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(Q2) MA 27: EKG Technology > ECG Certification Test > Flashcards

ECG Certification Test Flashcards

1
Q

Why a 12-Lead EKG is used?

A

It provides a tracing of the electrical activity in the patient’s heart

Page 4

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2
Q

Know the difference between a 12-Lead EKG, Telemetry Monitoring, a Treadmill Stress Test, and a Holter Monitor

A

12-Lead EKG:

Telemetry Monitoring:

Treadmill Stress Test:

Holter Monitor:

Page 4-5

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3
Q

Know what an AED (Automatic External Defibrillator) is used for.

A

Page 5

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4
Q

Know the normal ranges for adult vitals

  • pulse
  • respirations
  • blood pressure
A

pulse:

respirations:

blood pressure:

Page 19

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5
Q

Know the parts of the conduction system

A

SA Node
AV Node
Bundle of His
Bundle Branches
Purkinje Fibers

Page 45

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6
Q

Know polarization, depolarization, repolarization

A

polarization:

depolarization:

repolarization:

Pages 46-47

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7
Q

Know what ischemia means

A

Page 48

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8
Q

Know the normal depolarization time for the QRS Complex

A

0.06-0.12 seconds

Page 48

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9
Q

Know the normal length of time for the PR interval

A

0.12-0.20 seconds

Page 49

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10
Q

Know the colors of the lead wires.

A

Page 60

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11
Q

Know which leg is used as the ground leg and the color of the lead wire

A

Right leg, green wire

Page 60

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12
Q

Know what the Einthoven’s Triangle is

A

It is formed by only three limb electrodes

Page 62

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13
Q

Know the chest lead placements

A

Page 61, Tabe 3-2

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14
Q

Know where the midclavicular, anterior axillary line, and mid-axillary lines are and what chest leads go in those areas

A

Pages 96-98, Tabe 4-4

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15
Q

Know what the augmented leads are

A

Lead aVR is usually a negative deflection

Pages 62-63

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16
Q

Know what speed control and that you may have to increase the speed to 50mm/sec when a patient has a rapid heart rate

A

Page 70

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17
Q

Know what gain is - also known as sensitivity

A

Gain control regulates the output or height of the EKG waveform

Page 71

18
Q

Know that EKG graph paper consists of horizontal and vertical lines

A

horizontal represents time in seconds

vertical represents voltage

Page 77

19
Q

Know the difference between Somatic tremor, Wandering Baseline, Alternating Current (AC) Interference, and Interrupted Baseline

A

A LOT OF QUESTIONS ABOUT SOMATIC TREMOR

Pages 102-106

20
Q

Know that with infants and children the speed of the paper might need to be adjusted to 50mm/sec because they have very fast heart rates.

Adjusting the speed will allow the physician to view each of the deflections on the EKG tracing.

A

Page 110

21
Q

Know where to place electrodes with patients that might be pregnant, have had a mastectomy, or is an amputee.

A

Pages 111-113

22
Q

Know what to do if a patient has a seizure.

A

Pages 115-116

23
Q

Know what a myocardial infarction means.

A

Heart attack

Page 167

24
Q

Know what dextrocardia is.

A

When the heart is on the opposite - right side - of the chest

Page 113

25
Q

Know what a normal sinus rhythm is and what is looks like.

A

Page 136

26
Q

Know what Sinus Bradycardia is and what is looks like.

A

Page 139

27
Q

Know what Sinus Tachycardia is and what it looks like.

A

Page 141

28
Q

Know what Sinus Arrest is and what it looks like.

A

Page 144

29
Q

Know what a Premature Atrial Complex is and what it looks like.

A

Page 158

30
Q

Know what a Wandering Atrial Pacemaker is and what it looks like.

A

Page 160

31
Q

Know what atrial flutter is and what is looks like.

A

Page 163

32
Q

Know ALL the heart blocks and the difference between them.

A

First Degree

Second Degree Type I (Mobitz I or Wenckebach)

Second Degree Type II

Third Degree

33
Q

Know what Premature Ventricular Complexes (PCVs) are and what they look like.

A

Page 217

34
Q

Know the types and patterns of Premature Complexes.

A

Examples…
- What a Unifocal PVC is.
- What a Multifocal PVC is.
- Etc.

Pages 218-219

35
Q

Know what Ventricular Fibrillation is and what it looks like.

A

Page 228

36
Q

Know what a left bundle branch block is and how to identify it.

A

Page 246

37
Q

Know what a right bundle branch block is and how to identify it.

A

Page 249

38
Q

Be able to identify different pacemakers…

  • Ventricular pacing
  • Atrial pacing
  • Atriobiventricular tracing
A

Ventricular pacing:

Atrial pacing:

Atriobiventricular tracing:

Pages 258-262

39
Q

Know the Pacemakers Complications

  • Malfunctioning
  • Malsensing
  • Loss of Capture
  • Oversensing
A

Malfunctioning:

Malsensing:

Loss of Capture:

Oversensing:

Page 267, Table 11-1

40
Q

Know what the Bruce Protocol is for Stress Testing

A

Page 293

(Q2) MA 27: EKG Technology (3 decks)

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