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EKG Certification
EKG
A U wave usually occurs when a patient has ____ | very low K+, follows the T wave and reflects late repolarization. |
The QRS complex occurs when ______ | the ventricles contract or depolarize. |
On an EKG machine, the standard checks the ____ | voltage the instrument is using; normal is 10mm. |
The heart has 4 valves that are made up of ____ | endocardium, they are aortic, pulmonic ,tricuspid and mitral/biscuspid valves |
Blood leaves the heart through the ____ and the _____ valves. These valves are also called _____ | Pulmonic; Aortic; Semilunar valves |
As blood returns to the heart from the body it enters the _____ | Right atrium |
Where does the superior vena cava get its blood from? | head, neck, and upper extremities |
The innermost layer of the heart is called the _____ | endocardium |
Congestive heart failure (CHF) is a condition when the heart, for whatever reason, cannot ________. The body compensates in _____ major ways. | meet the demands of the body; three |
The two entrance valves of the heart are the _____ and _______ | Tricuspid; bicuspid valves. (AV valves located between an atrium and a ventricle.) |
The semilunar valves are the ____ and ____ | pulmonic and aortic valves |
The pericardium is the ______ that _______ the heart and supports, protects and anchors the heart to the from the | doubled walled sac, encloses ; diaphragm and great vessels. |
The EKG records the ____ called the _____ | electrical impulses; cardiac cycle |
The cardiac cycle is represented by the ______, _____, and the _____. | P wave; QRS complex; T wave |
P wave represents the _____ | Contraction of the atrium or atrial depolarization |
QRS complex represents the ____ | contraction of the ventricles or ventricular depolarization |
T wave represents the _____ | relaxation of the ventricles or ventricular repolarization. |
U wave is ____ but represents possible ____ | not always seen; low potassium. |
The right and left atria are known as _____ | receiving chambers of the heart. |
When blood is on its way from the left atrium to the left ventricle, it goes through the _____ | mitral valve then to the left ventricle to the aortic valve. |
The only way to oxygenate the blood is through the ____ and ____ in the _____ | Alveoli; capillaries; lungs |
The right and left side of the heart is separated by the ____ | septum |
The speed that an EKG is normally run is ____ | 25mm/sec |
The color of the ground lead is ____ | green or located on the right leg. |
The approximate diameter of the coronary arteries is _____ | 1/8 inch |
Another name for the bicuspid valve is _____ | mitral valve |
The purpose of the gel on the electrode is it _______ | conducts electricity |
The myocardium will get nourishment from the _____ | coronary arteries |
If the myocardium stops ____ | the area that doesn't receive blood supply dies |
The myocardium is the ______ | thickest layer of the heart |
The size of a normal heart is _____ | about the size of your fist |
The heart functions as a _______ | pump to pump blood to all the body's cells |
Blood returns to the heart through the ____ | inferior and superior vena cava, then to the right atrium thru the tricuspid valve. |
The inferior cava brings blood from ____ and the superior vena cava gets blood from _____ | below the diaphragm; head, neck, and upper extremities |
The pulmonary vein is the only vein that carries ____ that comes from the ____ and returns blood back to the ____ for eventual circulation to _____ and | high oxygen blood; lungs; left atrium; body organs; cells |
The term for a rapid heart beat is _____ | tachycardia |
Depolarization and Repolarization are __________ events. Contraction and Relaxation are _______ events. | electrical; mechanical. (Electrical before mechanical) |
The purpose of the conduction system is to ____ and ____ | initiate the heart beat; regulate the cardiac cycle |
The top of the heart is the_________, while the bottom is the ________ | base; apex |
Ectopic heart beats are generated from an ____ | impulse originating some other place besides the SA node |
The SA node is located ____ | on the upper wall of the right atrium |
The SA node's functioni is to ____ | generate the stimulus to make the heart beat |
The term for the heart when it is contracting is ____ | systole |
Fibrillation is a ____, with individual cells ____ | nonsynchronous contraction of muscle tissue; firing at their own rate |
Fibrillation can be isolated to the ___. ____ is not compatible with life. | Atria or the ventricles; venticle fibrillation |
A heart in fibrillation has been described as ______ | looking and feeling like a bag of worms |
In the heart, when the atria contract, the blood is ______ | squeezed into the ventricles |
When the heart beats too slow the patient can suffer from _____ | syncope |
The heart is located in the ____ | mediastinum |
The function of the heart is to _____ | pump sufficient amounts of blood to all of the cells in the body |
The U wave usually appears _____ | after the T wave |
Ischemia is _____. A condition of ______ | Reduced blood; inadequate blood flow to a tissue |
Ishemia to the heart can cause ____ and if present long enough ____ | angina; infarction |
Precordial leads are _____ | chest leads |
The right leg electrode shows ____ and serves as a _____ | no cardiac information; ground electrode |
A muscle tremor would look like a ______ on an EKG | fuzzy irregular baseline |
A broken cable wire would cause a ______ | wandering baseline |
Mediumstinum is the ______ and holds _____ | space between the lungs in the chest cavity; the heart and other respiratory units |
Electrodes are ________ | plates that come between the patient and the current |
Augmented lead aVR goes to the ______ | right arm |
When the myocardium is stimulated, its muscle ___ | contracts |
The myocardium is made of _____ | muscle |
If the patient has the right arm amputated above the elbow place the lead on the ____ | upper part of that arm |
If the patient has an amputation, the important thing to do is to be sure that wherever you place the lead, _______ | you use the same corresponding spot on the opposite limb |
You standardize an EKG _______ | before and after you run the EKG |
The pulmonary artery is the only artery that ____ | carries low oxygen or deoxygenated blood. |
The pulmonary artery leaves the ____ | right ventricle |
Normal sinus rhythms have a rate of ____ and each complex is ________ | 60 to 100 beats per minute; complete and normal in appearance |
The term ____ means the heart rate is below 60 beats per minute | bradycardia |
A sinus arrhythmia can be caused by ______ | changes in breathing |
Asystole is a ______ associated with _____ | flat line; death |
Pulmonary circulation is circulation that goes to the heart's _____ to the ____ where it is ____ and releases _____ | right atrium; lungs; oxygenated; built up carbon dioxide |
If the heart beat fires ectopically it means the stimulus to generate _____ does not _______ | the heart beat ; occur in the SA node |
Chordae tendonae holds the ______ | heart valves in place |
A heart mumur is the sound of _______ | faulty action when the valves close |
Ischemia is the lack of _____ to an area of the _____ | sufficient blood supply; myocardium |
An MI is a ____ and occurs when the ____ because of ______ | myocardial infarction; myocardial tissue suffers death to the area; insufficient blood flow |
One of the major causes of heart failure is _____ | untreated high blood pressure |
You calculate the heart rate from an EKG strip by __________ | counting the number of complete complexes in 3 or 6 seconds and multiply by 20 or 10 |
The difference between agonal and asystole on an EKG is that asystole is a _____ while agonal is _____ | flat line; less than 20 beats per minute |
An electrocardiogram is a _______ | recording or tracing of an EKG |
____ electrodes are used for a 12 lead EKG | ten |
Automaticity is the ability of cardiac cells to __________ | Initiate an impulse without stimulation |
PQRST complex represents ______ | one entire cardiac cycle |
The T wave shows the _____ | relaxation of the ventricles or ventricular repolarization |
An artifical pacemaker looks like _____ | a straight, hard vertical line or spike on an EKG |
The apex of the heart is the ____ of the heart | pointed bottom end |
The base of the heart is the _______ and is ____ in shape | upper border of the heart; broad |
The blood in the pulmonary veins goes to the ____ | left atrium |
The ______ encloses the heart | pericardial sac |
Repolarization is the ____ phase | relaxation or resting phase and is an electrically - state. |
Depolarization is the ___ phase | contraction and changes the resting - cell to a + charged one. |
The base of the heart is located ____ | just below the 2nd rib |
A heart chamber empties the blood during the ____ | contraction or systolic phase |
When the ventricles are in the systole phase, they are _____ by _____ | pumping blood out of the chamber; contraction |
The _____ is the largest chamber in the heart because it has the job of ________ | left ventricle; pumping blood out to all parts of the body |
The two chambers that push the blood out of the heart are called the _____ | left and right ventricles |
The cardiac tissue is unique because it is ____ | all fused together so it acts as one |
Lead aVF goes to the ______ | left leg |
A major cause of artherosclerosis is ______ | the build up of fat deposits on the walls of the arteries |
Angina is ____ from _____ to _____ | heart pain; lack of circulation; coronary arteries |
When the heart rate goes down to 40-60 beats per minute, the impulse is usually generated in the ________ | AV node |
The aorta ____ and carries _______ | leaves the heart; blood to all parts of the body |
The bottom number of blood pressure represents the ________ | relaxing or diastolic phase |
When measuring the height of peaks in an EKG, each large square represents _______ | 5mm by 5mm |
Each small square represents _____ | .04 seconds on EKG paper |
Capillaries are __________ | the smallest blood vessels in the body; where nutrient and gas exchange take place. |
AV Dissociation | Atria and ventricles depolarize and contract independently of each other. |
By having a relatively slow conduction rate, the AV node allows the atria to _____ before they____ | empty more blood into the ventricles; contract |
The Purkinje fibers are ____ found in the ____ of the heart. | specialized conducting cells; ventricular septum |
The Purkinje fibers are organized in such a way as to mediate a ____ that wrings the blood from the ____ out towards the _____ of the heart | smooth contraction; apex; base |
Vagal tone is virtually synonymous with ____ tone in regards to the heart | parasympathetic |
Stimulation of the vagus causes a ____ which in turn causes a ______ in blood pressure | decreased heart rate; drop |
Wolff-Parkinson-White syndrome is a _____ disorder of the heart where ____ other than the _____ connect the _____. | conduction; electrical pathways; AV nodal system; atria with the ventricles |
Wolff-Parkinson-White syndrome can lead to ____. | reentrant arrhythmias |
Tricuspid valve is located between the _____. It has ____ cusps | Right atrium and right ventricle; three |
Mitral valve, also known as ___ valve, is located between the _____. It has ____ cusps | bicuspid valve; left atrium and left ventricle; two |
The primary characteristics of the cardiac cells are ___________ | Automaticity, excitability, conductivity, contractility |
Automaticity is the ability of the ______. Sites that possess this characteristic are the _____ | cardiac packemaker cells to spontaneously initiate their own electrical impulse without being stimulated from another source; SA node, AV junction, and the Purkinje fibers |
Excitability, also referred to as ____, is shared by all _____ and it is the ability to ____ | irritability; cardiac cells; respond to external stimulus: electrical, chemical, and mechanical |
Conductivity is the ability of all cardiac cells to ______ and transmit ________ | receive an electrical stimulus; the stimulus to the other cardiac cells |
Contractility is the ability of the cardiac cells to _________ and _____ in response to ____ | shorten; cause muscle contraction; an electrical stimulus |
The heart is classified as a _____ | hollow, muscular organ |
The heart is made up of _____ layers which are ______ | four; endocardium, myocardium, epicardium, pericardium |
The endocardium is the ____ of the heart | inner layer |
The myocardium is the ______ of the heart | muscular layer |
The epicardium is the _______ of the heart | outer layer |
The pericardium is an _____ surrounding the heart that separates the _________ | outer sac; heart from the rest of the chest cavity |
A lead is the _______ | the gel or pad that conducts electricity |
The cardiac muscle has ____ stages. The ______ (____ or ____), the ______ (_____ or ____), and the ______ (_____). | three; contraction (systole, depolarization); relaxation (diastole, repolarization); baseline (polarization) |
The normal standard ____ | 10mm/mv |
Another name for the resting phase on an EKG is the _____ | baseline |
The term electrocardiograph is the _____ | instrument used for recording the heart's activity |
The P wave shows ____ | atrial contraction |
Another name for Leads aVF, aVL, aVR is ____ | augmented |
Sympathetic nerves are the "_________" response. The sympathetic system prepares _____ | fight or flight; the body for action |