Steve's EKG Final

91 Questions | Total Attempts: 385

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ECG Quizzes & Trivia

This are from my EKG final study notes. Hope it helps!


Questions and Answers
  • 1. 
    What is the medical term for blood pressure cuff?
    • A. 

      Sphygmomanometer

    • B. 

      Diostolic and Systolic

    • C. 

      Pressure indicator

    • D. 

      Pressure manometer

  • 2. 
    You are performing a blood pressure check. The sound that you hear first is the __________?
    • A. 

      Murmur

    • B. 

      Diastolic

    • C. 

      Systolic

    • D. 

      Flutter

  • 3. 
    What is the normal respiratory rate for an adult?
    • A. 

      12 to 20 breaths per minute

    • B. 

      10 to 25 breaths per minute

    • C. 

      8 to 18 breaths per minute

    • D. 

      15 to 24 breaths per minute

  • 4. 
    What is a myocardial infarction (MI)?
    • A. 

      Lack of breath to the lungs

    • B. 

      Measurement of the cardiac output

    • C. 

      Lungs stop supplying blood to the body

    • D. 

      Heart attack

  • 5. 
    A waxy fat-like substance that is found in our cells is ______________?
    • A. 

      Trans fat

    • B. 

      Saturated fat

    • C. 

      Cholesterol

    • D. 

      Cebum

  • 6. 
    On a 12-lead EKG, how many electrodes are attached to the body?
    • A. 

      10

    • B. 

      12

    • C. 

      8, not including ground

    • D. 

      14, including ground

  • 7. 
    What is a heart murmur?
    • A. 

      What a normal heart does just before a lub/dub

    • B. 

      Caused by blood flow through a heart valve that is closed completely

    • C. 

      Caused by blood flow through a heart valve that is not closing all the way

    • D. 

      Both A and C

  • 8. 
    On an EKG machine setup, what is the meaning of bipolar leads and what is another name for bipolar leads?
    • A. 

      Bipolar leads have more than two connectors, leg leads

    • B. 

      Bipolar leads are split at the terminal, triangle leads

    • C. 

      Bipolar leads have two leads, limb leads

    • D. 

      Bipolar leads are special leads, trunk leads

  • 9. 
    Normal human heartrate is ______________?
  • 10. 
    What is the purpose of taking the pulse of a patient?
    • A. 

      To check for sufficient bloodflow before applying the blood pressure cuff

    • B. 

      It is not the most important vital sign but it's still a good idea to take it if the doctor orders it

    • C. 

      Confirms the P wave on the EKG chart

    • D. 

      Measures the heartrate in beats per minute

  • 11. 
    What is the normal range of the QRS complex?
    • A. 

      1.2 seconds

    • B. 

      12 nanoseconds

    • C. 

      Greater than .12 seconds

    • D. 

      Less than .12 seconds

  • 12. 
    Why must the outlet used for the EKG equipment power be free of any other powered devices?
    • A. 

      The extra electricity required would cause spikes on the print-out

    • B. 

      Done to avoid 60-cycle interference

    • C. 

      Voltage transients could short out the EKG machine

    • D. 

      The circuitry inside the wall would be a parallel path

  • 13. 
    What are the four chambers of the heart?
    • A. 

      Right aorta, right ventricle, left aorta, left ventricle

    • B. 

      Right atrium, right ventricle, left atrium, left ventricle

    • C. 

      Two atria and two verticles

    • D. 

      AV left and right, up and down

  • 14. 
    What is the medical term for the fluid filled sac surrounding the heart?
    • A. 

      Pericardium

    • B. 

      Epicardium

    • C. 

      Endocardium

    • D. 

      Indocardium

  • 15. 
    What is the function of the pulmonary valve?
    • A. 

      Controls the flow of blood from chamber to chamber

    • B. 

      Controls the flow of blood when the other valves stop functioning

    • C. 

      Transfers the electrical signal by conduction to the bundle branches

    • D. 

      Controls the flow of deoxygenated blood from the right ventricle to the lungs

  • 16. 
    ____________________ is the normal body temperature for a human body?
  • 17. 
    From the following blood pressures what is the best reading?120/70120/60115/60
  • 18. 
    What are the unipolar augmented limb leads?
    • A. 

      Right arm = aVr

    • B. 

      Left arm = aVl

    • C. 

      Left leg = aVf

    • D. 

      All of the above

  • 19. 
    If the Q wave is present, what is true of the Q wave?
    • A. 

      It is always negative

    • B. 

      It is always positive

    • C. 

      It is indicating the normal segment

    • D. 

      It is indicating an abnormal segment

  • 20. 
    Multiplying the number of R waves for six seconds of EKG printout times ten measures the __________________ and is called the ____________________?
    • A. 

      Breaths per minute (BPM), 6-Second Rule

    • B. 

      Beats per minute (BPM), 60-Cycle Rule

    • C. 

      Beats per minute (BPM), 6-Second Rule

    • D. 

      None of the above

  • 21. 
    What does the abbreviation EKG mean?
    • A. 

      Echocardiogram

    • B. 

      Electricalorigram

    • C. 

      Endocardiogram

    • D. 

      None of the above

  • 22. 
    Where does the apex of the heart point?
    • A. 

      Down and to the right

    • B. 

      Down and to the left

    • C. 

      Curved up to the left

    • D. 

      Curved up to the right

  • 23. 
    The hearts' electrical system is called the ________________?
    • A. 

      Polarity, negative and positive, switching

    • B. 

      Heart circuitry

    • C. 

      Body's on/off switch

    • D. 

      Cardiac conduction

  • 24. 
    What are the four common vital signs performed in a doctor's office?
    • A. 

      Pulse, blood pressure, respiration, temperature

    • B. 

      Pulse, weight, height, temperature

    • C. 

      Temperature, blood pressure, ear infection test, palpate

    • D. 

      Family history, eating habits, temperature, pulse

  • 25. 
    You auscultate the heart of a patient and hear abnormal sounds.  What could this mean?
    • A. 

      The patient has tremors and could indicate abnormal blood flow to the heart

    • B. 

      The patient has a heart murmur that could indicate structural heart disease

    • C. 

      The patient has a lub dub that could indicate a higher than normal pulse

    • D. 

      None of the above

  • 26. 
    What does an EKG measure?
    • A. 

      Measures the 25mm per second that the paper moves

    • B. 

      Measures the plot of the x and y axis

    • C. 

      Measures the electrical activity of the heart

    • D. 

      Measures the signal from the brain to the heart

  • 27. 
    What is the outermost layer of the heart?
    • A. 

      Endocardium

    • B. 

      Epocordium

    • C. 

      Epicardium

    • D. 

      Epicardigraph

  • 28. 
    Why is the SA node called the pacemaker?
    • A. 

      Because it is where the electrical impulses are generated and is the starting point of the heart's conduction system

    • B. 

      Because the generated electrical impulses travel to the AV node through special heart fibers

    • C. 

      Because it is where the sympathetic member vibrates when it receives electrical impulses

    • D. 

      None of the above

  • 29. 
    What parts of the heart cause the lub-dub sound?
    • A. 

      The venous blood entering the superior and inferior vena cava

    • B. 

      The valves opening and closing

    • C. 

      The valves when they do not fully close

    • D. 

      The contraction of both ventricles

  • 30. 
    Why is the wall of the left vetricle three times thicker than the right ventricle?
    • A. 

      Because of the AV valve attachment locations

    • B. 

      Because of swelling in the heart due to excess fluid

    • C. 

      Because it has to be able to withstand the higher blood pressure

    • D. 

      None of the above

  • 31. 
    What are valves designed to do?
    • A. 

      Allow flow both ways depending on if the electrical conduction is present

    • B. 

      Allows all flow into each chamber in order of priority

    • C. 

      Creates a whirlpool effect to prevent blood stagnation

    • D. 

      Allow forward flow and prevent backward flow

  • 32. 
    What is meant by the term redux?
    • A. 

      A problem which requires a retest

    • B. 

      Backflow flow in the heart

    • C. 

      The lub-dub cycle in the heart

    • D. 

      Fine filaments that cause conduction to start

  • 33. 
    Define sinus rhythm?
    • A. 

      Abnormal rhythm characterized by flutter and lub

    • B. 

      Tachycardia rhythm caused by the Purkinje fibers

    • C. 

      Normal rhythm exhibited by all nodes of the heart

    • D. 

      Normal rhythm paced by the SA node

  • 34. 
    The wires used during an EKG test are called _______________?
  • 35. 
    What is the purpose of an electronic pacemaker?
    • A. 

      To test the polarity of the conduction system

    • B. 

      To polarize and unpolarize rhythmically

    • C. 

      To maintain a heart rhythm so oxygen and nutrients go to the body cells

    • D. 

      Maintain a heart rhythm so fluctuations are not as noticeable

  • 36. 
    A patient's blood pressure is 140/100.  What pressure does the 100 indicate?
  • 37. 
    At what rate does the AV node fire in the heart?
    • A. 

      20-80 beats per minute

    • B. 

      40-120 beats per minute

    • C. 

      50-110 beats per minute

    • D. 

      60-100 beats per minute

  • 38. 
    What part of the heart does the term endocardium indicate?
    • A. 

      Innermost layer of the heart that is lined with epithelial tissue

    • B. 

      Outermost layer of the heart where conduction takes place

    • C. 

      Middle layer of the heart that is lined with epithelial tissue

    • D. 

      Liquid filled sac that surrounds and cushions the heart

  • 39. 
    A patient's blood pressure reading is 156/98 on the first try and 140/90 on the second.  What do the values indicate?
    • A. 

      Low blood pressure

    • B. 

      Hypotension

    • C. 

      Average blood pressure

    • D. 

      Hypertension

  • 40. 
    The most common patient position for performing an EKG is _____________?
  • 41. 
    What is used to describe atrial flutter on the printout of an EKG?
    • A. 

      Spiking positive then negative once or twice

    • B. 

      Sawtooth pattern

    • C. 

      Waveform pattern

    • D. 

      Triangle pattern

  • 42. 
    What is the difference between atrial flutter and fibrillation?
    • A. 

      Fibrillation is well organized, flutter is not

    • B. 

      There is no really noticeable difference

    • C. 

      Flutter is well organized, fibrillation is not

    • D. 

      Flutter has between 30-80 contractions per minute

  • 43. 
    What is the middle muscle layer of the heart called and what does it do?
    • A. 

      Microcardium, houses the AV detectors

    • B. 

      Macrocardium, determines the contraction rate

    • C. 

      Myocadmium, measures the electrolytes in the blood

    • D. 

      Myocardium, gives the heart the ability to contract and relax

  • 44. 
    Each day the average heart beats 100,000 times.  What is this called?
    • A. 

      Cardiac number

    • B. 

      Cardiac output

    • C. 

      Cardinal output number

    • D. 

      Cardinal input number

  • 45. 
    A patient's blood pressure is 120/80.  What pressure does the 120 indicate?
  • 46. 
    The first wave seen on an EKG printout is the _______ wave?
  • 47. 
    On all EKG machines, what is the standardized paper movement rate?
    • A. 

      25 mm/sec

    • B. 

      2.5 mm/sec

    • C. 

      25 mm/min

    • D. 

      2.5 mm/min

  • 48. 
    True or False:  The horizontal line of a EKG printout represents voltage?
  • 49. 
    What is the 300 rule and what condition is it normally used for?
    • A. 

      The number of small squares between two Q waves divided into 300, used for normal sinus rhythm

    • B. 

      The number of large squares between two Q waves times 300, used to determine if the heart is enlarged

    • C. 

      The number of large squares between two R waves divided into 300, used for arrhythmia

    • D. 

      None of the above

  • 50. 
    True or False:  The vertical line on an EKG printout represents voltage?
  • 51. 
    The beginning of the Q wave to the end of the S wave is called the __________________?
  • 52. 
    As a blood pressure cuff on a patient is deflated you hear a second muffled sound.  What is this sound?
    • A. 

      The diastolic pressure

    • B. 

      A muffled echo of the first sound

    • C. 

      An air leak in the blood pressure cuff

    • D. 

      None of the above

  • 53. 
    Which way measures temperature?
    • A. 

      Orally, by mouth

    • B. 

      Axillary, by armpit

    • C. 

      Tympanic, by ear

    • D. 

      All of the above

  • 54. 
    What is the criteria for one breath?
    • A. 

      Short inhalation followed by extended exhale

    • B. 

      Deep inhalation followed by forceful exhalation of oxygen

    • C. 

      One full inhalation and one full exhalation

    • D. 

      Half inhalation and half exhalation

  • 55. 
    Chest pain that occurs when there is insufficient oxygen to supply the myocardium is called ______________?
    • A. 

      Ischemia

    • B. 

      MI - myocardial infarction

    • C. 

      Pericarditis

    • D. 

      Both A and C

  • 56. 
    For what purpose does the body use cholesterol?
    • A. 

      Make hormones and vitamin D

    • B. 

      Make substances that help digest food

    • C. 

      Make buildup of plaque in arteries to ease the flow of blood

    • D. 

      Both A and B

  • 57. 
    On an EKG printout, what is meant by wave form?
    • A. 

      Only the negative spikes

    • B. 

      Only the positive spikes

    • C. 

      Movement away from the baseline

    • D. 

      Movement toward the baseline

  • 58. 
    Rectal temperature, readings taken by inserting the thermometer through the anus and into the rectum are usually performed on ______________?
  • 59. 
    What is pericarditis?
    • A. 

      Inflammation of the heart

    • B. 

      Rapid contractions of the heart

    • C. 

      Lowered sodium in the blood causing phlebitis

    • D. 

      Inflammation of the pericardium

  • 60. 
    How many electrodes are attached to the patient's trunk while using a Holter monitor?
    • A. 

      12 lead wires - 10 electrodes are attached to the body

    • B. 

      Five bipolar electrodes and 10 unipolar electrodes

    • C. 

      Only uses 10 electrodes at a time

    • D. 

      Five electrodes are attached to the trunk of the body

  • 61. 
    What are palpitations?
    • A. 

      The sense of the heart skipping a beat

    • B. 

      The sense of irregular beating of the heart

    • C. 

      The sense of forceful beating of the heart

    • D. 

      All the above are correct

  • 62. 
    True or False:  When the doctor orders a patient to wear a Holter monitor, it is worn for no more than eight hours?
  • 63. 
    True or False:  Arteriosclerosis only applies to the hardening of the arteries that supply the heart?
  • 64. 
    The blood vessels in a patient's legs become narrow or blocked by plaque.  This condition is called _______________?
  • 65. 
    What is hypotension?
    • A. 

      Low blood pressure

    • B. 

      High blood pressure

    • C. 

      Stage IV

    • D. 

      Stage III

  • 66. 
    On an EKG printout, the base line is also called the ________________?
    • A. 

      Isoelectrotime line

    • B. 

      Isoelectrovoltage line

    • C. 

      Isoelectrobasal line

    • D. 

      Isoelectrical line

  • 67. 
    What does the heated stylus do?
    • A. 

      Moves up and down to show positive and negative voltage; traced by heat

    • B. 

      Moves up to show negative voltage; fed by heat

    • C. 

      Moves down to trace the heated positve voltage

    • D. 

      None of the above

  • 68. 
    On an EKG printout, what is the line that is between forms called?
    • A. 

      Plane

    • B. 

      Plateau

    • C. 

      Segment

    • D. 

      Flat line

  • 69. 
    True or False:  Several waveforms grouped together is called complex?
  • 70. 
    Name and explain the two types of ischemia?
    • A. 

      Supply ischemia - supply of oxygen is too low for the demand

    • B. 

      Inverted ischemia - supply and demand of oxygen match inversely

    • C. 

      Demand ischemia - demand for oxygen exceeds the supply

    • D. 

      Both A and C

  • 71. 
    True or False:  Atherosclerosis is the buildup of plaque (athero = glue or paste) on the inside walls of an artery
  • 72. 
    True or False:  Blood pressure of 130/85 indicates high normal blood pressure?
  • 73. 
    _________________ means the heart is beating too fast?
  • 74. 
    ____________________ means the heartbeat is too slow?
  • 75. 
    True or False:  Dysrrythmia means that the heartbeat is out of sync or is bad?
  • 76. 
    What is true about congestive heart failure (CHF)?
    • A. 

      Condition in which the heart pumps blood inefficiently

    • B. 

      Left sided heart failure results in fluid backing up into the lungs

    • C. 

      Right sided heart failure produces fluid in the legs and abdomen

    • D. 

      All the above are true

  • 77. 
    On an EKG printout, 1mV is equal to _______________?
    • A. 

      10 mm

    • B. 

      1.0 cm

    • C. 

      10 cm

    • D. 

      10 mV

  • 78. 
    On an EKG printout, what is the PR interval?
    • A. 

      Just after the R wave (must use the 1500 rule)

    • B. 

      The same as the PR segment

    • C. 

      The wave and segment from the beginning of the P wave to the end of the PR segment

    • D. 

      Just after the Q wave (must use the 300 rule)

  • 79. 
    Use of a Holter monitor would indicate no ________________?
    • A. 

      ST changes

    • B. 

      QRS complex changes

    • C. 

      QRS complex time over 25mm

    • D. 

      Wave changes

  • 80. 
    True or False:  The 1500 rule means that you must count the number of small squares in between two R waves and divide that number into 1500 to get the heartrate in BPM?
  • 81. 
    True or False:  High blood pressure is divided into four stages?
  • 82. 
    Define arrhythmia?
    • A. 

      When the heart has normal sinus rhythm

    • B. 

      When the heart keeps up with the rhythm of the heartbeat

    • C. 

      When the heart has difficulty keeping up with the speed or rhythm of the heartbeat

    • D. 

      None of the above

  • 83. 
    True or False:  An elevated ST segment could indicate pericarditis or MI?
  • 84. 
    Of the following drugs, which are not used to treat heart or circulatory conditions? 
    • A. 

      Nitroglycerin

    • B. 

      ACE Inhibitors and digoxin

    • C. 

      NTR restrictors and oxygen

    • D. 

      Beta blockers and diuretics

  • 85. 
    Describe what ACE inhibitors do?
    • A. 

      Constrict the vessels to decrease blood pressure

    • B. 

      Dilate blood vessels to decrease blood pressure

    • C. 

      Prevents the weakened myocardium from pumping too forcefully

    • D. 

      Both B and C

  • 86. 
    _________________ are the drugs used to treat hypertension and angina pectorus?
  • 87. 
    What does the R wave represent?
    • A. 

      Right ventricle contraction

    • B. 

      Left atrium relaxing

    • C. 

      Left ventricle contracting

    • D. 

      Mitral valve opening

  • 88. 
    What drug increases the force of cardiac contractions and cardiac output?
    • A. 

      Beta blockers

    • B. 

      Digoxin

    • C. 

      Nitroglycerin

    • D. 

      Ace inhibitors

  • 89. 
    From where do the coronary arteries receive blood?
    • A. 

      Aorta

    • B. 

      Left Atrium

    • C. 

      Right Atrium

    • D. 

      Through the pulmonary valve

  • 90. 
    True or False:  The flowpath of cardiac conduction starts in the SA node, then to the AV node, then to the bundle of His, then to the right and left bundle branches, and finally to the purkinje fibers?
  • 91. 
    What can a depressed ST segment indicate?
    • A. 

      Hypokalemia

    • B. 

      Ischemia

    • C. 

      Digoxin toxicity

    • D. 

      All of the above