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2025 ECG Interpretation Competency Test Guide – Questions With Definite Solutions

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2025 ECG Interpretation Competency Test Guide – Questions With Definite Solutions

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December 25, 2025
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2025 ECG Interpretation Competency Test Guide –
Questions With Definite Solutions

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Represents total ventricular activity - depolarization and repolarization
normal QT = less than ½ the preceding R-R.



Choose an answer



1 PR Interval 2 Premature Junctional Contractions (PJCs)



3 Long PR 4 QT Interval



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Terms in this set (56)



PR Interval Beginning of P wave to beginning of Q wave
represents atrial activity and AV conduction time
normal PR = 0.12-0.20 sec.


QRS Complex Beginning of Q wave to end of S wave
represents ventricular depolarization
normal = < 0.12 sec.


Long QRS ≥ 0.12 sec; indicates bundle branch block.


Short PR < 0.12 sec; consider junctional rhythm.


Long PR > 0.20 sec; indicates 1st degree heart block.


T Wave Represents ventricular repolarization
normal = upright, rounded.

, P Wave Represents atrial depolarization
normal = upright, rounded.


ST Segment Represents early ventricular repolarization
should be flat line at/around baseline.


QT Interval Represents total ventricular activity - depolarization and
repolarization
normal QT = less than ½ the preceding R-R.


QTc Corrected QT; a standardized number that accounts for
variability based on heart rate;
normal QTc = 0.35-0.44 sec (male); 0.35-0.46 sec (female).


Long QT At risk for R on T phenomenon/lethal arrhythmias.


ECG Graph Paper Small box = 0.04 sec
Big box = 0.20 sec
1 big box = 5 small boxes
1 second = 5 big boxes
6 seconds = 30 big boxes.




Premature Atrial Contractions (PACs) Has a P wave that may vary slightly from underlying rhythm;
normal QRS complex.




Premature Junctional Contractions (PJCs) P wave follows junctional rules: absent, inverted, or short PR;
normal QRS complex.




Premature Ventricular Contractions (PVCs) Wide/bizarre complex, no P wave; can be unifocal or
multifocal; must name underlying rhythm.




Couplet 2 PVCs.

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