Final Exam Multiple Choice Questions 2022 Flashcards by Kelly Hamontree

(CHAPTER 13)
If we have left axis deviation in a RBBB which hemiblock should we look for?

A. Left anterior hemiblock
B. Left posterior hemiblock
C. Right anterior hemiblock
D. There will be no hemiblock

Correct Answer: A. Left anterior hemiblock

submitted by MW

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(CHAPTER 14)
If we are looking at an old inferior MI, what will we see to indicate this on an EKG?

A. only inverted T waves
B. Only significant Q waves
C. ST elevation & significant Q waves in the same lead
D. There are no signs of an old MI on an EKG

Correct answer: B. Only significant Q waves

Submitted by MW

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(CHAPTER 16)
If a patient wrote they take Synthroid on their patient history, this would indicate they have which of the following conditions:

A. Hypothyroidism
B. Hyperthyroidism
C. Atrial Fibrillation
D. Sinus Arrhythmia

Correct answer: A. Hypothyroidism

Submitted by MW

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(CHAPTER 17) A signal averaged EKG does all of the following except:

A. Collects 250 consecutive QRS’s
B. Takes up to 20 minutes
C. Strengthens true cardiac signals
D. Increases artifact and noise

Correct answer: D. Increases artifact and noise

Submitted by MW

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(CHAPTER 15)
If a patient were experiencing an acute inferolateral MI what changes would we most likely see on the EKG and where?

A. Only significant Q waves in leads II, III, AVF
B. ST depression in leads II, III, AVF and V5 & V6
C. ST elevation in leads II, III, AVF and V1 & V2
D. ST elevation in leads II, III, AVF and V5 & V6

Correct answer: D. ST elevation in leads II, III, AVF and V5 & V6
Submitted by MW

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1.	(Chapter 13)
If Lead I shows a QRS complex that is mostly positive and Lead aVF shows a QRS complex that is mostly negative, what is the axis quadrant?
A.	Normal Axis
B.	Left Axis Deviation
C.	Right Axis Deviation
D.	Indeterminate Axis

B. Left Axis Deviation

Submitted by AL

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2.	(Chapter 14) 
The “Three I’s of Infarction” include all of the following EXCEPT:
A.	Infarction
B.	Ischemia
C.	Inverted T-Wave
D.	Injury

C. Inverted T-Wave

Submitted by AL

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3.	(Chapter 15)
Though it may be present, do not interpret RVH in the presence of what other diagnosis?
A.	Right Axis Deviation
B.	RBBB
C.	Increased R-wave voltage >7mm in V1
D.	Left Axis Deviation

B. RBBB

Submitted by AL

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4.	(Chapter 16)
There are four classes of medications used to prevent and/or treat arrhythmias.  Which of the following falls under Class I?
A.	Beta-blockers
B.	Sodium channel blockers
C.	Calcium channel blockers
D.	Potassium channel blockers

B. Sodium Channel blockers

Submitted by AL

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5.	(Chapter 17)
To improve sensitivity and specificity a Nuclear Radioisotope may be added.  What name would be given to this Radioisotope?
A.	Technetium 99
B.	Cardiolite 
C.	Dobutamine
D.	A and B

D.A and B

Submitted by AL

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Chapter 13
What kind of ST segment change is seen with digitalis?

A. ST upsloping depression
B. ST scooping depression
C. ST downsloping depression
D. ST horizontal depression

B. ST scooping depression

Submitted by AY

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Chapter 14
What is the significance of R wave progression?

A. sometimes poor R wave progression is the only EKG evidence of MI
B. it indicates MI
C. it has no significance
D. it determines the heart’s rotation

A. sometimes poor R wave progression is the only EKG evidence of MI

Submitted by AY

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Chapter 15
When looking for a hemiblock, which leads do you focus on?

A. Lead I and Lead II
B. Lead II and Lead III
C. Lead III and aVL
D. Lead I and Lead III

D. Lead I and Lead III

Submitted by AY

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Chapter 16
What emergency cardiac medication is used for asystole, v-fib, and pulseless v-tach?

A. atropine
B. dopamine
C. epinephrine
D. adenosine

C. epinephrine

Submitted by AY

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Chapter 17
Which exercise protocol is used most often for testing post-MI patients?

A. Bruce
B. Modified Bruce
C. Naughton
D. Pharmacologic

C. Naughton

Submitted by AY

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CHAPTER 13 
Causes for a RBBB
A. HYPERTENSION
B. LEFT VENTRICULAR HYPERTOPHY
C. OTHER ORGANIC HEART DISEASES
D. CONDUCTIONS SYSTEM LESION

D. CONDUCTION SYSTEM LESION

submitted by : MP

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CHAPTER 14
Wall's of the inferior left ventricle feed which artery? 
A. RIGHT CORONARY ARTERY
B. LEFT MAIN ARTERY
C. CIRCUMFLEX
D. LEFT CORONARY ARTERY

A. RIGHT CORONARY ARTERY

submitted by: MP

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Chapter 15
If a patient presents on the EKG 12 lead with very high levels of potassium what would be the indications on the exam?
A: Small Q in I, small R in III, ST elevation in aVF
B: Tall, pointy, narrow T waves
C: Shortened ST segment causing short QT segment
D: Wide QRS complex

D wide QRS complex

SUBMITTED BY MP

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CHAPTER 16

Pacemaker spikes not followed by P waves or QRS complexes are what type of pacemaker malfunction?
A Undersensing
B not related to pacemaker malfunction
C loss of capture
D Failure to fire

C loss of capture

submitted by MP

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Chapter 17
What is “Normal” changes during a stress test?

A hypotension
B tall P waves
C systolic 220, diastolic 111
D ST segment elevation

B tall P waves
submitted by MP
Note: tall P waves is often a result of increased lung capacity

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Chapter 13
Out of the following, which is not a cause of a Right Bundle Branch Block?
A. Congenital Heart Disease
B. Hypertension
C. Conduction System Lesion
D. Normal Variant

B. Hypertension

Submitted by KP

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Chapter 14
In which leads would you see an Anterior MI (By itself)?
A. II, III, aVF
B. V2-V4
C. I, aVL, v5-v6
D. I, II, III

B. v2-v4

Submitted by KP

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Chapter 15
If a patient presents with an RSR’ configuration in v1 with a wide (>12 sec) QRS, with a left axis deviation, what could you assume this patient may have?

A. LBBB
B. RBBB with LPHB
C. RBBB with LAHB
D. RBBB

C. RBBB with LAHB

Submitted by KP

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Chapter 16
On the EKG you notice pacemaker spikes not followed by P waves or QRS complexes AS WELL AS paced beats or spikes too close to previous beats. Which malfunctions are present?

A. Undersensing
B. Loss of Capture and Failure to fire
C. Failure to fire and Undersensing
D. Loss of capture and Undersensing

D. Loss of capture and Undersensing

Submitted by KP

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``` Chapter 17 If a patient came back from an angiogram that was positive for CAD but had a negative stress test, what category would these results fall under? A. True Positive B. True Negative C. False Negative D. False Positive ```

C. False Negative | Submitted by KP

Chapter 13 Where does Wolf Parkinson Syndrome "WPW" take place? ``` A. AV Node B. Accessory Pathway (bundle of Kent) C. SA Node D. Bundle of His E. Walter White's Home ```

B. Accessory Pathway (bundle of Kent) | Submitted by AB

Chapter 14 Which ST change resembles a cute little concave smiley face? :) A. MI B. Early Repolarization C. Pericarditis D. Right Ventricular Infarction

C. Pericarditis | Submitted by AB

Chapter 15 Early Repolarization on a 12-lead EKG will present with a _______ appearance. A. Fishhook after QRS B. Scooping ST depression C. Convex ST elevation D. Prolonged PR interval

A. Fishhook | Submitted by AB

``` Chapter 13 Which p wave results in right atrial enlargement A. an amplitude of 2 mm B. a duration of .2 seconds C. an amplitude of 2.7 mm D. a duration of .27 seconds ```

C. an amplitude of 2.7 mm. Submitted by EJ

``` Chapter 14 All are symptoms of an MI except: A. shortness of breath B. Nausea/vomiting C. Pallor D. Dehydration ```

D. Dehydration. Submitted by EJ

``` Chapter 15 small R in I, small Q in III, and right axis deviation results in? A. RBBB B. LBBB C. LAHB D. LPHB ```

D. LPHB. Submitted by EJ

``` Chapter 16 Potassium channel blockers can have all of these effects on an EKG except... A. prolonged ST interval B. prolonged QRS interval C. prolonged PR interval D. prolonged QT interval ```

A. prolonged ST interval. Submitted by EJ

``` Chapter 17 All are absolute contraindications except... A. Acute MI < 48 hours old B. Acute pulmonary embolus C. Acute myocarditis D. Severe hypertension ```

D. Severe hypertension. Submitted by EJ

Chapter 16 Anticoagulants are prescribed to patients who are at risk of _________ A. Dilated airways B. Clots C. Hypertension D. Tachycardias

B. Clots | Submitted by AB

Chapter 17 When performing a Stress Test it is MOST important to __________ A. Encourage the patient to go as long as they can for a diagnostic result B. Look for ST elevation C. Look for Inotropic reserve D. Monitor muscle cramping in calves or sides

B. Look for ST elevation | Submitted by AB

``` Ch 13 Right Ventricular Hypertrophy is evidenced on the EKG as: A. Tall S wave in V1 B. Tall R wave in V1 C. R wave in V5 and S wave in V1 > 35mm D. Tall R wave in V5 ```

Answer: B - Tall R wave in V1

Ch 13 Left Ventricular Hypertrophy is evidenced on the EKG as: A. Tall R wave in V1 B. Tall R wave in V5 + Depth of S wave in V1 C. Tall S wave in V5 D. Tall R wave in V1 + Depth of S wave in V5

B. Tall R wave in V5 + Depth of S wave in V1

``` Ch 14 Pericarditis is often associated with: A. concave ST elevation B. convex ST elevation C. concave ST depression D. convex ST depression ```

A. concave ST elevation

Ch 17 The goal of stress testing is: A. exercise the patient to exhaustion B. check the blood pressures accurately during exercise C. monitor the EKG, blood pressure, HR, and symptoms D. increase the heart rate to a maximal level that increases myocardial oxygen demand

D. increase the heart rate to a maximal level that increases myocardial oxygen demand

``` Chapter 13 Which of the following does NOT cause axis deviations? A: Arrhythmias B: Hemiblocks C: excessive exercise D:Obesity ```

Answer: Excessive exercise Submitted By SB

``` Chapter 14 Where do most infarctions occur? A: Right Ventricle B: Left Atrium C: Left Ventricle D: Right Atrium ```

Answer: C Left Ventricle Submitted By SB

``` Chapter 15 What leads would indicate an Anterior MI? A: II, III, aVF B: V1, V2 C: V2, V3, and V4 Answer D: I, aVL, V5 and V6 ```

Answer: C- V2, V3, V4 Submitted By SB

``` Chapter 16 When/why would you give your patient Beta Blockers? A: Bradycardia B: a diabetic emergency C: The patient asks for it nicely D: To slow the heart rate ```

Answer: D To slow the heart rate Submitted By SB

Ch 17 Sensitivity refers to the % of patients who have a: A. positive stress test and CAD as proven by angiogram. B. negative stress test and CAD as proved by angiogram. C. positive stress test and CAD as NOT proven by angiogram. D. negative stress test and CAD as NOT proven by angiogram.

A. positive stress test and CAD as proven by angiogram

``` Chapter 17 Which Blood Pressure would indicate a relative indication to stop a stress test? A: 140/100 B: 255/116 C: 240/98 D: 120/80 ```

Answer: B 255/116 Submitted By SB

Chapter 13 What can you expect to see in digitalis effect other than scooping ST depression in most leads? A. Inverted, flat or biphasic t wave B. Shortened PR interval C. Prolonged QT interval D. Multiple P waves

A. Inverted, flat or biphasic t wave submitted by JK

Ch 14 What is the correct position for Right-sided EKG? A. Move Limb leads to the right side of chest B. Leave limb leads in normal place C. Leave Precordial leads in normal place D. Same as Left-sided EKG

B. Leaves limb leads in normal place submitted by JK

Ch 15 If you interpret RBBB and LAD, which hemiblock will most likely to occur? A. LPHB B. LAHB C. RPHB D. RAHB

B. LAHB submitted by JK

Ch 16 What happens in Phase 0 of Action Potential? A. Early Repolarization. B. Rapid Repolarization C. Depolarization. D. Baseline

C. Depolarization submitted by JK

Ch 17 Positive stress test is indicated by A. ST segment elevation B. No P wave c. Prolonged QRS D. J point depression

A. ST segment elevation submitted by JK

Ch 13 What is the most common cause of RVH? A. Pregnancy B. Myocardial Infarction C. Chronic Lung Disease D. Obesity

C. Chronic Lung Disease Submitted by TB

Ch 14 What condition is known for having "silent MI's" A. Obesity B. Long term diabetes C. Hyperkalemia D. Pericarditis

B. Long term diabetes Submitted by TB

Ch 15 When interpreting a 12 lead you notice a large R and upright T in V1 and V2 with 2 mm ST depression lasting for .10 seconds. What does this criteria reveal? A. Inferior MI B. Digitalis effect C. Ischemia D. Posterior MI

D. Posterior MI Submitted by TB

Ch 16 What is not an indication for a pacemaker? A. First Degree AV Block B. 2:1 AV Block C. Idioventricular Rhythm D. Antitachycardia pacing

A. First Degree AV Block submitted by TB

Ch 17 What is not an absolute indication to terminate a stress test? A. ST segment elevation B. Drop in BP more than 10 mmHg with increased work rate C. Patient becomes diaphoretic D. Patient becomes dizzy

B. Drop in BP more than 10 mmHg with increased work rate Submitted by TB

``` Ch 13; The QRS is negative in lead I and positive in aVF, what is the axis quadrant? A. Normal Axis B. Right Axis Deviation C. Indeterminate D. Left Axis Deviation ```

B. Right axis deviation - Submitted by JM

``` Ch 14; A significant Q wave is either 0.4 seconds wide or: A. 2 mm in amplitude B. 2/4 the size of the R wave C. 4 mm in amplitude D. 1/4 the size of the R wave ```

D. 1/4 the size of the R wave - Submitted by JM

``` Ch 15; On an ECG, a wide QRS complex is indicative of which of the following? A. Digitalis Effect B. Severe Hyperkalemia C. Right Ventricular Hypertrophy D. Hypocalcemia ```

B. Severe Hyperkalemia - Submitted by JM

``` Ch 16; Which of the following drugs is not a Beta Blocker? A. Timolol B. Propranolol C. Nadalol D. Metoprolol ```

A. Timolol - Submitted by JM

``` Ch 17; Which of the following is an absolute reason to terminate a stress test? A. ST Depession B. Multifocal PVCs C. Moderate to severe angina D. Development of RBBB ```

C. Moderate to severe angina - Submitted by JM

Final Exam Multiple Choice Questions 2022 Flashcards

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