CCT PRACTICE!
Which of the following is an indication to stop an exercise stress test?
Answer Occasional runs of ventricular tachycardia
Right ventricular hypertrophy can be identified on a 12 lead ECG by what characteristics?
Answer Right axis deviation > 90 degreesR wave in lead aVR > 5mm
What would be the MOST APPROPRIATE technique when performing a 12 lead ECG on a patient with Parkinson's disease?
Answer Have the patient tuck their hands under their buttocks to reduce artifact
Which waveform on ECG represents ventricular repolarization?
Answer T wave
How does Wandering Baseline become corrected
Answer Having the patient relax their muscles
An anterior wall myocardial infarction occurs when anterior myocardial tissue supplied by the_______ artery suffers injury due to
lack of oxygen
Answer Left anterior descending artery
This type of artifact is known for its thick baseline due to continuous electrical activity coming from an external source
Answer AC interference
Which leads in a 12 lead ECG are referred to as augmented leads?
Answer aVR, aVL, aVF
Which of the factors is used in the formula to predict the maximal HR for an exercise stress test
Answer AGE
This rhythm strip is consistent with (Q.10)
Answer normal sinus rhythm
What should we check on the ECG machine to ensure its working properly?
Answer inspect cables for damage; Check for paper
Which AVB is characterized by PRI that remains constant?
Answer second-degree type II
You are in a hospital and receive an order for a TMT on a 58 year old female patient. When you arrive in the PT room to explain
order and procedure, PT informed she is unable to walk on the treadmill due to recent foot injury.. What is most importantly course
of action
Answer Contact patient nurse, explain the situation and have the nurse contact order phys ;
Write a note in patient chart explaining situation and put that you spoke with nurse
Answer . A prolonged QT interval due to drug toxicity has an increased risk of?
Ventricular Tachyarrhythmias
The purpose for placing one of the exploring leads of the Holter monitor on or near the V5 position is to?
Answer maximize QRS configuration
Which of the following medical equip/supply item is not required to perform a TMT
Answer Transducer gel
The mean QRS axis on this 12 lead ECG is ( Q. 17)
Answer Left
Which of the following atrial rates would need to be communicated to the physician?
Answer 195 bpm
, Which statement is correct regarding premature ventricular complexes (PVC)?
Answer PVC may be unifocal or multifocal in origin
During an TMT, a 2.0 mm down sloping ST segment was observed 6 min into the Bruce protocol. This would be a
Answer Positive Test
Which dysrhythmias is indicated when all the pacemakers in the heart have ceased to function and QRS are wide and bizarre with a
rate less than 20 BPM
Answer Agonal
What is the heart rate of an ECG with a constant R-R interval of 30 mm recorded at standard paper speed? ( 1500 rules!)
Answer 50 BPM
Which two leads are referenced when interpreting axis deviation?
Answer I and aVF
Vasodilation with exercise will result in
Answer decrease systemic vascular resistance
The PR interval results from a delay in conduction at which level of the conduction system?
Answer AV node
In stage 3 of the Bruce protocol the treadmill is set at
3.4 MPH and a 14 % grade
This rhythm strip is most consistent with (Q.27)
V fib
left ventricular hypertrophy is indicated when the combined measured amplitude is greater than or equal to 35mm in which leads
V1 or V2 S-wave, V5 or V6 R-wave
Which of the rhythm strip shown is MOST consistent with 3rd degree or complete HB (Q.29)
Answer 3
Metabolic equivalent (MET) are commonly used in exercise protocol to express the
workload in various stages
What is a common cause of somatic tremors?
Answer muscle movement
an exercise stress test is performed to
Answer identify ischemic changes due to CAD
When transferring a PT from a gurney to an exam table which of the following is the best selection
Answer maintain proper body alignment
a regular rhythm at a rate for 40-60 BPM and narrow QRS, no visible P wave is consentient with a presence of
Answer Junctional rhythm
Which of the following is the correct selection relating to cardiac axis determination? ( q.35)
Answer Left axis deviation
A posterior myocardial infarction can be identified by which of the following abnormalities on a 12- lead ECG tracing?
Answer Tall T wave and elevation in leads I and aVL
What type of rhythm has inverted or retrograded p wave with a narrow QRS complex
Answer Junctional Rhythm
Which of the following is an absolute contraindication for an exercise stress test?
Answer
Severe aortic stenosis
Uncontrolled arrhythmias
Which of the following is an indication to stop an exercise stress test?
Answer Occasional runs of ventricular tachycardia
Right ventricular hypertrophy can be identified on a 12 lead ECG by what characteristics?
Answer Right axis deviation > 90 degreesR wave in lead aVR > 5mm
What would be the MOST APPROPRIATE technique when performing a 12 lead ECG on a patient with Parkinson's disease?
Answer Have the patient tuck their hands under their buttocks to reduce artifact
Which waveform on ECG represents ventricular repolarization?
Answer T wave
How does Wandering Baseline become corrected
Answer Having the patient relax their muscles
An anterior wall myocardial infarction occurs when anterior myocardial tissue supplied by the_______ artery suffers injury due to
lack of oxygen
Answer Left anterior descending artery
This type of artifact is known for its thick baseline due to continuous electrical activity coming from an external source
Answer AC interference
Which leads in a 12 lead ECG are referred to as augmented leads?
Answer aVR, aVL, aVF
Which of the factors is used in the formula to predict the maximal HR for an exercise stress test
Answer AGE
This rhythm strip is consistent with (Q.10)
Answer normal sinus rhythm
What should we check on the ECG machine to ensure its working properly?
Answer inspect cables for damage; Check for paper
Which AVB is characterized by PRI that remains constant?
Answer second-degree type II
You are in a hospital and receive an order for a TMT on a 58 year old female patient. When you arrive in the PT room to explain
order and procedure, PT informed she is unable to walk on the treadmill due to recent foot injury.. What is most importantly course
of action
Answer Contact patient nurse, explain the situation and have the nurse contact order phys ;
Write a note in patient chart explaining situation and put that you spoke with nurse
Answer . A prolonged QT interval due to drug toxicity has an increased risk of?
Ventricular Tachyarrhythmias
The purpose for placing one of the exploring leads of the Holter monitor on or near the V5 position is to?
Answer maximize QRS configuration
Which of the following medical equip/supply item is not required to perform a TMT
Answer Transducer gel
The mean QRS axis on this 12 lead ECG is ( Q. 17)
Answer Left
Which of the following atrial rates would need to be communicated to the physician?
Answer 195 bpm
, Which statement is correct regarding premature ventricular complexes (PVC)?
Answer PVC may be unifocal or multifocal in origin
During an TMT, a 2.0 mm down sloping ST segment was observed 6 min into the Bruce protocol. This would be a
Answer Positive Test
Which dysrhythmias is indicated when all the pacemakers in the heart have ceased to function and QRS are wide and bizarre with a
rate less than 20 BPM
Answer Agonal
What is the heart rate of an ECG with a constant R-R interval of 30 mm recorded at standard paper speed? ( 1500 rules!)
Answer 50 BPM
Which two leads are referenced when interpreting axis deviation?
Answer I and aVF
Vasodilation with exercise will result in
Answer decrease systemic vascular resistance
The PR interval results from a delay in conduction at which level of the conduction system?
Answer AV node
In stage 3 of the Bruce protocol the treadmill is set at
3.4 MPH and a 14 % grade
This rhythm strip is most consistent with (Q.27)
V fib
left ventricular hypertrophy is indicated when the combined measured amplitude is greater than or equal to 35mm in which leads
V1 or V2 S-wave, V5 or V6 R-wave
Which of the rhythm strip shown is MOST consistent with 3rd degree or complete HB (Q.29)
Answer 3
Metabolic equivalent (MET) are commonly used in exercise protocol to express the
workload in various stages
What is a common cause of somatic tremors?
Answer muscle movement
an exercise stress test is performed to
Answer identify ischemic changes due to CAD
When transferring a PT from a gurney to an exam table which of the following is the best selection
Answer maintain proper body alignment
a regular rhythm at a rate for 40-60 BPM and narrow QRS, no visible P wave is consentient with a presence of
Answer Junctional rhythm
Which of the following is the correct selection relating to cardiac axis determination? ( q.35)
Answer Left axis deviation
A posterior myocardial infarction can be identified by which of the following abnormalities on a 12- lead ECG tracing?
Answer Tall T wave and elevation in leads I and aVL
What type of rhythm has inverted or retrograded p wave with a narrow QRS complex
Answer Junctional Rhythm
Which of the following is an absolute contraindication for an exercise stress test?
Answer
Severe aortic stenosis
Uncontrolled arrhythmias
