PPCC MOT 138 ch 46-48 test
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| Which heart chamber receives oxygenated blood from the lungs | Left Atrium
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| What is the principle sign of coronary artery disease | Reduction of the blood supply to the myocardium
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| If a patient is experiencing tachycardia this means that | The heart rate is faster than normal
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| What takes place as a result of a myocardial infarction | A portion of the heart muscle dies
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| A bruit noted during auscultation in the area of the blood vessels is often the sign of | An aneurism
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| The (BLANK) is the blood vessel that carries oxygen rich blood from the lungs to the heart | Pulmonary veins
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| The contraction phase of the heartbeat is called | Systole
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| The (BLANK) is a sac like membrane surrounding the heart | Pericardia
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| Sensitive tissue in the right atrium wall that initiates heartbeat is known as the | Sinoatrial Node
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| Blood vessels branching from the aorta to carry oxygen rich blood to the heart muscle are called | Coronary artery
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| A cyanosis is characterized by | Hypoxia
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| In the conduction system of the heart which of the following is responsible for initiating the heart beat | Sinoatrial node
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| The signal from the Sinoatrial node is then picked up by | Atrioventricular node
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| The part of the conduction system of the heart that wraps around the outer walls of the ventricles | Purkinje fibers
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| The blood vessel branching from the heart that carries deoxygenated blood to the lungs | Pulmonary artery
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| The blood vessel that carries deoxygenated blood to the heart | Superior and inferior vena cava
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| Which drug is used for congestive heart failure | Digoxin
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| Which drug is used as an anticoagulant | Coumadin
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| What is another name for heart attack | Myocardial infarction
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| Which is the most common route of administration of nitroglycerin | Sublingual
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| MI symptoms in women include acute chest pain (t,f) | False
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| Thrombolytic treatment to dissolve coronary artery blockage must be started within 3 hours of the onset of the episode (t,f) | False
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| Cabg procedures involve the insertion of a flexible catheter into a blocked coronary artery and placement of a stent to maintain the patency of the artery (t,f) | False
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| Essential hypertension is the result of an underlying pathologic condition in another body system (t,f) | False
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| Rheumatic heart disease develops because of an antigen-antibody reaction several weeks after an untreated staphylococcal infection (t,f) | False
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| Patients with rheumatic heart disease maybe prescribed lifelong antibiotic prophylaxis for invasive medical procedures (t,f) | True
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| Patient with DVT (deep vein thrombosis) are treated immediately with anticoagulant therapy which continues for two weeks after the onset of symptoms (t,f) | False
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| A bruit maybe palpated over the site of an abdominal aneurism (t,f) | False
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| A doppler study uses a sonographic beam that picks up the speed of WBC (white blood cells) in the arteries being tested (t,f) | False
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| Echocardiography is used in the diagnosis of incompetent cardiac valves (t,f) | True
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| Chronic hypertension may result in left ventricular | Hypertrophy
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| Patients with primary (BLANK)maybe a symptomatic until serious health problems occur | Hypertension
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| (BLANK) causes pulmonary edema, dyspnea, orthopnea, and tachycardia | Left sided heart failure
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| Patients with (BLANK)must pay particular attention to a sudden gain in weight | Congestive heart failure
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| A BLANK)maybe a life threatening problem because of the potential for embolus formation | DVT
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| Tachycardia is defined as | A heart rate faster than normal
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| Bradycardia is defined as | A heart rate slower than normal
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| If the ECG recording appears as a series of interruptions on the baseline the medical assistant should | Check the cable connections to the electrodes
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| In which direction should lead connectors on electrodes be pointed when attached to the patient in preparation for the ECG | Towards the center of the body
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| On an ECG recording five millimeter boxes are seen between to r waves, what is the patient’s heart rate per minute | 60 bpm
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| If the ECG recording appears as a series of small uniform spikes in the baseline the medical assistant should do | Check for nearby electrical appliances
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| If the ECG recording appears with the baseline rising and falling the medical assistant should | Ask the patient to remain as still as possible, help the patient to relax and stay warm
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| If the ECG recording appears as a series of irregular jagged peaks the medical assistant should | Help patient to relax and stay warm
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| A monitor that a patient wears for 24 hours is called | Holter monitor
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| In a standard 12 lead ECG the measurement of current that the heart muscle produces between the right arm electrode and the left arm electrode is known as | Lead 1
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| The greatest deflection from the baseline on the ECG is the | QRS complex
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| Which deflection from the baseline represents the repolarization of the ventricle | T wave
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| What part of the ECG complex represents the atrial depolarization | P wave
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| (BLANK)is the relaxation phase of the heart | Diastole
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| The (BLANK)controls the rate of heart contraction by initiating contractions 60 to 100 times per minute | SA node
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| The precordial leads which include AvR and AvL record the electric activity between specific points on the chest wall and within the heart (t,f) | False
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| The patient must be placed in the supine position for an ECG even with symptoms of dyspnea and orthopnea (t,f) | False
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| Patients should hold their breath during the brief seconds necessary to record and ECG (t,f) | False
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| Documentation for an ECG should include whether the patient smoked a cigarette within 15 minutes of the procedure (t,f) | True
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| Digtoxicity may cause specific ECG changes (t,f) | True
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| One of the most specific ECG changes that occurs in patients with an MI is elevated T waves (t,f) | False
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| The P wave occurs during the contraction of (BLANK) and shows the beginning part of depolarization | Atrial
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| The QRS complex shows the contraction of both | Ventricles contracting and also reflects the completion of depolarization
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| The T wave indicates ventricular recovery or | Repolarization of the ventricle
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| The (BLANK) on the ECG machine makes the image on the paper | Stylus
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| ECG paper has horizontal and vertical blinds at (BLANK) intervals | 1 mm
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| Every 5th line on ECG paper both vertically and horizontally is darker than the other lines and creates a large square measuring (BLANK) on each side | 5 mm
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| The first three leads recorded are called standard or (BLANK) limb leads because they each use two limbs to record the hearts electric activity | Bipolar
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| Lead (BLANK) records the electric activity between the left arm and the left leg | 3
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| (BLANK) records the activity from midway between the left leg and left arm to the right arm | AvR
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| The precordial or chest leads are (BLANK) and are designed V1 – V6 | Unipolar
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| The (BLANK) is a combination of all the electric events occurring in the heart during a signal heart beat | Cardiac cycle
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| Initiation of the electric activity of the heart occurs in specialized tissue called the (BLANK) which is located in the superior posterior wall of the right atrium | SA node
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| The AV node sends the electric impulse through the (BLANK) which stimulates the right and left ventricular walls | Bundle of His
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| The most diastole portions of the electric system of the myocardium are the (BLANK) | Purkinje fibers
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| (BLANK) refers to a regular heart rate that ranges from 60 to 90 bpm | Normal sinus rhythm
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| The (BLANK) is the electric recording of the heart at rest | Baseline
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| A (BLANK) is an ectopic ventricular beat that occurs without a preceding P wave | PVC - premature ventricular contraction
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| There is no pulse when the patient is in (BLANK) | V fib
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| In the case of (BLANK) the patient exhibits general malaise and muscle cramps the condition may occur if diuretics are used without potassium supplement | Hypokalemkia
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| The cardiac (BLANK) is a diagnostic procedure performed to evaluate the patients myocardial response to measure exercise | Stress test
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| the information that should be documented on the ECG strip | name, sex, age, date and time, medications or supplements, if speed adjusted – speed adjusted to, whether the patient is very nervous or anxious, lack of rest before test, smoking immediately before test, failure to follow instructions
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