Fitness Assesment Exam 1 general review

The normal shape of the P wave is

upright

3 multiple choice options

What is the definition of a Second-Degree AV Block Type I

Reflected on the ECG by a progressive lengthening of the PR interval, then dropped QRS

Wolf Parkinson White (WPW) is characterized by

A congenital bypass tract known as a bundle of kent

delta waves

Which of the answers below is a cause of T wave inversion?

ischemia

3 multiple choice options

what is the shape of a normal t wave

upright

3 multiple choice options

What are the criteria for a left bundle branch block

wide QRS complex > 0.12 seconds.

Broad (typically notched in lead I, aVL, V5, V6)

R wave with prolonged upstroke in leads V5, V6, I and aVL with ST segment depression and T wave inversion

Second Degree AV Block Type II requires a permanent pacemaker due to its ability to possibly progress suddenly to a BLANK with little or no warning

Third Degree AV block

3 multiple choice options

Which arrhythmia below is described as ectopic beats of ventricular origin with a rate of >50 and <100 bpm? No visible P waves

Accelerated idioventricular rhythm

3 multiple choice options

Atrial Flutter is common after heart surgery

True

1 multiple choice option

Which of the following may trigger atrial fibrillation?

alcoholism

3 multiple choice options

The normal duration for the QT interval is BLANK seconds

0.36-0.44

Which of the following is a complication from atrial fibrillation?

blood clot or thrombi

3 multiple choice options

Which of the following is the first drug of choice for treating symptomatic bradycardia?

atropine

3 multiple choice options

Atropine works to BLANK conduction through the AV node

improve

3 multiple choice options

persistent sinus tachycardia is a concern due to it causing

decreased cardiac output due to decreased ventricular filling time

heart failure

common causes of sinus bradycardia include all of the following except

anxiety

3 multiple choice options

what is the definition of ventricular tachycardia

originates in an ectopic pacemaker site in the ventricles at a rate of 120-200 beats/minute

3 multiple choice options

BLANK originates in an ectopic pacemaker site in the atria producing a rapid, regular atrial rhythm between 140 and 250 beats per minutes.

paroxysmal atrial tachycardia

what are the criteria for a Right Bundle Branch Block

Wide QRS with a duration of > 0.12 seconds in V1.

rSr (Notched) pattern in V1 and V2.

Inverted T wave; strain pattern or inverted T waves may be present in right chest leads.

Wide S wave in lead I and v6

The most common indication for pacemaker implantation is

slow heart rate

3 multiple choice options

what is significant ST elevation and indication of?

myocardial infarction

3 multiple choice options

Hypocalcemia causes which abnormality on the ECG?

Prolonged QT interval

Which rhythm below is characterized by a pacemaker site that shifts back and forth between the sinus node and multiple atrial sites, causing differences in P wave configuration? The distinguishing characteristic of this rhythm is the changing P waves, which vary in size, shape, or direction across the test strip. The PR interval remains the same.

Wandering atrial pacemaker

3 multiple choice options

The primary pacemaker of the heart is the SA node, which has an intrinsic rate of BLANK

60 - 100 bpm

3 multiple choice options

What are the criteria for Wolff Parkinson White Syndrome?

Slurred upstroke on QRS (Delta wave), creating a wide QRS and short PR interval; caused by bundle of Kent.

3 multiple choice options

Cause of premature atrial contraction

hypertension

Therapeutic levels of the drug Digitalis cause which abnormality on the ECG?

ST segment depression with a gradual slope

Which of the criteria below is a criterion for hyperkalemia on the ECG?

Peaked T waves that are greater than 2/3 the height of the R wave

3 multiple choice options

Which of the following statements about ST depression is NOT true?

The more upsloping the depression is the more likely it is due to blockage

3 multiple choice options

A significant Q wave will be a sign of a past MI. What is the criteria for a significant Q wave?

One third to one half the height of the R wave and

greater than one box wide

Common causes of sinus tachycardia include all of the following except

heart failure

Epinephrine works to increase the heart rate by causing

vasoconstriction

3 multiple choice options

The intrinsic rate of the atrioventricular node is:

40 - 60 bpm

3 multiple choice options

What is the definition of a Third Degree AV block?

There is no conduction of impulses from the atria into the ventricles

what is the definition of Atrial Fibrillation?

A rapid and highly irregular heart rhythm originating in an ectopic site in the atria

3 multiple choice options

Which arrythmia has ectopic beats of ventricular origin

with a rate of > 50 and < 100 bpms and no visible P waves?

Acceleration idioventricular rhythm

3 multiple choice options

Hypokalemia has which of the following changes on the

ECG

Appearance of a U wave

3 multiple choice options

What is the definition of a Second Degree AV Type II?

failure of some of the sinus impulses to be conducted to the ventricles (dropped QRS)

What is significant ST depression an indication of?

ischemia

3 multiple choice options

What is the definition of Ventricular Fibrillation

quivering of the ventricles. No QRS complexes. Lethal rhythm

What is the definition of Torsades de Pointes?

Usually seen in patients with prolonged QT intervals; QRS complexes spiral around baseline

3 multiple choice options

What is the definition of a Premature Atrial Contraction?

Premature ectopic beat arising somewhere other than the SA node. Characterized by an abnormal P wave

3 multiple choice options

The best exercise to evaluate the pacemaker is:

Treadmill

3 multiple choice options

Which is the most common sensor method used to detect

the need for increasing the heart rate?

Vibration and acceleration

3 multiple choice options

What is the definition of Atrial Flutter?

originates in an ectopic pacemaker site in the atria, depolarizing at a rate of 250-350 beats/minute

3 multiple choice options

ST elevation or depression is considered abnormal if the

displacement is equal to or greater than ____ mm from

baseline.

1

3 multiple choice options

Tall R waves in V1 and V2 being equal to or greater than

7 mm and a right ventricular strain pattern evident in V1

and V2 are twin of the criteria for:

Right ventricular hypertrophy

3 multiple choice options

What is the definition of a First-degree AV block?

delay in the conduction at the AV node of HIS bundle

3 multiple choice options

The S wave in V1 and V2 plus the R wave in V5 or V6 being greater than or equal to 35mm is a criteria for:

Left Ventricular Hypertrophy

3 multiple choice options

Epinephrine is the first drug of choice for treatment of ventricular tachycardia?

False

• amiodarone, beta blockers