1.  Intravenous injection of a radioactive substance followed by measurement of its accumulation in the heart with a detection device, is called a (an) ______.

a.  defibrillation

b.  cardiac scan

c.  endarterectomy

d.  echocardiography

b- cardiac scan

2.  The use of ultrasound to produce a picture of the structure of the heart is called ______.

a.  cardiac catheterization

b.  stress test

c.  echocardiography

d.  electrocardiography

c- echocardiography

3.  In the positioning of the electrodes, if the electrodes are placed too close together, the amplitude will be  ______.

a.  small

b.  large

c.  round

d.  square

a- small

4.  Each of the small squares on the EKG strips are equal to ______.

a.  0.09 sec

b.  0.01 sec

c.  0.05 sec

d.  0.04 sec

d- 0.04 sec

 5.  The large squares on the ECG paper are equal to ______.

a.  0.10 sec

b.  0.20 sec

c.  0.04 sec

d.  0.09 sec

b- 0.20 sec

6.  A “V wave” will ______ be seen in a normal EKG.

a.  always

b.  sometimes

c.  never

d.  usually

c- never

7.  The ______ switch controls the gain or amplitude on the EKG.

a.  major

b.  sensitivity

c.  red

d.  ticker

8.  When preparing for lead placement you should first care for ______.

a.  skin preparation

b.  application of electrode wires

c.  application of electrodes

d.  positioning of electrodes

a- skin preparation

9.  Conversion of dysrrhythmias to a normal rhythm by applying electric shock to the chest is called ______.

a.  cardiac scan

b.  pacemaker implant

c.  defibrillation

d.  endarterectomy

10.  The termination of breathing that results form lack of oxygen is called ______.

a.  coma

b.  suffocation

c.  poisoning

d.  none of the above

b- suffocation

11.  Which of the following is not a criteria for skin preparation for lead placement?

a.   clean the skin with an alcohol swipe

b.   make sure the skin is damp when applying the electrode

c.   shave the hair form the skin

d.   roughen the skin for better dermis contact

b- make sure the skin is damp when applying the electrode

12.  The electrode site should be ______.

a.  clean, smooth and dry

b.  hairy

c.  have plenty of skin oil present

d.  moist

a-  clean, smooth, and dry

13.  An EGG tracing measure the amount of voltage and the ______ it takes for the voltage to travel throughout the heart.

a. time

b. route

c. waves

d. lines

a- time

14.      In the application of electrodes, secure the electrode by rubbing your finger around the ______ area.

a. center

b. gel

c. adhesive

d. peripheral

c- adhesive

 15.      The process of inhaling and exhaling is called __________.

a.  pulse

b.  temperature

c.  respiration

d.  coughing

c-   respiration

16. An artificial device that keeps the rate of the heart in a desirable range is called a (a) ______.

a.  endarterectomy

b.  pacemaker implant

c.  heart lung machine

d.  cardiac scan

b- pacemaker implant

17.      When there is no variation of R-R intervals it is called ______.

a.  irregular with a pattern

b.  absolutely regular

c.  essentially regular

d.  totally irregular

b- absolutely regular

18. Ventricular depolarization produces an electrical force or vector. The vector has two components; one is the magnitude or force, and the other is ______.

a. amplitude

b. ground electrode

c. direction or shape

d. polarization

c-  direction or shape

19.  A downward or negative wave of an electrocardiogram following the P wave is the _____.

a. R wave

b. T wave

c. Q wave

d. S wave

c- Q- wave

20.  When measuring blood pressure, which of the following is correct?

a. the cuff should be applied to the bare upper arm

b. the room should be quiet so the blood pressure can be heard

c. the sphygomomanometer needs to be clearly visible

d.  all of the above

d-  all of the above

21.  A premature ventricular (PVC) where the QRS have the same configuration each time they appear is called ____.

a. uniform

b. malignant

c. fused

d. bigeminy

a- uniform

22. When applying leads, apply the V1 lead _____.

a. directly lateral to V4 at the anterior axillary line

b. the fourth intercostal space right sternal border

c. lateral to V5 at midaxillary line

d. fifth intercostal space midclavicular line

b- the fourth intercostal space right sternal border

 23. Which fact is true about the P wave?

a. duration of the P wave is not greater than 0.11 sec

b. height- deflection is small, not more than 3mm

c.  both a and c

d.  None of the above

c- both a and b

24.  When PVC’s fall on the T wave, occur in pairs, runs of 3 or more, or are multiform in nature, these conditions are called ______.

a.  fused

b.  multiform

c.  life threatening

d.  uniform

c- life threatening

25.  When measuring blood pressure, the bottom number is called ______.

a. diastolic pressure

b.  systolic pressure

c.  air pressure

d.  water pressure

a- diastolic pressure

26.  When a vector travels away from the positive electrode, a ______ deflection results.

a. positive

b. variation

c. T wave

d. negative

d- negative

27.  With vital signs, any abnormal measurement must be immediately reported to the ______.

a.  patient

b.  doctor

c.  nurse

d.  orderly

b- doctor

28.  The combination of sensors or electrodes used for lead #1 is ______.

a.  right arm, left leg

b.  right arm, right leg

c.  left arm, right arm

d.  left arm, left leg

c- left arm, right arm

29.  When the atria and the ventricles are seen to be beating independently, this is called ______.

a.  second- degree heart block

b.  third- degree heart block

c.  first- degree heart block

d.  ventricular flutter

b- third-degree heart block

30.  The ECG term Vector refers to ______.

a.  space

b.  force

c.  flatness

d.  stillness

b- force

31.  Concerning ECG’s, for irregular rhythms, any method of rate calculation that depends on intervals between complexes is ______.

a.  acceptable

b.  computed using ½ as fast: 300/2 = 50/minuter

c.  unreliable

d.  computed by counting the number of complexes in a span of 30 large boxes

c- unreliable

32.  The ______ wave represents atrial depolarization.

a.  S

b.  P

c.  R

d.  U

b- P

 33.  While the duration of the ST segment is not generally of clinical significance, it is an exceedingly important portion of the ECG because of ______.

a.  the fact that it follow the QRS complex

b.  shifts up or down from the baseline

c.  upward deflection from the baseline

d.  the shift away from the ischemic area

b- shifts up or down from the baseline

34.  A straight line on an ECG strip produced by the stylus, when the EKG isn’t connected to the patient, is called ______.

a.  baseline

b.  straight line

c.  isometric line

d.  none of the above

c- isometric line

35.  A QRS measurement of less than ______ seconds indicates a supraventricular pacemaker.

a.  .13

b.  .14

c.  .16

d.  .12

d-   12

36. The area between waves is referred to as ____.

a.  back spaces

b.  intervals

c.  segments

d.  cycles

b- intervals

37.  A terminal lethal  dysrrhythmia, a dying heart, is called ______.

a.  agonal

b.  asystole

c.  angonist

d.  agogue

a- agonal

38. Choose which answer best describes the following rhythm strip.

a. sinus arrest

b. wondering pacemaker

c. sinus bradycardia

d. atrial flutter

[image]

c-  sinus bradycardia 

39.  To determine if the heart rhythm is regular or irregular, the distance between each P wave and then each ______ is measured.

a.  R wave

b.  Q wave

c.  T wave

d.  U wave

a- R wave

40.  The six standard chest leads of an ECG are called ______.

a.  augmenter

b.  precordial

c.  multi- channel leads

d.  amplified leads

b- precordial

41.  What is cardiac cycle?

a.  contraction of the atria

b.  relaxation of the entire heart

c.  contraction of the ventricles

d.  one complete heartbeat

d-  one complete heartbeat

42.  A test used for noninvasive cardiac evaluation undertaken with an ECG, under controlled exercise stress condition, is called ______.

a.  sedentary test

b.  treadmill test

c.  holter- monitor test

d.  cardiac cycle test

 b-  treadmill test

43.  A device used to record the electrical activity of a patient’s heart over a period of time of 24 hours, is called ______.

a.  holter monitor

b.  time monitor

c.  cardiac monitor

d.  rhythm monitor

a- holter monitor

 44.  In sinus exit block, the impulse is initiated by the SA node, but is not  conducted to the atria because ______.

a.  of a block in the conduction system

b.  of a failure to initiate an impulse

c.  of depressed

d.  of a poor conduction system

a-   of a block in the conduction system

45.  The normal pacemaker of the heart is called ______.

a.  AV node

b.  SA node

c.  AV junction

d.  SA junction

b- SA node