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1)
A winged infusion set is also called a ____________ needle.
- Milliner's
- butterfly
- straight
- universal
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2)
What is the medical term for high blood pressure?
- Hyperalbuminemia
- Hyperglycemia
- Hyperplasia
- Hypertension
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3)
What is the term for the contraction phase of the heartbeat?
- Diastole
- Septum
- Systole
- Tachycardia
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4)
Which of the following would most likely cause a low heart rate?
- Exercise
- Fever
- High concentration of potassium in the blood
- Increased blood pressure
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5)
Which sinus rhythm has a rate that is consistently less than 60 beats per minute?
- Sinus arrest
- Sinus bradycardia
- Sinus dysrhythmia
- Sinus tachycardia
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6)
Which rhythm shows an irregularity during inspiration and expiration?
- Sinus arrest
- Sinus bradycardia
- Sinus dysrhythmia
- Sinus tachycardia
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7)
Which of these is a common sign of low cardiac output?
- High blood pressure
- Increased perfusion of vital organs
- Low blood pressure
- The patient is alert and oriented
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8)
Which dysrhythmia is similar to wandering atrial pacemaker, except that the rate exceeds 100 beats per minute?
- Atrial fibrillation
- Atrial flutter
- Multfocal atrial tachycardia
- Sinus tachycardia
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9)
What is the major health risk for patients who have atrial fibrillation?
- Bleeding problems
- Bundle branch block
- Hypertension
- Thrombus formation and embolization
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10)
Ischemic heart disease involves:
- atrophied muscle
- low blood pressure
- narrowed heart arteries
- ruptured blood vessels
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11)
Which of these dysrhythmias is NOT considered part of the supraventricular tachycardia classification?
- Atrial fibrillation
- Junctional tachycardia
- Sinus tachycardia
- Ventricular tachycardia
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12)
Which of these is a sign of supraventricular tachycardia?
- A clear, easily identifiable P wave
- A heart rate of over 150 beats per minute
- A wide QRS complex
- Different atrial and ventricular rates
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13)
An arrhythmia is a heart rhythm that is:
- abnormal
- normal
- too fast
- too slow
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14)
What is the heart rate range for junctional escape rhythm?
- 20-40 beats per minute
- 40-60 beats per minute
- 60-100 beats per minute
- 100-150 beats per minute
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15)
What is the heart rate range for accelerated junctional rhythm?
- 20-40 beats per minute
- 40-60 beats per minute
- 60-100 beats per minute
- 100-150 beats per minute
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16)
What is the heart rate range for junctional tachycardia?
- 100-150 beats per minute
- 20-40 beats per minute
- 40-60 beats per minute
- 60-100 beats per minute
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17)
Which is the most serious kind of heart block?
- First-degree heart block
- Second-degree type I heart block
- Second-degree type II heart block
- Third-degree heart block
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18)
Which ventricular dysrhythmia has a heart rate of fewer than 20 beats per minute?
- Accelerated idioventricular
- Agonal
- Ventricular fibrillation
- Ventricular tachycardia
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19)
Which ventricular dysrhythmia has a heart rate between 20 and 50 beats per minute?
- Asystole
- Idioventricular
- Ventricular fibrillation
- Ventricular tachycardia
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20)
In which type of arrhythmia do the heart ventricles quiver instead of pumping normally?
- Atrial fibrillation
- Bradycardia
- Supraventricular tachycardia
- Ventricular fibrillation
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21)
What is the term for a heartbeat of fewer than 60 beats per minute?
- Bradycardia
- Epicardia
- Myocardia
- Tachycardia
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22)
Tachycardia is a heart rate of:
- 40–60 bpm
- 60–80 bpm
- 80–100 bpm
- >100 bpm
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23)
The sympathetic nervous system:
- constricts the pupils
- increases the heart rate
- promotes digestion
- reduces blood pressure
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24)
Which part of the heart sets the heart rate?
- AV node
- Left atrium
- Sinoatrial node
- VA node
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25)
Systolic blood pressure is the blood pressure when which part of the heart contracts?
- Arteries
- Atria
- Valves
- Ventricles
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26)
The heart's ability to create its own electrical impulse is called:
- automaticity
- conductivity
- contractility
- excitability
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27)
The heart is contained inside a sac called the:
- endocardium
- fluid sac
- myocardium
- pericardium
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28)
What is the normal, inherent rate for the AV junction?
- 20-40 beats per minute
- 40-60 beats per minute
- 60-80 beats per minute
- 80-100 beats per minute
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29)
What is diastole?
- A heart rate below 60 beats per second
- An irregular heart rate
- When the heart muscle contracts
- When the heart muscle relaxes
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30)
Mixing bleach with acid produces water, salt and:
- arsenic trioxide
- chlorine gas
- phosgene
- sodium cyanide
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31)
A defibrillator can be used:
- to produce an electrical rhythm
- to record the patient's breathing pattern
- to treat an abnormal heart rhythm
- without training
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32)
Which of the following is NOT a reason for performing an ECG?
- To check for problems with the flow of electricity through the heart
- To evaluate heart conditions
- To evaluate the rate and rhythm of breathing
- To see how well the heart is contracting and pumping
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33)
A continuous ECG monitor is used most commonly in a:
- assisted-living center
- clinic
- hospital
- physician's office
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34)
If your most important duties include watching an ECG tracing and notifying the physician of abnormalities, then you are most likely a:
- cardiovascular technologist
- electrocardiogram monitoring technician
- electrocardiogram technician
- physician assistant
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35)
What does the pulse measure?
- Blood pressure
- Blood volume
- Circulation
- Heart rate
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36)
A normal resting heart rate for adults is _________ beats per minute.
- 40 to 80
- 60 to 100
- 80 to 120
- 100 to 140
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37)
What view of the heart do leads V1 and V2 of an electrocardiogram represent?
- Anterior
- Inferior
- Lateral
- Septal
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38)
What view of the heart do leads I, aVL, V5, and V6 of an electrocardiogram represent?
- Anterior
- Inferior
- Lateral
- Septal
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39)
What view of the heart do leads V3 and V4 of an electrocardiogram represent?
- Anterior
- Inferior
- Lateral
- Septal
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40)
What view of the heart do leads II, III, and aVF of an electrocardiogram represent?
- Anterior
- Inferior
- Lateral
- Septal
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41)
Which of these is a mistake when attaching ECG leads to a patient?
- Attaching the LA lead to the patient's left arm
- Attaching the LL lead to the patient's left leg
- Attaching the RL lead to the patient's right arm
- Attaching the V1 lead to the 4th intercostal space, right sternal edge
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42)
When preparing a patient for an ECG, where should you place the V1 electrode?
- Arm
- Chest
- Foot
- Leg
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43)
How many leads are in a standard ECG?
- 10
- 12
- 14
- 16
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44)
Leads II, III, and aVF of an ECG are called the __________ leads.
- grounding
- inferior
- lateral
- limb
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45)
In electrocardiography, what does the letter A in aVL stand for?
- actual
- alternating
- amplitude
- augmented
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46)
The right leg (RL) electrode of the electrocardiogram is also known as:
- F
- N
- T
- V1
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47)
Lead IV of the electrocardiogram is also called:
- AVF
- AVL
- AVM
- AVR
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48)
The most commonly used ECG electrodes are _______ and are used _______.
- disposable, more than once
- disposable, once
- reusable, more than once
- reusable, once
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49)
For which condition might you need to increase the ECG paper speed?
- Adams–Stokes syndrome
- Bradycardia
- Bundle branch block
- Tachycardia
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50)
Which three ECG electrodes form the Einthoven triangle?
- RA, LA and LL
- RA, LA and RL
- RA, LL and RL
- V1, V2 and V3
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51)
In electrocardiography, what is the angle of Louis also known as?
- Anterior-posterior angle
- Einthoven's triangle
- Lead I
- Sternal angle
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52)
What would be the first and most appropriate thing to say if a patient refuses an ECG?
- "Don't worry; it takes only a few seconds."
- "I will have to report your refusal to my supervisor."
- "Will you tell me why you don't want to have an ECG?"
- "Your doctor has ordered this test, and it must be done."
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53)
When applying chest leads for an electrocardiogram, where is V4 placed?
- Anywhere between the right shoulder and the wrist
- Fifth intercostal space at the midclavicular line
- Fourth intercostal space to the left of the sternum
- Fourth intercostal space to the right of the sternum
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54)
When applying chest leads for an electrocardiogram, where is V2 placed?
- At the fifth intercostal space to the left of the midclavicular line
- At the fourth intercostal space to the left of the sternum
- At the fourth intercostal space to the right of the sternum
- Midway between V3 and V5
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55)
To prevent disease transmission during an ECG, you should:
- check the ground prong
- lower the bed
- raise the side rail
- wash your hands
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56)
When applying chest leads for an electrocardiogram, where is V1 placed?
- At the fifth intercostal space, left midclavicular line
- At the fourth intercostal space, left sternal border
- At the fourth intercostal space, right sternal border
- Midway between V3 and V5
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57)
When applying chest leads for an electrocardiogram, where is V6 placed?
- Anywhere between the right shoulder and the wrist
- The fourth intercostal space to the left of the sternum
- The fourth intercostal space to the right of the sternum
- The midaxillary line at the same level as V4 and V5
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58)
You are preparing a patient for an electrocardiogram but the patient's left lower leg is amputated. What should you do?
- Cancel the electrocardiogram
- Perform the electrocardiogram but without the LL and RL electrodes
- Perform the electrocardiogram but without the LL electrode
- Place the LL electrode above the patient's left knee instead
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59)
Lead III of an ECG records differences between the:
- left leg and left arm electrodes
- left leg and right arm electrodes
- right leg and left arm electrodes
- right leg and right arm electrodes
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60)
Einthoven's law states:
- Lead I + Lead II = Lead III
- Lead I + Lead III = Lead II
- Lead I - Lead II = Lead III
- Lead I - Lead III = Lead II
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61)
Which electrodes are used for lead III in electrocardiography?
- LA and LL
- LA and RL
- RA and LL
- RA and RL
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62)
Lead I of an ECG records differences between which electrodes?
- LA and RA
- LA and RL
- RA and LL
- RA and RL
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63)
How many electrodes does the 12-lead ECG use?
- 6
- 8
- 10
- 12
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64)
In electrocardiography, aVR, aVL, and aVF are called the:
- alternating voltage leads
- amplified voltage leads
- augmented limb leads
- depolarization-repolarization leads
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65)
ECG leads I, II, and III are called the _________ limb leads.
- augmented
- bipolar
- positive
- unipolar
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66)
What does ST elevation on an ECG suggest?
- Bundle branch block
- Heart murmur
- Myocardial infarction
- The leads are on the wrong way around
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67)
What does the QRS complex on an ECG represent?
- Atrial depolarization
- Atrial repolarization
- Ventricular depolarization
- Ventricular repolarization
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68)
Which of these may cause a shortened PR interval on an ECG?
- Brugada syndrome
- Diabetes
- First-degree heart block
- Wolff-Parkinson-White syndrome
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69)
Which is of these NOT one of the three main components of an ECG?
- P wave
- QRS complex
- T wave
- Z wave
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70)
In electrocardiography, which is the largest wave in the QRS complex?
- The P wave
- The Q wave
- The R wave
- The S wave
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71)
What does the T wave on an ECG represent?
- Depolarization of the atria
- Depolarization of the ventricles
- Repolarization of the atria
- Repolarization of the ventricles
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72)
What does the horizontal axis on an ECG represent?
- Blood pressure
- Resistance
- Time
- Voltage
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73)
How long is a normal PR interval on an ECG trace?
- 0.02 to 0.06 seconds
- 0.06 to 0.12 seconds
- 0.12 to 0.20 seconds
- 0.20 to 0.28 seconds
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74)
What part of the ECG tracing represents the time from the start of the atrial activity to the start of ventricular activity?
- J point
- PR interval
- QRS complex
- QT interval
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75)
What part of the ECG tracing is measured from the end of the S wave to the beginning of the T wave?
- QRS complex
- QT segment
- ST segment
- U wave
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76)
What causes somatic tremors on an ECG?
- Incorrect placement of leads
- Interference from another electrical device
- Leakage of electrical current
- Patient movement
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77)
You observe somatic tremor artifacts on the ECG. What can you do to reduce these artifacts?
- Check for sources of electrical interference
- Make sure the electrodes are secure
- Move the bed away from the wall
- Remind the patient to keep still
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78)
How many milliseconds long is a normal QRS complex on an ECG trace?
- 80–100
- 100–120
- 120–140
- 140–160
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79)
Which question does NOT need to be answered when determining the QRS measurement for an ECG?
- Are all the QRS complexes of equal length?
- Do all QRS complexes look alike?
- Is the R-R pattern regular?
- What is the actual QRS measurement and is it within normal limits?
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80)
You are interpreting an ECG tracing. You notice that the QRS complexes measure 0.16 seconds. This most likely indicates:
- delayed ventricular conduction
- increased delay at the AV node
- myocardial infarction
- normal ventricular conduction
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81)
Which atrial dysrhythmia has capital "F" waves and a classic sawtooth or picket fence appearance on an ECG tracing?
- Atrial fibrillation
- Atrial flutter
- Multifocal atrial tachycardia
- PACs
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82)
Which atrial dysrhythmia has lowercase "f" waves, chaotic atrial electrical activity, and irregular R-R intervals on an ECG tracing?
- Atrial fibrillation
- Atrial flutter
- Multifocal atrial tachycardia
- PACs
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83)
At least ___ differently shaped P waves should be identified on the ECG tracing before making a diagnosis of wandering atrial pacemaker rhythm.
- 1
- 2
- 3
- 4
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84)
U waves on ECG tracing:
- are best seen in leads V2 and V3
- are larger than T waves
- get smaller as the heart rate slows down
- normally go in the opposite direction to the T wave
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85)
What is the main difficulty in determining a supraventricular tachycardia (SVT)?
- Determining the origin of the tachycardia
- Determining the regularity
- Determining the ventricular rate
- Measuring the QRS interval
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86)
If there are 9 QRS complexes on a six-second ECG strip, then what is the patient's estimated heart rate in beats per minute?
- 15 bpm
- 54 bpm
- 90 bpm
- 154 bpm
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87)
Which type of heart block has missing QRS complexes and a consistent PR interval measurement on ECG tracing?
- First degree heart block
- Second degree type I
- Second degree type II
- Third degree heart block
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88)
Which type of heart block has regular P-P and R-R intervals that fire at two distinctly different rates on ECG tracing?
- First degree heart block
- Second degree type I
- Second degree type II
- Third degree heart block
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89)
Frequent non-conducted QRS complexes on ECG tracing are likely signs of:
- congestive heart failure
- high cardiac output
- kidney failure
- low cardiac output
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90)
What is unique about the P-P intervals of ventricular dysrhythmias?
- They are biphasic
- They are irregular
- They are non-existent
- They are regular
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91)
QRS complexes that measure 0.12 seconds or greater with a rate between 20 and 40 beats per minute indicate that the impulses causing ventricular depolarization are coming from the:
- AV node
- Purkinje fibers (ventricles)
- SA node
- interatrial pathways
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92)
Which pacemaker rhythms have a pacing spike before P waves on ECG tracing?
- Atrial pacemaker rhythm
- Atrioventricular pacemaker
- Normal sinus rhythm
- Ventricular pacemaker
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93)
Which pacemaker rhythm has a pacing spike before QRS complexes on ECG tracing?
- Atrial pacemaker rhythm
- Atrioventricular pacemaker rhythm
- Normal sinus rhythm
- Ventricular pacemaker rhythm
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94)
Which pacemaker complication shows a pacing spike on ECG tracing, but no waveform immediately following it?
- Failure to capture
- Failure to sense
- Normal sinus rhythm
- Oversensing
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95)
You are performing an ECG on a patient. You observe a wide QRS complex while continuously monitoring the patient in lead II. Which lead placement is necessary to evaluate the location of a blockage in the bundle branch system?
- Lead I
- Lead III
- Lead V1
- Lead V4
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96)
When QRS duration is _________ seconds, bundle branch block must be considered.
- less than 0.06
- 0.06 to 0.09
- 0.09 to 0.12
- more than 0.12
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97)
What does the vertical axis on electrocardiogram paper represent?
- Acceleration
- Speed
- Time
- Voltage
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98)
On a normal ECG, which wave is the first wave to show downward deflection?
- P wave
- Q wave
- R wave
- S wave
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99)
Which of these is a common cause of right axis deviation on an ECG?
- Atrial septal defect
- Heart attack
- Right ventricular hypertrophy
- Ventricular septal defect
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100)
Which of these would NOT cause artifacts on an ECG?
- Coins in the cardiologist's pocket
- Electrical interference
- Loose wires
- Patient movement
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101)
While recording a 12-lead ECG, you notice leads I and II have a lot of artifacts. Which electrode is probably not placed appropriately?
- Left arm
- Left leg
- Right arm
- Right leg
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