Module 3 Quiz Online
Module 3 quiz for Online EKG Technician Program
Each of the questions or incomplete statements below is followed by suggested answers or completions. Select the one answer that is best in each case.
You must obtain a 80% to pass and you will not be able to review your answers
Questions and Answers
- 1.
What electrical event must occur for atrial kick to occur?
- A.
Atrial depolarization
- B.
Ventricular depolarization
- C.
Atrial repolarization
- D.
Ventricular repolarization
Correct Answer
A. Atrial depolarizationExplanation
Atrial depolarization is the correct answer because it refers to the electrical event that occurs in the atria, causing them to contract and push blood into the ventricles. This is known as the atrial kick, which occurs during the P wave of the electrocardiogram (ECG) waveform. Atrial depolarization is necessary for the proper functioning of the heart and to ensure efficient blood flow throughout the body.Rate this question:
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- 2.
T or F. The polarized cardiac cell is electrically negative.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The polarized cardiac cell is electrically negative because during the resting state, the inside of the cell is more negatively charged compared to the outside. This is due to the uneven distribution of ions such as potassium and sodium across the cell membrane. The negative charge inside the cell is essential for maintaining the resting membrane potential and plays a crucial role in cardiac function and conduction of electrical signals.Rate this question:
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- 3.
T or F. During the absolute refractory period, only a strong stimulus can result in depolarization.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
During the absolute refractory period, no stimulus, regardless of its strength, can result in depolarization. This is because the membrane is temporarily unresponsive and unable to generate an action potential.Rate this question:
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- 4.
T or F. Cardiac cell stimulus during the absolute refractory period often results in very fast,
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
During the absolute refractory period, the cardiac cells are in a state where they cannot be stimulated again. This period is necessary for the cells to recover and reset their electrical properties. Therefore, any stimulus during this period will not result in a response or contraction of the cardiac muscle. Hence, the statement that cardiac cell stimulus during the absolute refractory period often results in very fast is false.Rate this question:
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- 5.
T or F. The P wave represents atrial depolarization.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The P wave represents atrial depolarization. During atrial depolarization, the electrical impulses spread through the atria, causing them to contract and pump blood into the ventricles. This is reflected as a small upward deflection on the electrocardiogram (ECG) known as the P wave. Therefore, the statement is true.Rate this question:
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- 6.
T or F. The PR segment is a flat line located between the QRS complex and the T wave.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The PR segment is not a flat line located between the QRS complex and the T wave. The PR segment represents the time interval between the end of the P wave and the beginning of the QRS complex on an electrocardiogram (ECG). It is a straight line that connects these two points and does not have any specific waveform characteristics. Therefore, the correct answer is False.Rate this question:
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- 7.
T or F. The baseline is a flat line from which the waves and complexes take off
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because in electrocardiography, the baseline represents the electrical activity of the heart when it is at rest. It is a flat line that serves as a reference point for measuring the waves and complexes that occur during the cardiac cycle. The waves and complexes on the ECG graph start from this baseline and deviate either above or below it, indicating the electrical activity of the heart. Therefore, the baseline is indeed a flat line from which the waves and complexes take off.Rate this question:
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- 8.
T or F. The normal pacemaker of the heart is the AV node.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The normal pacemaker of the heart is not the AV node. The correct answer is False. The normal pacemaker of the heart is the sinoatrial (SA) node, which is located in the right atrium. The SA node generates electrical impulses that regulate the heart's rhythm and initiate each heartbeat. The AV node, on the other hand, is responsible for transmitting these impulses from the atria to the ventricles.Rate this question:
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- 9.
T or F. The normal rate of the sinus node is 60–100 beats per minute.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The sinus node, also known as the natural pacemaker of the heart, is responsible for initiating the electrical impulses that regulate the heart rate. The normal rate of the sinus node is indeed 60-100 beats per minute, which means that in a healthy individual, the heart should beat within this range. Therefore, the statement "The normal rate of the sinus node is 60-100 beats per minute" is true.Rate this question:
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- 10.
The cardiac cell at rest has what kind of electrical charge?
- A.
Positive charge
- B.
Negative charge
- C.
Neutral charge
- D.
No charge at all
Correct Answer
B. Negative chargeExplanation
The cardiac cell at rest has a negative charge. This is because the inside of the cell is more negatively charged compared to the outside. This difference in charge is due to the distribution of ions, such as potassium and sodium, across the cell membrane. The negative charge at rest is important for the proper functioning of the cardiac cell and allows for the generation and propagation of electrical signals necessary for the heart to beat.Rate this question:
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- 11.
The EKG is a recording of the
- A.
Heart’s mechanical activity.
- B.
Brain’s electrical activity.
- C.
Heart’s electrical activity.
- D.
Heart’s electrical and mechanical activity.
Correct Answer
C. Heart’s electrical activity.Explanation
The correct answer is "Heart's electrical activity." This is because an EKG (electrocardiogram) is a test that records the electrical activity of the heart. It measures the electrical impulses that cause the heart to beat and can help diagnose various heart conditions or abnormalities. It does not record the mechanical activity of the heart or the electrical activity of the brain.Rate this question:
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- 12.
Depolarization is a(n)
- A.
Electrical event that should result in muscle relaxation.
- B.
Mechanical event that should result in depolarization.
- C.
Electrical event that should result in muscle contraction.
- D.
Mechanical event that should result in repolarization.
Correct Answer
C. Electrical event that should result in muscle contraction.Explanation
Depolarization is an electrical event that occurs when the membrane potential of a cell becomes less negative. In the context of muscle cells, depolarization is an important step in the process of muscle contraction. When a muscle cell is depolarized, it triggers the release of calcium ions, which then allows the muscle fibers to contract. Therefore, depolarization is an electrical event that should result in muscle contraction.Rate this question:
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- 13.
Which of the following is NOT TRUE?
- A.
Cardiac cells can contract without having been depolarized.
- B.
Cardiac cells must be depolarized before they can contract.
- C.
Cardiac contraction occurs as a result of phase 0 of the action potential.
- D.
Cardiac contraction requires the presence of calcium ions.
Correct Answer
A. Cardiac cells can contract without having been depolarized.Explanation
Cardiac cells must be depolarized before they can contract. Cardiac contraction occurs as a result of phase 0 of the action potential. Cardiac contraction requires the presence of calcium ions. However, it is not true that cardiac cells can contract without having been depolarized. Depolarization is necessary for the initiation of the action potential in cardiac cells, which then leads to contraction.Rate this question:
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- 14.
Which of the following ions has a direct effect on the strength of cardiac contraction?
- A.
Sodium
- B.
Potassium
- C.
Magnesium
- D.
Calcium
Correct Answer
D. CalciumExplanation
Calcium has a direct effect on the strength of cardiac contraction. Calcium ions play a crucial role in the contraction of cardiac muscles by binding to the regulatory proteins troponin and tropomyosin, which allows the actin and myosin filaments to interact and generate force. An increase in the concentration of calcium ions leads to stronger contractions, while a decrease in calcium levels can result in weaker contractions. Therefore, calcium is essential for maintaining the proper functioning and strength of the heart's contractions.Rate this question:
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- 15.
In the action potential, phase 0 is
- A.
Depolarization.
- B.
Plateau.
- C.
Rapid repolarization.
- D.
Rest.
Correct Answer
A. Depolarization.Explanation
In the action potential, phase 0 refers to depolarization. During this phase, there is a rapid influx of sodium ions into the cell, causing the membrane potential to become less negative. This depolarization is a key step in the generation of an action potential, as it triggers the opening of voltage-gated sodium channels and initiates the propagation of the electrical signal along the neuron or muscle cell.Rate this question:
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- 16.
In the action potential, phase 3 is
- A.
Depolarization
- B.
Rapid repolarization.
- C.
Plateau
- D.
Rest.
Correct Answer
B. Rapid repolarization.Explanation
Phase 3 of the action potential is rapid repolarization. After the depolarization phase (phase 0) and the plateau phase (phase 2), the cell membrane starts to repolarize. This is due to the closing of voltage-gated calcium channels and the opening of voltage-gated potassium channels, allowing potassium ions to exit the cell and restore the negative membrane potential. This rapid repolarization prepares the cell for the next action potential.Rate this question:
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- 17.
Phase 0 of the action potential corresponds with what wave or complex on the EKG?
- A.
T wave
- B.
QRS complex
- C.
U wave
- D.
ST segment
Correct Answer
B. QRS complexExplanation
Phase 0 of the action potential corresponds with the QRS complex on the EKG. The QRS complex represents the depolarization of the ventricles, which is the phase 0 of the action potential. This is when the ventricles contract and pump blood out of the heart.Rate this question:
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- 18.
The relative refractory period extends from the
- A.
Beginning of the T wave to the beginning of the next QRS complex.
- B.
Beginning of the P wave to the beginning of the QRS complex.
- C.
Beginning of the QRS complex to the upstroke of the T wave.
- D.
Upstroke of the T wave to the end of the T wave.
Correct Answer
D. Upstroke of the T wave to the end of the T wave.Explanation
The relative refractory period refers to the phase of cardiac repolarization where the cardiac muscle is partially repolarized but can still be stimulated to generate another action potential. This period begins at the upstroke of the T wave, which represents the depolarization of the ventricles, and ends at the end of the T wave, which represents the completion of ventricular repolarization. During this phase, the cardiac muscle is in a partially refractory state and requires a stronger stimulus to generate another action potential compared to the resting state.Rate this question:
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- 19.
Which of the following correctly describes the relative refractory period?
- A.
It is the period in which even a weak impulse can cause another depolarization.
- B.
It is the period in which only a strong impulse can cause another depolarization.
- C.
It is the period in which no impulses at all can cause another depolarization.
- D.
It is the period in which the heart function stops temporarily to allow impulse transmission to occur.
Correct Answer
B. It is the period in which only a strong impulse can cause another depolarization.Explanation
During the relative refractory period, the cell is in a state where it is partially repolarized but still has a slightly elevated threshold for depolarization. This means that only a strong impulse, which can overcome the elevated threshold, can cause another depolarization. Weaker impulses are not able to trigger depolarization during this period.Rate this question:
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- 20.
The P wave represents
- A.
Atrial depolarization.
- B.
Atrial repolarization
- C.
Ventricular depolarization
- D.
Ventricular repolarization.
Correct Answer
A. Atrial depolarization.Explanation
The P wave on an electrocardiogram (ECG) represents atrial depolarization. Depolarization is the process of the heart muscle cells contracting, and in this case, it refers to the contraction of the atria. The P wave indicates the initiation of the electrical impulse in the atria, which triggers the contraction and the subsequent pumping of blood into the ventricles. Therefore, the correct answer is atrial depolarization.Rate this question:
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- 21.
The QRS complex represents
- A.
Atrial depolarization.
- B.
Atrial repolarization.
- C.
Ventricular depolarization.
- D.
Ventricular repolarization.
Correct Answer
C. Ventricular depolarization.Explanation
The QRS complex represents ventricular depolarization. Depolarization is the electrical activation of the heart muscle, causing it to contract and pump blood. The QRS complex specifically represents the depolarization of the ventricles, which are the lower chambers of the heart responsible for pumping blood to the rest of the body. This electrical activation leads to the contraction of the ventricles and the subsequent ejection of blood into the arteries.Rate this question:
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- 22.
The T wave represents
- A.
Atrial depolarization.
- B.
Atrial repolarization.
- C.
Ventricular depolarization.
- D.
Ventricular repolarization.
Correct Answer
D. Ventricular repolarization.Explanation
The T wave represents ventricular repolarization. During this phase of the cardiac cycle, the ventricles are recovering and preparing for the next contraction. The T wave is a small, upward deflection on the electrocardiogram (ECG) that occurs after the QRS complex, which represents ventricular depolarization. This repolarization allows the ventricles to relax and refill with blood before the next contraction.Rate this question:
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- 23.
The PR segment is located between the
- A.
P wave and the QRS complex.
- B.
QRS complex and the T wave.
- C.
T wave and the next P wave.
- D.
P wave and the T wave.
Correct Answer
A. P wave and the QRS complex.Explanation
The PR segment is located between the P wave and the QRS complex. This is the flat line that represents the time it takes for the electrical signal to travel from the atria to the ventricles. It is important because it shows the delay in conduction through the AV node, allowing for proper filling of the ventricles before they contract.Rate this question:
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- 24.
The ST segment is located between the
- A.
P wave and the QRS complex.
- B.
QRS complex and the T wave.
- C.
T wave and the next P wave.
- D.
P wave and the T wave.
Correct Answer
B. QRS complex and the T wave.Explanation
The ST segment is located between the QRS complex and the T wave. The QRS complex represents ventricular depolarization, while the T wave represents ventricular repolarization. The ST segment represents the interval between these two electrical events in the heart. It is important to note any changes in the ST segment, as it can indicate abnormalities in the heart's electrical activity and potentially be a sign of cardiac ischemia or injury.Rate this question:
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- 25.
The normal ST segment is
- A.
At the isoelectric line.
- B.
Elevated above the isoelectric line.
- C.
Depressed below the isoelectric line.
- D.
Both above and below the isoelectric line.
Correct Answer
A. At the isoelectric line.Explanation
The normal ST segment is at the isoelectric line because it represents the period between ventricular depolarization and repolarization where there is no net electrical activity in the heart. This is considered the baseline or reference point for measuring any deviations or abnormalities in the ST segment. An elevated or depressed ST segment indicates potential cardiac issues or abnormalities.Rate this question:
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- 26.
For purposes of determining the presence of ST segment changes, the baseline is considered to be the
- A.
PT segment.
- B.
PR segment.
- C.
TP segment.
- D.
QT segment.
Correct Answer
B. PR segment.Explanation
The PR segment is considered the baseline for determining the presence of ST segment changes. The PR segment represents the time between atrial depolarization and ventricular depolarization. Any deviation from the baseline PR segment can indicate abnormal electrical activity in the heart. Therefore, analyzing changes in the ST segment in relation to the PR segment can help identify cardiac abnormalities.Rate this question:
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- 27.
The wave or complex that represents ventricular repolarization is the
- A.
P wave.
- B.
QRS complex.
- C.
T wave
- D.
U wave.
Correct Answer
C. T waveExplanation
The T wave represents ventricular repolarization. After the ventricles contract during the QRS complex, they need to relax and reset before the next contraction. This relaxation phase is called repolarization, and it is represented by the T wave on an electrocardiogram (ECG). The T wave shows the electrical activity as the ventricles recover and prepare for the next heartbeat.Rate this question:
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- 28.
An upward deflection of the QRS complex is called a(n)
- A.
P wave.
- B.
Q wave.
- C.
R wave.
- D.
T wave.
Correct Answer
C. R wave.Explanation
An upward deflection of the QRS complex is called an R wave. The QRS complex represents the electrical activity of the ventricles during a heartbeat. The R wave is the first positive deflection after the Q wave and signifies the depolarization of the ventricles. It is an important component in analyzing the electrical activity of the heart and can provide information about the health and function of the ventricles.Rate this question:
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- 29.
Which of these statements about the sinus node is FALSE?
- A.
It is the normal pacemaker of the heart.
- B.
It has the fastest inherent rate of all the possible pacemaker sites.
- C.
It is the slowest pacemaker of the heart.
- D.
It fires at an inherent rate of 60–100 beats per minute.
Correct Answer
C. It is the slowest pacemaker of the heart.Explanation
The correct answer is "It is the slowest pacemaker of the heart." This statement is false because the sinus node is actually the fastest pacemaker of the heart, not the slowest. It has an inherent rate of 60-100 beats per minute, making it the normal pacemaker of the heart.Rate this question:
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- 30.
The normal pacemaker of the heart is the
- A.
Sinus node.
- B.
AV node.
- C.
Purkinje fibers.
- D.
Coronary sinus.
Correct Answer
A. Sinus node.Explanation
The correct answer is the Sinus node. The sinus node, also known as the sinoatrial node, is a group of specialized cells located in the right atrium of the heart. It is responsible for initiating the electrical impulses that regulate the heart's rhythm. These impulses spread throughout the atria, causing them to contract and pump blood into the ventricles. The sinus node acts as the natural pacemaker of the heart, setting the pace for the rest of the cardiac conduction system.Rate this question:
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- 31.
In the action potential, phase 3 is
- A.
Rapid repolarization
- B.
Plateau
- C.
Rest
- D.
Depolarization
Correct Answer
B. PlateauExplanation
During phase 3 of the action potential, the cell membrane slowly repolarizes and enters a plateau phase. This is characterized by a sustained depolarization due to the influx of calcium ions into the cell and the efflux of potassium ions out of the cell. The plateau phase helps to prolong the duration of the action potential, allowing for the coordination of muscle contractions or the transmission of signals in the nervous system. This phase is important for maintaining the stability and proper functioning of cells.Rate this question:
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- 32.
The normal inherent rate of the sinus node as a pacemaker is
- A.
20–40 beats per minute
- B.
40–60 beats per minute
- C.
60–80 beats per minute
- D.
60–100 beats per minute
Correct Answer
D. 60–100 beats per minuteExplanation
The normal inherent rate of the sinus node as a pacemaker is 60-100 beats per minute. The sinus node is responsible for initiating the electrical impulses that regulate the heart's rhythm. This range of 60-100 beats per minute is considered normal for a healthy individual at rest. If the heart rate falls below 60 beats per minute, it is called bradycardia, and if it exceeds 100 beats per minute, it is called tachycardia.Rate this question:
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- 33.
The ventricle’s inherent rate is
- A.
20–40 beats per minute
- B.
40–60 beats per minute
- C.
60–80 beats per minute
- D.
60–100 beats per minute
Correct Answer
A. 20–40 beats per minuteExplanation
The ventricle's inherent rate refers to the natural pacemaker of the heart, the sinoatrial (SA) node, which is responsible for initiating the electrical signals that regulate the heart's rhythm. The SA node typically generates electrical impulses at a rate of 60-100 beats per minute. However, in the absence of SA node activity or in certain pathological conditions, other parts of the heart can take over as the pacemaker, such as the atrioventricular (AV) node or the ventricles themselves. The ventricle's inherent rate refers to the rate at which the ventricles can generate electrical impulses in the absence of SA node activity, which is typically 20-40 beats per minute.Rate this question:
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- 34.
After the sinus node initiates an impulse, where does the impulse go next?
- A.
Interatrial tracts
- B.
Purkinje fibers
- C.
Ventricular tissue
- D.
Bundle branches
Correct Answer
A. Interatrial tractsExplanation
After the sinus node initiates an impulse, the impulse travels to the interatrial tracts. These tracts are specialized pathways that allow the impulse to pass from the atria to the atrioventricular (AV) node. From the AV node, the impulse then continues to the bundle branches, which are responsible for conducting the impulse to the ventricles. Therefore, the correct answer is Interatrial tracts.Rate this question:
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- 35.
Which of the following characteristics of heart cells is mechanical?
- A.
Automaticity
- B.
Contractility
- C.
Excitability
- D.
Conductivity
Correct Answer
B. ContractilityExplanation
Contractility is the characteristic of heart cells that refers to their ability to contract and generate force. This mechanical property allows the heart to pump blood throughout the body. Automaticity refers to the ability of heart cells to generate electrical impulses spontaneously. Excitability refers to the ability of heart cells to respond to electrical stimuli. Conductivity refers to the ability of heart cells to transmit electrical impulses. While all of these characteristics are important for the functioning of the heart, only contractility directly involves the mechanical aspect of the heart's pumping action.Rate this question:
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- 36.
Contractility is the ability of a cardiac cell to
- A.
Initiate an impulse without outside stimulus
- B.
Pass an impulse along to neighboring cells
- C.
Respond to a stimulus by depolarizing
- D.
Contract
Correct Answer
D. ContractExplanation
Contractility refers to the ability of a cardiac cell to contract. This contraction allows the heart to pump blood effectively throughout the body. When a cardiac cell receives a stimulus, it undergoes depolarization, which triggers the contraction. Therefore, the correct answer is "Contract."Rate this question:
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- 37.
The PR interval measures the time it takes for the impulse to travel from the
- A.
AV node to the bundle branches
- B.
Bundle of His to the ventricular myocardium
- C.
Sinus node to the internodal tracts
- D.
Atria to the ventricle
Correct Answer
C. Sinus node to the internodal tractsExplanation
The PR interval measures the time it takes for the impulse to travel from the sinus node to the internodal tracts. The sinus node is the natural pacemaker of the heart, located in the right atrium. The internodal tracts are pathways that conduct the electrical signal from the sinus node to the AV node, which is responsible for transmitting the signal to the ventricles. Therefore, the PR interval represents the time it takes for the electrical impulse to travel from the initial pacemaker to the next set of pathways in the conduction system of the heart.Rate this question:
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- 38.
The PR interval measures the time it takes for the impulse to travel from the atrium down to the ventricle
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The PR interval actually measures the time it takes for the impulse to travel from the atrium to the bundle of His, not down to the ventricle. Therefore, the given statement is false.Rate this question:
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- 39.
One small block on the EKG paper measures _____ seconds
- A.
0.08 seconds
- B.
0.04 seconds
- C.
0.12 seconds
- D.
0.02 seconds
Correct Answer
B. 0.04 secondsExplanation
The correct answer is 0.04 seconds. In an EKG, the small blocks on the paper represent a specific time interval. The standard speed of the EKG paper is 25 mm/s, and each small block represents 0.04 seconds. Therefore, the correct answer is 0.04 seconds.Rate this question:
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- 40.
The pacemaker with the slowest inherent rate is the _____.
- A.
Ventricles
- B.
Atrium
- C.
SA Node
- D.
AV Node
Correct Answer
A. VentriclesExplanation
The pacemaker with the slowest inherent rate is the ventricles. This means that the ventricles have the lowest natural rate of electrical impulses that initiate the heartbeat. The SA Node, on the other hand, is known as the natural pacemaker of the heart and has the fastest inherent rate. The AV Node acts as a relay station between the atria and ventricles, but it does not have an inherent rate as slow as the ventricles. Therefore, the ventricles have the slowest inherent rate among the given options.Rate this question:
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- 41.
Dysrhythmias are _____ heart rhythms.
- A.
Abnormal
- B.
Disorganized
- C.
Deadly
- D.
Asystole
Correct Answer
A. AbnormalExplanation
Dysrhythmias refer to abnormal heart rhythms, which means that they deviate from the normal or regular patterns of the heart's electrical activity. These abnormal rhythms can disrupt the normal functioning of the heart and may lead to various complications. Therefore, the correct answer is "abnormal."Rate this question:
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- 42.
Normal QRS interval is _____ seconds or less than three small blocks.
- A.
0.12
- B.
0.04
- C.
0.08
- D.
0.20
Correct Answer
A. 0.12Explanation
The normal QRS interval is 0.12 seconds or less than three small blocks. This indicates the time it takes for the electrical impulses to travel through the ventricles of the heart. A QRS interval that is longer than 0.12 seconds may suggest an abnormality in the electrical conduction system of the heart.Rate this question:
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- 43.
Refractory means _____to.
- A.
Come
- B.
Respond
- C.
Resistant
- D.
None of the above
Correct Answer
C. ResistantExplanation
The word "refractory" means resistant. It refers to something that is difficult to control, manage, or influence. In this context, it suggests that the word "refractory" is synonymous with "resistant."Rate this question:
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- 44.
Transmembrane potential is the electrical charge at the _____.
- A.
Heart muscle
- B.
Cell membrane
- C.
Skin
- D.
Nerve ending
Correct Answer
B. Cell membraneExplanation
The transmembrane potential refers to the electrical charge across the cell membrane. It is the difference in voltage between the inside and outside of the cell, which is crucial for various cellular processes such as nerve conduction and muscle contraction. Therefore, the correct answer is "cell membrane" as it is where the transmembrane potential is measured.Rate this question:
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- 45.
Depolarization is the changing of the cardiac cell to an electrically _____ charge.
- A.
Positive
- B.
Negative
- C.
Full
- D.
Weak
Correct Answer
A. PositiveExplanation
Depolarization refers to the process of changing the electrical charge of a cardiac cell. In this case, the correct answer is "positive" because depolarization involves the shifting of the cell's charge from negative to positive. This change in charge is essential for the proper functioning of the heart and the initiation of its contraction.Rate this question:
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