What is the term for PVCs occurring every second beat? A) Trigeminy B) Quadrigeminy C) Bigeminy D) Couplet E) Triplet
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In atrial fibrillation, there is no true atrial ___ & ___.
depolarization, contraction
A major risk of atrial fibrillation is blood clots in the ___ atria, which can lead to a ___.
right, stroke
PVCs occurring every 2nd beat are called ___, every 3rd beat are called ___, and every 4th beat are called ___.
bigeminy, trigeminy, quadrigeminy
Ventricular tachycardia is defined as more than ___ consecutive PVCs with a ___ QRS complex.
3, wide
The approximation method for assessing heart rate from an ECG strip uses the sequence ___-150-100-75-60-50 applied to the large boxes between 2 R waves.
300
Sinus bradycardia is defined as a heart rate less than ___ bpm.
60
In atrial flutter, the AV node conducts a fraction of the impulses, often in a ___:1 ratio.
2
Exercise leads to reductions in both ___ and ___ blood pressure.
systolic, diastolic
Chronic renal failure and nephrosclerosis are systemic effects of hypertension on the ___.
kidney
Repolarization on an ECG is shown as an ___ deflection towards the electrode.
upward
To measure the PR interval, count the number of small boxes and multiply by ___ seconds.
0.04
A normal QRS complex duration is between ___ and ___ seconds, which corresponds to 1.5-3 small boxes.
0.06, 0.12
For regular rhythms, the heart rate can be calculated by dividing 1500 by the number of ___ boxes in one R-R interval.
small
A little rhyme to remember: DFIB for ___ and pulseless VTach.
VFIB
The P wave on an ECG represents ___, which corresponds to atrial contraction.
atrial depolarization
The QRS complex on an ECG represents ventricular depolarization and also ___ repolarization.
atrial
The T wave on an ECG represents ___ repolarization.
ventricular
A normal P wave on an ECG should be present and upright with a ___ ratio to the QRS complex.
1:1
An abnormal PR interval that gets longer and longer before dropping a QRS complex indicates a ___ block.
heart
The QRS complex duration should be less than ___ seconds.
0.12
Conditions such as pain, fear, emotion, exertion, or stimulants like caffeine can increase the automaticity of the ___ node, leading to sinus tachycardia.
SA
In hypertension, stroke volume increases ___ and peak heart rate is ___, reducing cardiac output.
subnormally, lower
Hypertension can lead to ___, ___, ___, and ___ in the heart.
CHF, MI, Angina, atherosclerosis
The QRS complex on an ECG represents ___ depolarization.
ventricular
The bipolar limb leads are ___, ___, and ___.
I, II, III
To measure the QRS complex, count the number of small boxes from Q to the end of S and multiply by ___ seconds.
0.04
In a 6-second strip, count the number of R's and multiply by ___ to determine the heart rate.
10
Pulseless V-Tach or V-Fib is ___ shockable.
SHOCKABLE
SVT (supraventricular tachycardia) is characterized by ___ and is a medical emergency.
SHARK FINS
The PR interval on an ECG measures the time it takes for the SA node to fire, the signal to reach the AV node, and for the AV node to restart the signal to the ___.
ventricles
The ST segment on an ECG should return to the ___ line, indicating no electrical activity.
isoelectric
The QT interval on an ECG can indicate ___ if it is prolonged.
drug toxicity
The accurate method for assessing heart rate from an ECG strip involves dividing 1500 by the number of ___ between 2 R waves.
small boxes
The time duration for the PR interval on an ECG should be between ___ and ___ seconds.
0.12, 0.2
Sinus tachycardia is defined as a heart rate greater than ___ bpm.
100
Atrial fibrillation is characterized by the absence of ___ waves and the presence of chaotic atrial activity.
P
The major determinants of blood pressure are ___ and ___.
Cardiac Output, Total Peripheral Resistance
One systemic effect of hypertension on the brain is the formation of an ___.
aneurysm
Depolarization in the heart is associated with ___.
contraction
The six limb leads in an ECG record from the ___ plane.
frontal
A normal PR interval ranges from ___ to ___ seconds, which corresponds to 3-5 small boxes.
0.12, 0.20
A QRS complex duration greater than ___ seconds indicates a PVC (wide & bizarre).
0.12
For regular rhythms, the heart rate can also be calculated by dividing 300 by the number of ___ boxes between R's.
big
Pulseless electrical activity can be caused by H's such as hypovolemia, hypoxia, hyperkalemia, H+ ion excess, and ___.
hypothermia
Atrial fibrillation is characterized by ___ waves and a ___ baseline.
fibrillatory, wavy
Premature ventricular contractions (PVCs) can create ___ QRS complexes that are ___ and require extended repolarization time.
bizarre, wide
A run of 3 PVCs in a normal sinus rhythm is called a ___, while a run greater than 30 seconds is called ___.
triplet, V-Tach
Ventricular tachycardia is characterized by a heart rate of ___ to ___ bpm and is a precursor to ___.
100, 250, ventricular fibrillation
For an irregular heart rate, the approximation method involves counting the number of ___ in 6 seconds and multiplying by 10.
QRS complexes
Atrial flutter is characterized by ___ waves that are saw-toothed in appearance.
flutter
In sinus bradycardia, a decrease in automaticity of the ___ node or increased vagal stimulation can be a cause.
SA
Exercise capacity is reduced by ___ to ___ percent in individuals with hypertension.
15%, 30%
Hypertension can cause ___ in the eyes.
retinopathy
The P wave on an ECG represents ___ depolarization.
atrial
The unipolar/augmented limb leads are ___, ___, and ___.
aVR, aVL, AVF
A PR interval greater than ___ seconds indicates a heart block.
0.20
To assess rhythm, measure the number of small boxes from ___ to ___.
R, R
Asystole is ___ shockable.
NOT
Pulseless electrical activity can be caused by T's such as toxins, tamponade, thrombosis (MI), thrombosis (PE), tension pneumothorax, and ___.
trauma