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ECG Chapter 6

Total questions: 42

Worksheet time: 21mins

Name
Class
Date
1.

What is an ectopic impulse?

a)

A normal heartbeat

b)

An impulse originating from an abnormal location

c)

A type of neurological disorder

d)

A regular electrical signal in the brain

2.

What does the term "neurological" refer to?

a)

Related to the heart

b)

Related to the brain and nervous system

c)

Related to the digestive system

d)

Related to the respiratory system

3.

What causes atrial dysrhythmias?

a)

Ectopic impulse in the right or left atrium

b)

Normal conduction pathway in the ventricles

c)

Electrical impulse from the sinoatrial node

d)

Blood flow obstruction in the arteries

4.

What is an area of ectopic activity called?

a)

Ectopic node

b)

Ectopic focus

c)

Ectopic center

d)

Ectopic point

5.

What controls the heart rate in atrial dysrhythmias?

a)

Slowest impulse

b)

SA node impulse

c)

Fastest impulse

d)

AV node impulse

6.

What happens when ectopic impulses fire faster than the SA node?

a)

They are overridden by the SA node

b)

They override the SA node impulses

c)

They synchronize with the SA node

d)

They stop the SA node impulses

7.

Which of the following conditions may cause atrial dysrhythmias?

a)

Myocardial infarction

b)

Diabetes

c)

Asthma

d)

Kidney stones

8.

What type of problems can lead to atrial dysrhythmias?

a)

Valvular problems

b)

Digestive problems

c)

Respiratory problems

d)

Skin problems

9.

Which of the following is NOT a condition that may cause atrial dysrhythmias?

a)

Neurological problems

b)

Electrolyte abnormalities

c)

Hypertension

d)

Common cold

10.

What is the plural form of the word "focus"?

a)

Focusses

b)

Foci

c)

Focuses

d)

Focis

11.

Which term refers to a pattern that has two phases?

a)

Trigeminy

b)

Biphasic

c)

Monophasic

d)

Triphasic

12.

What does the term "trigeminy" refer to in medical terminology?

a)

A pattern of three beats

b)

A pattern of two beats

c)

A single heartbeat

d)

A pattern of four beats

13.

What are Premature Atrial Complexes (PACs)?

a)

Electrical impulses that originate in the ventricles and initiate a late impulse

b)

Electrical impulses that originate in the atria and initiate an early impulse

c)

Electrical impulses that originate in the atria and initiate a late impulse

d)

Electrical impulses that originate in the ventricles and initiate an early impulse

14.

What is another name for Premature Atrial Complexes?

a)

PVCs

b)

PACs

c)

PAVs

d)

PTCs

15.

What is meant by "Add-on dysrhythmia" in the context of PAC criteria?

a)

They create a new rhythm

b)

They interrupt an underlying rhythm

c)

They stabilize the heart rate

d)

They decrease the heart rate

16.

In the PAC criteria, what is the usual rate range for atrial rhythm?

a)

40-60 bpm

b)

60-100 bpm

c)

100-140 bpm

d)

140-180 bpm

17.

According to the PAC criteria, when are P-P intervals constant?

a)

Always constant

b)

Constant except for early complexes

c)

Constant except for late complexes

d)

Never constant

18.

What is the usual rate range for ventricular PAC criteria?

a)

40–60 bpm

b)

60–100 bpm

c)

100–120 bpm

d)

120–140 bpm

19.

In ventricular PAC criteria, how are the R-R intervals described?

a)

Always different

b)

Always the same

c)

The same except for early complexes

d)

Randomly varying

20.

What is the shape of P waves in normal complexes?

a)

Uniform shape

b)

Flattened

c)

Notched

d)

Biphasic

21.

How might P waves appear in PACs?

a)

Uniform shape

b)

Always hidden

c)

Flattened, notched, biphasic, or different

d)

Only biphasic

22.

What happens to the P wave when an impulse comes from a different location?

a)

It remains the same

b)

It becomes uniform

c)

It has a different shape

d)

It disappears

23.

Where might a premature (early) P wave be hidden?

a)

In the Q wave

b)

In the T wave

c)

In the R wave

d)

In the S wave

24.

What is the normal range for the PR interval in PAC criteria?

a)

0.06 to 0.12 seconds

b)

0.12 to 0.20 seconds

c)

0.20 to 0.30 seconds

d)

0.30 to 0.40 seconds

25.

Why is the PR interval considered normal in PAC criteria?

a)

Because the delay in a SA node is normal

b)

Because the delay in a AV node is normal

c)

Because the delay in a bundle branch is normal

d)

Because the delay in a Purkinje system is normal

26.

What is the normal range for the QRS duration in PAC criteria?

a)

0.02 to 0.06 seconds

b)

0.06 to 0.12 seconds

c)

0.12 to 0.18 seconds

d)

0.18 to 0.24 seconds

27.

What ensures the QRS duration and morphology are within normal limits in PAC criteria?

a)

Damage to the atrial conduction system

b)

Damage to the ventricular conduction system

c)

Intact ventricular conduction system

d)

Intact atrial conduction system

28.

What is a PAC in the context of cardiac rhythms?

a)

A type of heart attack

b)

An "add-on" dysrhythmia

c)

A type of blood pressure measurement

d)

A form of heart valve disease

29.

How is an occasional PAC defined in terms of frequency?

a)

Less than 3 per minute

b)

Less than 6 per minute

c)

6 or more per minute

d)

Every other beat

30.

What does bigeminy refer to in PAC labeling?

a)

Every third beat is a PAC

b)

Every fourth beat is a PAC

c)

Every other beat is a PAC

d)

Less than 6 PACs per minute

31.

Which type of PAC occurs every fourth beat?

a)

Bigeminy

b)

Trigeminy

c)

Quadgeminy

d)

Frequent

32.

What does "Sinus bradycardia with Bigeminal PAC's" mean in terms of occurrence?

a)

Every other

b)

Every third

c)

Every fourth

d)

Less than 6 per minute

33.

How often do Trigeminal PAC's occur in NSR?

a)

Every other

b)

Every third

c)

Every fourth

d)

6 or more per minute

34.

What is the frequency of Quadrigeminal PAC's in Sinus tachycardia?

a)

Every other

b)

Every third

c)

Every fourth

d)

Less than 6 per minute

35.

What does "NSR with occasional PACs" indicate in terms of frequency?

a)

Every other

b)

Every third

c)

Less than 6 per minute

d)

6 or more per minute

36.

What is the frequency of PAC's in "NSR with frequent PAC's"?

a)

Every other

b)

Every third

c)

Less than 6 per minute

d)

6 or more per minute

37.

What symptoms might patients with Premature Atrial Complexes (PACs) experience?

a)

Headaches and dizziness

b)

Palpitations or a fluttering in their chest

c)

Nausea and vomiting

d)

Muscle cramps

38.

What might frequent PACs indicate about a patient's condition?

a)

Improved cardiac health

b)

A more serious atrial dysrhythmia may develop

c)

Decreased risk of heart disease

d)

Increased energy levels

39.

How is the severity of a patient's complaint related to PACs?

a)

It is unrelated to the frequency of PACs

b)

It is inversely related to the frequency of PACs

c)

It is directly related to the frequency of PACs

d)

It is related to the patient's age

40.

What is the primary function of the heart?

a)

To filter blood

b)

To pump blood throughout the body

c)

To produce blood cells

d)

To store oxygen

41.

Which chamber of the heart receives oxygenated blood from the lungs?

a)

Right atrium

b)

Left atrium

c)

Right ventricle

d)

Left ventricle

42.

What separates the left and right sides of the heart?

a)

Septum

b)

Valve

c)

Artery

d)

Vein