the following indicates the level the medical assistant should inflate the cuff?

a)

30mm above the radial pulse cessation

b)

30mm above the brachial pulse cession

c)

20mm above the reappaerance of the branchial pulse

d)

30mm above the reappearance of the radial pulse

64.

Faint tapping sounds as the blood pressure cuff initially deflates are recorded as the...

a)

Pulse pressure

b)

Pulse deficit

c)

Systolic pressure

d)

Diastolic pressure

65.

To take the vital signs of an infant, the medical assistant should do what?

a)

Have the parent leave the room

b)

Have the parent sit the infant on the exam table

c)

Use the stethoscope to listen to the heart and lungs while the parents hold the child

d)

Take the pulse using the radial artery, and place your hand on the infant's child to feel respirations

66.

What's the normal respiration rate for a newborn infant?

a)

15 breaths/min.

b)

35 breaths/min.

c)

45 breaths/min.

d)

55 breaths/min.

67.

If a patient has just finished a hot beverage, wait 10-15 minutes before taking the temperature

a)

True

b)

False

68.

Infants have an average pulse rate between 120-160 beats/min.

a)

True

b)

False

69.

Blood pressure readings are measured in milligrams.

a)

True

b)

False

70.

If the vital signs are all within normal limits, it is not necessary to document results.

a)

True

b)

False

71.

Which of the following is most likely the cause for this artifact?

a)

Patient Respirations

b)

Electrical Inteference

c)

Somatic Tremor

d)

Pacemaker Spikes

72.

Identify the graph.

a)

Premature atrial complex

b)

Premature ventricular complex Bigeminy

c)

Premature ventricular complex Trigeminy

d)

Premature ventricular complex Quadgeminy

73.

Identify the graph.

a)

Atrial tachycardia

b)

Premature ventricular complex

c)

Premature atrial complex

d)

Sinus Bradycardia

74.

Identify the graph.

a)

Idioventricular Rhythm

b)

Torsades de Pointes

c)

Sinus Rhythm

d)

Ventricular Asystole

75.

Identify the graph.

a)

Atrial fibrillation

b)

Third degree VA block

c)

Classic Wenckebach

d)

Multifocal Atrial Tachycardia

76.

Identify the graph.

a)

Accelerated Idioventricular Rhythm

b)

Ventricular Tachycardia

c)

Sinus Arrest

d)

Atrial Paroxysmal Tachycardia

77.

Which Artifact would this be?

a)

Alternating Current (AC)

b)

Muscle Tremor

c)

Wandering Baseline

d)

Interrupted Baseline

78.

Identify the graph.

a)

Cardiac Arrest

b)

Premature Ventricular Complex

c)

Asystole

d)

Multifunctional Atrial Tachycardia

79.

The AV Node may present:

a)

Temporary Blockages

b)

Regular Delay of the Electrical Current

c)

Permanent Blockages

d)

All of the above

80.

What is an atrial pacing caused by multiple ectopic focuses on top of the ventricles is called?

a)

Supraventricular Tachycardia

b)

Atrial Tachycardia

c)

Atrial Flutter

d)

Ventricular Tachycardia

81.

What is the typical BPM of Sinus Tachycardia?

a)

59 or less BPM

b)

250 - 450 BPM

c)

450 - 600 BPM

d)

101 - 150 BPM

82.

Identify the graph.

a)

Pacemaker Pacing Artifact

b)

Somatic Tremor Artifact

c)

First Degree AV Block

d)

Atrial Tachycardia

83.

Identify the graph.

a)

Atrial Ischemia

b)

Ventricular Ischemia

c)

Sinus Rhythm

d)

Sinus Tachycardia

84.

What is typical BPM for Accelerated Idioventricular?

a)

50 - 100 BPM

b)

250 - 400 BPM

c)

61 - 100 BPM

d)

40 - 60 BPM

85.

What is a slow chain of PVC's called?

a)

Sinus Rhythm

b)

Idioventricular Rhythm

c)

Atrial Flutter

d)

Third Degree AV Block

86.

Identify the graph.

a)

Dual Chamber Pacemaker

b)

Bi Ventricular Pacemaker

c)

Implantable Cardioverter Defibrillator (ICD)

d)

Somatic Tremor

87.

Identify the graph.

a)

Second Degree AV Block Type I Mobitz

b)

Second Degree AV Block Type II Mobitz

c)

Sinus Arrest

d)

Sinus Arrythmia

88.

Identify the graph.

a)

Sinus Arrythmia

b)

Sinus Bradycardia

c)

Second Degree AV Block

d)

Sinus Rhythm

89.

Identify the graph.

a)

Ventricular Tachycardia

b)

Idioventricular Rhythm

c)

Ventricular Bigeminy

d)

Ventricular Trigeminy

90.

Identify the graph.

a)

Ventricular Quadgeminy

b)

Ventricular Fibrillation

c)

Ventricular Tachycardia

d)

Ventricular Trigeminy

91.

Identify the graph.

a)

Atrial Tachycardia

b)

Ventricular Fibrillation

c)

Multifocal Atrial Tachycardia (MAT)

d)

Atrial Flutter

92.

Identify the graph.

a)

Sinus Rhythm

b)

First Degree AV Block

c)

Sinus Arrythmia

d)

Sinus Arrest

93.

What is the typical BPM for Atrial Fibrillation (A. FIB)?

a)

401 - 650 BPM

b)

150 - 300 BPM

c)

60 - 450 BPM

d)

Above 600 BPM

94.

How do you define Ventricular Tachycardia?

a)

Chain of PVC with below 100 BPM

b)

Chain of PAC with above 100 BPM

c)

Chain of PVC with above 100 BPM

d)

Chain of PAC with below 100BPM

95.

Identify the graph.

a)

Third Degree AV Block

b)

Ventricular Quadgeminy

c)

Ventricular Tachycardia

d)

Ventricular Trigeminy

96.

Identify the graph.

a)

Multifocal Atrial Tachycardia

b)

Premature Atrial Contraction

c)

Wandering Atrial Pacemaker

d)

Sinus Arrythmia

97.

Identify the graph.

a)

Multifocal Atrial Tachycardia

b)

Atrial Tachycardia

c)

Ventricular Tacycardia

d)

Wandering Atrial Pacemaker

98.

A Normal Sinus Rhythm strip would have....

a)

The QRS complex missing

b)

The P Wave inverted

c)

All waves

d)

A missing cardiac cycle

99.

Identify the graph.

a)

Sinus Arrest

b)

Ventricular Tachycardia

c)

Second Degree AV Block

d)

Third Degree AV Block

100.

Identify the graph.

a)

Junctional Rhythm

b)

Idioventricular Rhythm

c)

Accelarated Idioventricular Rhythm

d)

V. Tachycardia Monomorphic

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