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Kaiser EKG Questions with Detailed Verified Answers

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Kaiser EKG Questions with Detailed Verified Answers

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Kaiser EKG Questions with Detailed Verified
Answers
Depolarization Ans: Electrical excitation of cell membrane followed by mechanical
contraction

Repolarization Ans: Return of cell membrane resting state

PR interval Ans: .12-.20sec

PR interval is measured fro beginning of ____ to beginning to ____? Ans: Beginning of
P wave to beginning of QRS wave

QRS complex Ans: .06-.12sec

First negative deflection after P wave R wave? Ans: Q wave

Negative deflection following R wave? Ans: S wave

Marks QRS complex and ends ST segment? Ans: J point

QT interval Ans: .44-.48sec

No perceived electrical current? Ans: Isoelectric line

Atrial depolorization? Ans: P wave

Delay at AV junction? Ans: PR segment

Ventricular depolorization? Ans: QRS

Normally isoelectronic line between QRS and beginning of T-wave? Ans: ST Segment

ventricular repolarization? Ans: T wave

What does T wave look like? Ans: Larger than P wave and slightly asymmetric

,beginning of ventricular activation through ventricular depolarization? Ans: QT
interval

If U wave is seen what does that mean? Ans: Hypokalemia or digitalis toxicity

Each 1mm box equals how many sec? Ans: 0.04sec

Each large box is how many sec? Ans: 0.20sec

Lead I makes left arm ____ and right arm ____. Its angle of orientation is
_____degrees Ans: Lead I makes left arm POSITIVE and right arm NEGATIVE. Its
angle of orientation is 0 degrees

Lead II is created making legs _______and the left arm is ______, the angle of
orientation is ____degrees? Ans: Legs are POSITIVE and right arm NEGATIVE. Angle
of orientation is 60 degrees

Lead III is created making legs ______and left arm _____, angle is _____degrees?
Ans: Legs is POSITIVE and left arm is NEGATIVE, angle is 120 degrees

Lead aVL created making left arm ______and other limbs _____, angle is -_____?
Ans: Left arm is POSITIVE and other limbs is NEGATIVE, angle is -30 degrees

Lead aVR is created making right arm _____ and other limbs _____, its angle of
orientation is -____degrees Ans: Right arm is POSITIVE and other limbs NEGATIVE,
angle of orientation is -150

Lead aVF is created making legs _____and other limbs ____, the angle of orientation
is ____ degrees toward the feet Ans: Legs POSITIVE and other limbs NEGATIVE,
angle of orientation is 90 degrees

V1 is placed ____-? Ans: 4th intercostal space to the right of the sternum

V2 is placed? Ans: 4th intercostal space, left sternal border

V3 is placed where? Ans: Between V2 and V4

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,V4 is placed where? Ans: Fifth intercostal space at the midclavicular line

V5 is placed where? Ans: Between V4 and V6

V6 is placed where? Ans: Fifth intercostal space, midaxillary line.

Treatment for bradycardia? Ans: Atropine 0.5mg IV

Sinus pause includes what two things? Ans: Sinus arrest and sinoatrial exit block

Sinus pause is one or two missed beats

Sinus arrest? Ans: Failure of the SA node to create an impulse, an interruption of R-R
regularity

When 3 or more beats aren't formed

Sinoatrial exit block? Ans: SA node generates impulse but is blocked before being
transmitted through the atria (missed or dropped beats)

R-R regularity continues with beats that follow the missed beat

Which valves are classified as the atrioventricular valves?

Mitral and pulmonic

Mitral and tricuspid

Pulmonic and aortic

Tricuspid and aortic Ans: Mitral and tricuspid

What allows the cardiac cells to transmit an electrical impulse?

Automaticity


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, Conductivity

Contractility

Excitability Ans: Conductivity

Along with Lead II, what is Lead III most helpful for monitoring?

Anterior wall

Changes associated with inferior wall myocardial infarction

QRS complexes

Ventricular function Ans: Changes associated with inferior wall myocardial infarction

What interval measurement represents the complete refractory period?

P wave to T wave

P wave to ST segment

QRS wave to next P wave

QRS to peak of the T wave Ans: QRS to peak of the T wave

What is the first step in preparation of the patient for ECG monitoring?

Do not prepare patient skin before applying leads

Reassure patient and maintain privacy

Turn on the monitor so the alarm sounds

Undress the patient and apply leads Ans: Reassure patient and maintain privacy

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