AMCA EKG

The use of a non-invasive and painless ultrasound to examine the heart, its chambers and valves is known as?

Echocardiography

Wave forms displayed on a screen is called?

Electrocardiogram

The breast bone is referred to as?

The sternum

The pericardio sac that surrounds the heart wall is?

A tough fibrous outer layer called the visceral pericardium and inner thin transparent lining called the fibrous pericardium.

What are the three layers of the heart wall?

Epicardium (outer), Myocardium (middle), and Endocardium (inner).

The atrioventricular valve between the left atrium and left ventricle is?

The mitral valve

The wall that separates the two superior chambers of the heart is called?

Interatrial septum

The heart valves that separates the atria from the ventricles are called?

Atrioventricular valves

The skeleton of the heart?

separates the atria from the ventricles

The heart receives most of its own blood supply via the

coronary arteries

Regulation of the heart rate, speed of electrical conduction, and strength of contraction are influenced by the brain via the?

Central nervous system

The cardiac accelerator center is?

Part of the sympathetic nervous system

The most muscular chamber of the heart that forces blood through the aortic valve is the?

left ventricle (power house)

During depolarization, what happens?

Impulses are generated and transmitted when positively charged ions move inside cells causing the interior to become positively charged.

Blood return to the heart from the lungs via 4 blood vessels are named?

Pulmonary veins

Blood travels to the lungs where carbon dioxide is unloaded and oxygen is loaded. The blood vessels that carry the blood from the heart the lungs are?

Pulmonary arteries

During which phase of the cardiac cycle do the coronary arteries fill?

Early systole (contracting)

How much of the blood coming into the ventricles flows passively through the atria?

70% or 80%

With the ECG paper

Five small squares, which make up a larger box, represent 0.20 seconds in duration.

On ECG paper, horizontal measurements are used to determine the?

heart rate

What is placed on the patients skin to detect the hearts electrical activity?

Electrodes (censors)

Duration of each small square running horizontally?

.04 seconds

The initiation of the impulse in the SA node and its movement through the atria produces a?

P-wave

Describe the T-wave

has a peak which is closer to the end then the beginning

What is used as a reference point to identify the changing electrical amplitude?

The isoelectric line (base line)

A calibration mark is?

10mm tall

An electrical current traveling toward a positive electrode produces a waveform that?

points upwards

To view the limb leads, we place electrodes on the

Right arm (RA), left arm (LA), and left leg (LL)

With lead 2, the positive electrode is positioned on the?

left leg

How many electrodes are used as part of a 12 lead ECG?

10 electrodes

Which of the following is the first structure that will be seen when imaging from the suprasternal notch?

Aortic arch

Which one of the following tests does not permit the calculation of the cardiac ejection fraction?

A chest x-ray

Which of the following is the best method in an irregular rhythm?

6 second intervals x 10 method

Which ECG limb lead does not record any electrical activity from the heart?

Right leg (the ground)

The most accurate way to measure heart rate is?

The 1500 method

What is the following rhythm?

Ventricular tachycardia

You should count the ___ To get the atrial rate?

P waves

When a rhythm speeds up and slow down in a rhythmic fashion, it is referred to as _____ irregularity.

Patterned

The 3rd step of analyzing an ECG rhythm is to?

determine the heart rate

Th category of antihypertensive medications that will cause vasodilation, blocked alderston secretion, and increase urine output is?

Ace inhibitors

In leads 1, 2, AVF, and V2-V6 the defelction of the p-wave is characteristically?

Upright

Identify the following rhythm?

Atrial fibrillation (picture)

Tall and symmetrically peaked P waves may be seen with

A delay in the movement of the electrical impulse between the right and left atria

A medication that can be used as a local anesthetic as well as a first line antiarrhythmic used to treat acute life threatening ventricular arrhythmia is?

xylocaine

The normal QRS complex has?

a duration of 0.06-0.12 seconds

The Q-wave is?

The first negative deflection following the p-wave

A patient is regularly taken to Jackson for heart failure. The patient is instructed to do what?

Check their pulse on a regular basis

The patient is asymptomatic during an EKG recording and notices a normal sinus rhythm. What do you do?

Continue recording

The point at which QRS complex is called?

The J-point

In which of the following will the QRS have a higher amplitude?

When there is fluid in the pericardial sac.

In leads I, II, III, AVL, AVF, AVR, V4-V6 the deflection of the QRS is?

Upright

The QRS comple appears normal if what?

The impulse originates from the ventricles

Which of the following dysrhythmia arise from the ventricles?

Idioventricular rhythm

Shorter than normal PR intervals may be seen in?

junctions escape rhythm

Pre-excliation

produces a characteristically abnormal slurring at the onset of QRS and short PR interval

Choose the patient education process that requires gathering information about the patients present healthcare needs and abilities

Evaluation

Which of the following is used to mark ECG paper?

Stylus

An over the counter medication that can be very effective as an antiplatelet?

Aspirin

How do medications that are statins work?

They reduce the incidence of heart attack and death in patients with high cholesterol

The term dysrhythmia means

ECG rhythm differs form NSR

Before placing electrodes on the patients chest, arm, and legs, of thee patient has a lot of hair it can interfere and need to be shaved, what will you do prior to shaving the patient?

Ask the permission to shave them

The patient must undress from the waist up and put on a gown, what else is the patient instructed to do prior to an ekg?

Remove any metal items, change, and cellphones from pockets and body.

Characteristics of sinus rhythm include?

a rate of 60-100bpm

The most suitable type of patient education material is written using?

Language at a 6th grade level

EKG should be performed in a quiet environment because?

Interference is minimized

HIPPA contains 4 standards..which standard is to ensure confidentiality of oral, electronic, or written health information?

The privacy rule

If a patient has a limb amputated, where would the electrode be placed?

Take the electrode to the site of amputation.

Premature atrial complexes originate from the?

Atria

If a patient is said to be in asystole, the characteristics would be?

Rate of 0 and no pulse

Atrial fibrillation has?

an absence of discernible p waves

The myocardium is the?

middle layer of the heart responsible for pumping action

Which of the following topics would not be brought up in an exam prep?

Insurance

Where is the chest electrode V2 located?

At the 4th intercostal space at the left margin of the sternum.

P waves resulting from impulses that originate outside the SA node are called?

Retro P

The contraction phase of the heartbeat is called

Systole

Match the prefix anesthesia to the term that match's this definition

Sensation

When no abnormalities show during a resting ECG, the physician may order an exercise ECG, this is called?

Stress test

When preparing a patient to wear a haulter monitor, instruct the patient to?

Depress the event marker for significant symtpoms

Junctional tahycardia has?

PR intervals less than 0.12 seconds

The space between the ribs is known as?

The intercostal space

What is the compression to breathing ratio for CPR in an adult?

30:2

The prefix gast/r means?

stomach

Characteristics of premature ventricular complexes include that they?

Have a wide and bazaar QRS complex

What takes place as a result of myocardial infarction?

A major artery becomes blocked

Narcan is used to block or reverse the effects of opioid medications, the treatment is given in what pat of the body?

The muscle of the outer thigh

Which of the following are treated with hydrochlorothiazide?

High BP and fluid retention

An R-on-T PVC?

Occurs on or near the t-wave of the previous beat

The 3 leaflet heart valve located between the right atrium and the ventricle is?

The tricuspid valve

Characteristics of idioventricular rhythm include?

A HR between 20-40bpm

Which of the following PHI can be disclosed by the medical office without the patients permission?

The medical practices treatment, payment, and operation information.

Dr. Smith wants charted in the EMR that Mr. Jones had a non invasive procedure in the office today, which procedure is charted?

Cardiovascular stress test

The blood vessel that carries oxygenated blood to the body is?

The pulmonary vein

What refers to the period in which the mechanical and electrical events of the heart are relaxed and involves repolarizarion?

Diastole

The most superficial layer of the heart that is made up of simple squamous epithelial tissue over loose areolar connective tissue is called?

The pericardium

Which of the following terms refers to the ventricular ectopic discharge at a rapid regular rate in excess of 100bpm?

Ventricular tachycardia

Which of the following terms refers to an early impulse beginning in either ventricle?

A premature ventricular contraction (PVC)

Abnormal ventricular wall motion that is reversible with nitroglycerin is?

Myocardial ischemia

Who must be present during an exercise electrocardiogram?

The cardiologist

What vital sign should not be taken of the patient confronts you with chest pain?

Weight

Which of the following terms is associated with the sudden onset of an ectopic atrial focus with the heart beat between 150-200bpm?

A-fib