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WorksheetsMod. 9 EKG Review
Total questions: 53
Worksheet time: 27mins
Electrocardiogram; records electrical activity of the heart, including waveforms, intervals, and segments.
EKG
Semi-Fowler's position
U wave
Gain
Represents atrial depolarization and contraction on the EKG.
Telemetry
Positive deflection
ventricular tachycardia
P wave
Represents ventricular depolarization and contraction on the EKG.
Dyspnea
AC interference
Premature ventricular contractions (PVCs)
QRS wave
Represents ventricular repolarization and relaxation on the EKG.
Negative deflection
T wave
Wandering baseline
Sinus tachycardia
Represents repolarization of the bundle of His and Purkinje fibers on the EKG.
Syncope
U wave
ventricular tachycardia
Self-calibrating
Time from the beginning of atrial depolarization to the beginning of ventricular depolarization on the EKG.
Somatic tremor
premature atrial contractions
PR interval
Sinus dysrhythmias
Time from the beginning of ventricular depolarization to the end of ventricular repolarization on the EKG.
QT interval
Gain
Holter monitoring
Premature atrial contractions (PACs)
Time from the end of ventricular depolarization to the beginning of ventricular repolarization on the EKG.
Electrocardiogram
ST segment
EKG Tracing
Atrial flutter
Normal rhythms originating from the sinoatrial (SA) node, characterized by one P wave for each QRS interval on the EKG.
Medical Assistant (MA)
Precordial Leads
Sinus rhythms
Sinus bradycardia
Arise from SA node firing irregularities, resulting in slight irregularity in QRS complexes on the EKG.
Supine Position
Ventricular fibrillation
Premature atrial contractions (PACs)
Sinus dysrhythmias
Dysrhythmia with a heart rate less than 60/min and one P wave preceding each QRS complex on the EKG.
PR interval
Sinus bradycardia
U wave
Electrode Pads
Dysrhythmia with a heart rate greater than 100/min and one P wave preceding each QRS complex on the EKG.
Sinus tachycardia
Negative deflection
Self-calibrating
Three-channel format
Condition where the SA node fails to fire, significant if accompanied by symptoms or lasting longer than 6 seconds.
Sinus arrest
Sinus dysrhythmias
Graph Paper
P wave
Originate from atrial tissue outside the SA node, characterized by absence of P waves on the EKG.
Atrial rhythms
Graph Paper
U wave
PR interval
Results in multiple flutter waves for each QRS complex on the EKG, can be treated with medication.
Interrupted baseline
EKG Tracing
Paper speed
Atrial flutter
Rapid, disorganized firing of multiple sites within the atrial tissue, increases risk of blood clots.
Somatic tremor
Sinus rhythms
Atrial fibrillation
stress testing
Triggered early atrial contractions, more than 6 per minute is an abnormal finding on the EKG.
Premature atrial contractions (PACs)
U wave
Syncope
Atrial rhythms
Premature contractions in the ventricles, abnormal if occurring more than 6 per minute on the EKG.
60-cycle interference artifacts
Graph Paper
Wandering baseline artifact
Premature ventricular contractions (PVCs)
Regular, fast rhythm with large, irregular, wide QRS complexes, can be life-threatening.
Wandering baseline artifact
Paper speed
Ventricular tachycardia (V-tach)
Atrial fibrillation
Abnormal heart rhythm where the ventricles twitch or quiver, does not produce a pulse.
AC interference
Atrial rhythms
Ventricular fibrillation
Sinus rhythms
Complete absence of any waves on the EKG tracing, indicating a need for immediate CPR if the patient is not awake.
Dyspnea
Asystole
Premature atrial contractions (PACs)
Wandering baseline artifact
External interferences or irregularities in the EKG tracing, must be detected and addressed by the MA.
Artifacts
Negative deflection
Anxiety
Graph Paper
Irregular spikes related to muscle movement, can be reduced by decreasing patient anxiety and providing warmth.
Sinus tachycardia
sinus rhythm
Somatic tremor
premature atrial contractions
Regular spikes related to poor grounding or external electricity, can be reduced by proper machine grounding.
AC interference
EKG Tracing
Positive deflection
Precordial Leads
Baseline movement associated with breathing or poor electrode connection, causing difficulty in tracing interpretation.
Three-channel format
Somatic tremor
ventricular fibrillation
Wandering baseline
Break in the tracing related to a disconnected or broken lead wire, requires regular cleaning and maintenance of lead wires.
P wave
Interrupted baseline
Atrial flutter
Sinus dysrhythmias
A test that records the electrical activity of the heart over a period of time using electrodes placed on the skin
QT interval
Electrocardiogram
60-cycle interference artifacts
Atrial flutter
A feeling of worry, nervousness, or unease, often about an imminent event or something with an uncertain outcome
Ventricular tachycardia (V-tach)
Anxiety
Sinus dysrhythmias
Identifiers
The graphical representation of the electrical activity of the heart as recorded by an electrocardiogram
QRS wave
EKG Tracing
T wave
Sinus tachycardia
Specific pieces of information used to confirm a patient's identity, such as full name and date of birth
Ventricular fibrillation
Identifiers
U wave
Atrial rhythms
Lying flat on the back with the face upward
ventricular tachycardia
Telemetry
Graph Paper
Supine Position
Pads used to prepare the sites of electrode placement by facilitating conductivity
Telemetry
ventricular fibrillation
Electrode Pads
Graph Paper
Unwanted interference or noise on the EKG tracing, often caused by external factors or poor-quality equipment
Atrial fibrillation
Atrial flutter
Artifact
Artifacts
Heat- and pressure-sensitive paper used to record the electrical activity of the heart in an electrocardiogram
Graph Paper
Atrial fibrillation
Thallium
QRS wave
The maximum extent of a vibration or oscillation, measured from the position of equilibrium
Atrial fibrillation
T wave
Amplitude
Interrupted baseline
The increase in signal power, voltage, or current, usually expressed in decibels
Artifacts
Electrocardiogram
Anxiety
Gain
Electrodes placed on the chest to record electrical activity from different parts of the heart
Positive deflection
Syncope
atrial flutter
Precordial Leads
A mark inserted at the beginning of each EKG strip to calibrate the recording, 10 mm high
QRS wave
Sinus rhythms
Standardization Mark
Asystole
The format used for recording the 12-lead EKG
Manufacturer's instructions
Sinus bradycardia
Asystole
Three-channel format
Guidelines to follow when operating the EKG
Wandering baseline artifact
Premature atrial contractions (PACs)
Manufacturer's instructions
Wandering baseline
The direction of the R wave in lead I should be positive
Anxiety
Positive deflection
Ventricular fibrillation
Sinus rhythms
The R wave in lead I has a negative deflection if limb leads are not attached correctly
Negative deflection
Sinus tachycardia
Positive deflection
atrial flutter
The leads responsible for the R wave in lead I
Atrial rhythms
Atrial fibrillation
Limb leads
ventricular tachycardia
Caused by heavy breathing or sighing, leading to irregularities in the EKG tracing
Atrial rhythms
Wandering baseline artifact
QT interval
Somatic tremor
Interference caused by improper positioning of the electrocardiograph machine
Precordial Leads
Sinus tachycardia
60-cycle interference artifacts
stress testing
Fainting or temporary loss of consciousness, which can occur upon rising from the testing position
QT interval
Syncope
stress testing
Semi-Fowler's position
Shortness of breath, which can be experienced when lying flat by patients with pulmonary disorders
Self-calibrating
Negative deflection
Dyspnea
Three-channel format
Positioning the patient with the head of the bed elevated to minimize dyspnea during EKG
Precordial Leads
Semi-Fowler's position
AC interference
T wave
Computer-based monitoring typically conducted in a hospital setting
Wandering baseline artifact
Interrupted baseline
Telemetry
Premature ventricular contractions (PVCs)
EKG devices that perform a self-check to ensure proper functioning
Self-calibrating
ST segment
Ventricular fibrillation
ventricular fibrillation
Refers to the speed at which the EKG paper comes out of the machine
Sinus bradycardia
Paper speed
Artifacts
Artifact
A dye used to provide additional information on blood flow within the heart during stress testing
Thallium
Semi-Fowler's position
sinus rhythm
Three-channel format
Ambulatory cardiac monitoring, typically conducted in cardiology practice
stress testing
Holter monitoring
Anxiety
Standardization Mark
