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EKG Final 9/6

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Question
Answer
What are the structures that control movement of the AV valves?   papillary muscles  
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What is the structure that is sometimes referred to as the dividing wall and separates the right and left side of the heart?   septum  
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What chamber of the hear has the thickest myocardial wall and is described as the major pump of the heart?   left ventricle  
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What are the upper chambers of the heart called?   Atria  
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What are the lower chambers of the heart called?   Ventricles  
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What is the function of the heart?   to pump blood to the body  
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The right side of the heart receives blood from? and sends blood to?   From body, to lungs  
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The left side of the heart receives blood from? and sends blood to?   from lungs to body  
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What is the blood flow through the heart?   SVC/IVC-RA-TV-RV-PV-PA-LUNGS-PV-LA-MV-LV-AV-AO-BODY  
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What is the direct effect of ventricular depolarization?   Mechanical contraction of the ventricles  
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What is the resting membrane potential?   -80/-90 mv  
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What is the action potential?   +30/+40 mv  
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What are the areas of automaticity?   SA node, Internodal fibers, AV node, Bundle of His, Bundle branches and Purkinje fibers  
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What areas do not normally use automaticity?   Everything but the SA node  
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What structures have excitability?   Pacemaker and muscle cells  
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What is the All or None principle?   The heart muscle will not respond to an action potential less than 30  
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The ability of the myocardium to initiate its own electrical impulse is?   automaticity  
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The ability of the myocardium to respond to electrical impulses is?   Excitability  
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What is conductivity?   the ability to propagate an impulse  
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What waveform represents depolarization of the atria?   P WAVE  
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What waveform represents AV delay?   PR segment  
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What waveform represents combined atrial depolarization and AV delay?   PR interval  
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What waveform represents depolarization of ventricles?   QRS Complex  
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What waveform represents ventricular contraction?   ST segment  
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What waveform represents re-polarization of ventricles?   ST segment  
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When doing a standardization it should measure?   10mm or 1 mv  
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Whenever a change is in motion...   a current is produced  
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If the SA node has a permeability change of 60-100 bpm the heart will be   60-100 bpm  
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When 2 or more limbs are used to form a neutral negative point this is called?   unipolar  
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What are the unipolar limb leads?   AVR, AVL, AVF, chest leads  
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What are the bipolar limb leads?   I, II, III  
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Which lead is usually used for continuous monitoring of the heart?   II  
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Lead I measures current flow between?   RA- AND LA+  
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Lead II measures current flow between?   RA- and LL+  
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Lead III measures current flow between?   LL+ and LA-  
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Current moving toward a positive electrode records a what deflection?   positive  
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A current moving away from a positive or toward a negative records a what deflection?   negative  
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The galvanometer fluctuates due to what?   A current flowing through a magnectic field  
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When doing the chest leads the limb leads act as a positive or negative electrode?   negative  
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What are the two principles stylus works on?   Heat and pressure  
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What is the rate of automaticity fro the SA Node?   60-100 bpm  
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What is the rate of automaticity fro the AV Node?   40-60 bpm  
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What is the rate of automaticity fro the bundle of His, bundle branches and purkinje fibers?   20-40 bpm  
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What is the function of the patient cable?   carry the electrical current from the patient to the machine  
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What is the function of electrodes?   Carry electrical current from patient to patient cable  
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The ECG machine operates on how many volts and what cycle output?   110-120 volts and 60 cycle outlet  
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What is the usual paper speed?   25mm/sec  
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When measuring vertically each small square is equivalent to?   .1 mv  
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When measuring horizontally each small square is equivalent to?   .04 sec  
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What is the usual standard knob setting?   gain x1  
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If your receive a wandering baseline during chest leads, how would you correct it?   ask the patient to hold their breath, make sure cable isnt hanging  
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To decrease the amount of muscle tremors where should you place electrodes?   On trunk of body  
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What are the causes of indistinct baseline?   too much or too little heat and pressure  
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AC interference is on the patient or machine end?   machine end  
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If muscle tremor is recorder on leads I and II what would be the probable cause?   RA  
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What is the abbreviation for electrocardiogram?   ECG  
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Why does AVR normally have a negative deflection?   Current in the heart is going toward a negative electrode  
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What supplies the cardiac musculature with oxygenated blood?   coronary arteries  
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Where do the coronary arteries originate from?   Aorta  
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What does systole mean?   contraction  
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What does diastole mean?   Relaxation  
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Cardiac venous blood enters the right atrium via the?   coronary sinus  
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What is the outer layer of the heart?   Epicardium  
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What is the middle layer of the heart?   Myocardium  
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What is the inner layer of the heart?   endocardium  
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The amount of blood pumped out to the body by the LV each minute is??   cardiac output  
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