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Ambulatory Monitoring (115)

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

Which of the following is NOT a type of ambulatory monitoring?

a)

Holter Monitors

b)

Cardiac Event Recorders

c)

Telemetry

d)

Blood Pressure Monitors

2.

What is the typical duration for which a Holter Monitor is placed?

a)

12-24 hours

b)

24-48 hours

c)

48-72 hours

d)

72-96 hours

3.

Which of the following is a downside of using a Holter Monitor?

a)

It is expensive

b)

It is only effective if the patient has symptoms during the 24-48 hour time frame

c)

It requires surgery to implant

d)

It cannot record ECG tracings

4.

For how long can Cardiac Event Recorders be worn?

a)

Up to 7 days

b)

Up to 14 days

c)

Up to 21 days

d)

Up to 30 days

5.

What is the primary function of the LifeVest?

a)

To monitor blood pressure

b)

To deliver medication

c)

To monitor heart rate and deliver shock if needed

d)

To measure oxygen levels

6.

Which type of monitoring involves real-time viewing of the ECG as it occurs?

a)

Holter Monitoring

b)

Cardiac Event Recording

c)

Telemetry Monitoring

d)

Blood Pressure Monitoring

7.

Which leads view the inferior wall of the left ventricle in a standard 12 Lead ECG?

a)

Leads I, II, and aVF

b)

Leads V1 and V2

c)

Leads V3 and V4

d)

Leads aVL, V5, and V6

8.

Which coronary artery is associated with the anterior wall of the left ventricle?

a)

Right coronary artery

b)

Left circumflex branch

c)

Left anterior descending branch

d)

Posterior descending artery

9.

Which leads view the septal wall in a standard 12 Lead ECG?

a)

Leads I and II

b)

Leads V1 and V2

c)

Leads V3 and V4

d)

Leads aVL, V5, and V6

10.

Which leads view the lateral wall of the left ventricle in a standard 12 Lead ECG?

a)

Leads I, II, and aVF

b)

Leads V1 and V2

c)

Leads V3 and V4

d)

Leads aVL, V5, and V6

11.

The standard 12-lead ECG focuses directly on what part of the heart?

a)

The left atrium

b)

The right atrium

c)

The ventricles

d)

The septum

12.

What is a myocardial infarction (MI)?

a)

Injury to the cardiac muscle caused by prolonged reduction or interruption of blood flow

b)

A reduction or interruption in blood flow and oxygen to the myocardium for a short period of time

c)

Damage to the heart muscle caused by lack of oxygen due to a blockage of one or more of the coronary arteries

d)

A normal Q wave, measuring less than 0.04 second in duration and less than 1/3 the height of the R wave in that lead

13.

Which of the following is NOT a step in the Five-Step Process for Basic Rhythm Interpretation?

a)

Determine the ECG rhythm or regularity

b)

Measure the QRS duration and analyze the configuration

c)

Identify the P wave morphology

d)

Evaluate the leads in groups

14.

What does ST segment depression of 1 mm or more indicate?

a)

Myocardial Ischemia

b)

Myocardial Injury

c)

Myocardial Infarction

d)

Normal heart function

15.

What is a possible indicator of myocardial ischemia on an ECG?

a)

T wave inversion

b)

Q wave inversion

c)

P wave elevation

d)

R wave depression

16.

What does ST segment elevation of 1 mm or more indicate?

a)

Myocardial Injury

b)

Myocardial Ischemia

c)

Normal heart function

d)

Arrhythmia

17.

Which of the following factors determine the seriousness of a myocardial infarction?

a)

Which coronary arteries are involved

b)

The patient's age

c)

The patient's gender

d)

The patient's weight

18.

What is hypertrophy in the context of the ventricular wall?

a)

Abnormal thinning of the ventricular wall due to chronic pressure overload

b)

Abnormal thickening of the ventricular wall due to chronic pressure overload

c)

Normal thickening of the ventricular wall due to chronic pressure overload

d)

Abnormal thickening of the ventricular wall due to acute pressure overload

19.

Which of the following is NOT a cause of left axis deviation?

a)

Left ventricular hypertrophy

b)

Pregnancy

c)

Emphysema

d)

Right ventricular hypertrophy

20.

Which condition is considered normal in children and tall, thin adults?

a)

Left axis deviation

b)

Right axis deviation

c)

Extreme right axis deviation

d)

None of the above

21.

What does extreme right axis deviation indicate?

a)

Lead reversal

b)

Normal axis

c)

Left axis deviation

d)

Right axis deviation

22.

Which of the following is a cause of extreme right axis deviation?

a)

Pregnancy

b)

Emphysema

c)

Pacemaker rhythms

d)

Obesity

23.

What is a characteristic of left ventricular hypertrophy?

a)

The wall thins due to chronic pressure overload

b)

QRS complex shows smaller amplitude

c)

Taller and deeper ventricular depolarization waves

d)

Shorter and shallower ventricular depolarization waves

24.

Which leads should you refer to when determining left ventricular hypertrophy?

a)

V1 and V2

b)

V3 and V4

c)

V5 and V6

d)

Lead I and Lead II

25.

What is the significance of an ST segment elevation of 1 mm or more with T wave inversion?

a)

Indicates myocardial ischemia

b)

Indicates myocardial injury

c)

Indicates tissue death or MI

d)

Indicates left ventricular hypertrophy

26.

How many different "pictures" of the heart's electrical activity does a 12-lead ECG provide?

a)

6

b)

12

c)

18

d)

24

27.

Which leads are associated with the Inferior Wall in a 12-lead ECG?

a)

I, aVL, V5, V6

b)

V1, V2

c)

II, III, aVF

d)

V3, V4

28.

Which leads are associated with the Septum in a 12-lead ECG?

a)

V1, V2

b)

I, aVL, V5, V6

c)

II, III, aVF

d)

V3, V4

29.

Which leads are associated with the Lateral Wall in a 12-lead ECG?

a)

I, aVL, V5, V6

b)

V1, V2

c)

II, III, aVF

d)

V3, V4

30.

Which leads are associated with the Anterior Wall in a 12-lead ECG?

a)

I, aVL, V5, V6

b)

V1, V2

c)

II, III, aVF

d)

V3, V4