The Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left arteries are the exclusive suppliers of arterial blood to the heart muscle, delivering about 250 mL per minute.  The Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left coronary artery carries about 85% of the blood supply to the myocardium.  The right coronary artery accounts for the remaining 15%.  The coronary arteries originate just past the aortic valve.  The coronary arteries receive blood during the Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left phase of left ventricle activity.  The coronary arteries run along the epicardium surface then divide into smaller vessels as they penetrate the myocardium and endocardium.  The left main coronary artery subdivides into the descending and Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left arteries.  The descending supplies the anterior heart on the left side. The circumflex feeds the lateral and Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left portion of the left side and part of the right ventricle.  The right coronary artery feeds the Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left atrium, and right ventricle.  The coronary blood leaves the heart by being dumped into the right atrium via the coronary sinus.

The heart is a Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left pump system.  Low pressure right side know as the Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left loop and high pressure left side know as the Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left loop.   The Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left function as a "primer pump" to fill the ventricles to the fullest.  This is know as Dr. Frank Starling's.  Dr. Frank Starling's said the more you stretch the ventricles the more the Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left .  This is why when we give a fluid bolus to a cardiac patient. We are not trying to "fill them up with fluid" but rather stretch the ventricles to increase Select one Cardiac output Ejection Posterior Systemic Atria Two Diastolic Pulmonic Coronary Right Circumflex Left .  Simply put the myocardial fibers contract more forcefully when stretched resulting in an increase in stroke volume which increases pre-load.

The heart at work is referred to as Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic  phase and the heart at rest is the Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic phase.  Blood moves from areas of high pressure to Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic pressure. 

The heart has Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic valves which prevent back flow.  The ones located between the atria and ventricles are termed Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic valves.  The left atrioventricular valve is the Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic also know as the mitral valve.  The right atrioventricular valve is the Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic .  The valves leaving the ventricles are termed Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic valves.  The one leaving the left ventricle is the Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic valve and the right ventricle is the Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic valve. 

Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic is the amount of blood ejected from each ventricle during one contraction.  Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic is the amount of blood returning to each ventricle.   Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic is a result of peripheral vascular resistance which is the total resistance against which blood must be pumped.  A decrease in vascular resistance allows for Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic stroke volume.  An increase in vascular resistance allows for a lower stroke volume.  Select one Afterload Aortic Cardiac output Diastolic Higher Preload Stroke volume Semi Lunar Pulmonic Tricuspid Atrioventricular Four Low Bicuspid Systolic is the amount of blood pumped by the ventricles per minute.  Cardiac output can be increased by increasing the heart rate and/or stroke volume. 

Nervous system control of the heart.  The parasympathetic and sympathetic autonomic nervous system is a major factor influencing the heart rate, conductivity, and contractibility.  The atria are well supplied with both sympathetic and parasympathetic nerve fibers but the ventricles are mainly supplied by the Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium   nerves.  So lets say you have a complete heart block.  This is when the atrial and ventricle conduction is blocked.  If the heart rate is slow atropine is generally indicated to block the Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium tone.  Since there is a heart block the atropine will primarily work on the atria but not the ventricles. This is why pacing is preferred for high degree heart blocks since pacing can directly control the ventricles.  The Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium nerve stimulates the vegetative state.  Thoracic ganglia release Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium which increase beta affects - chronotropic which is Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium and inotropic which is Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium contraction. 

Electrolytes play a major part of cardiac function; Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium , Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium , and Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium .  Magnesium is a major intracellular cation which helps stabilize the cell membranes.. 

The two basic cells within the myocardium are Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium and Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium .  Electrical cells make up the Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium system and conduct electrical impulses.  The mechanical cells are movement cells which move the heart and create a pulse or blood pressure.

The sodium - potassium pump is an example of active transport.  The Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium state is when sodium is outside the cell and potassium is inside.  When action potential is established potassium moves outside the cell and fast sodium channels and slow calcium channels move into the cell resulting in  Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium of the cell(s).  When the potassium reenters the cell this is called the Select one Nor-Epi Potassium Harder more forceful Conduction Calcium Depolarization Ready Recovery Parasympathetic Mechanical Faster rate Electrical Vagus Sympathetic Sodium state.  Once this cycle is complete we are back to the ready state.  This is why calcium channel blockers like verapamil and diltiazem help to control rate. 

Nerve and muscle cells in the heart have the ability of producing action potentials known as excitability.  If the action potential is high enough a current will be produced.

During the depolarization phase all cells go through an "all or none" principle.  The Select one Relative Absolute   refractory period is the period of time when the cell has not recharged enough to discharge again.  The Select one Relative Absolute   refractory period is when enough of the cells have recharged to reach potential action but not all cells. 

Question 1) Letter A in the diagram indicates: Select one absolute refractory period relative refractory period
Question 2) Letter B in the diagram indicates: Select one absolute refractory period relative refractory period
Question 3) If a stimulus to contract is delivered during letter B phase will cells be stimulated? Select one Yes No
Question 4) If a stimulus to contract is delivered during letter A phase will cells be stimulated? Select one Yes No

Electrical Conduction System of the Heart.  The SA and AV nodes are located in the Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right   atrium.  The Bundle of His is the Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right potion of the AV node which descends to the ventricles and branches into the left and right Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right branches.  Smaller branches of the bundles are Purkinje fibers which contact the myocardial fibers through which electrical impulses spread from cell to cell resulting in contraction. 

A pacemaker node or cell(s) reaction to hormonal changes or stimulus which are the SA and AV nodes.  When an electrical impulse spontaneously occurs this is know as Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right .  The intrinsic rate is a back up system of the heart.  The SA node fires Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right to 100 times a minute.  When the SA node escapes the AV node takes over at Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right to 60 beats per minute.  If the AV node fails the Purkinje fibers fire at Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right to 40 beats a minute. 

Ectopic beats are ones that do not originate from within the Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right node.  If a stimulus to beat occurs that interrupts the normal SA node rate it is termed a premature beat.  If the premature beat becomes the pacemaker it is the ectopic focus. Reentry is reactivation of myocardial tissue from the same impulse numerous times as seen in V-tach, SVT, a-fib, a-flutter.

Electrocardiogram (ECG) is a graphic representation of the heart's electrical activity.  ECG leads are Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right . 

1. Lead one is from left Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right to right arm.  Left arm is positive.
2. Lead two is from right Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right to left leg.  Left leg is positive.
3. Lead three is from left Select one Negative Arm Leg Views SA Automaticity 60 Inferior 20 Bundle 40 Right to left arm.  Left leg is positive.

1. Reference point from the center of the heart.
2. Helpful in determining axis.

1. Specific areas of the heart.
2. V1, V2 are septal
3. V2, V3, V4 are anterior
4. V5, V6 anterior
5. V4 left ventricle

12 lead placement

Application of electrodes.  Use alcohol prep to remove dirt and oil.  Use location without large muscles, lots of hair, and bone.  Use conduction gel.

ECG graph paper.

Standard waves in one cardiac complex.

Artifact

Heart Rate Calculator Rule

1. Used on irregular and regular rhythms
2. Ventricular rate - take the number or QRS complexes in a six second ECG strip and multiply by 10.
3. Atria rate - take the number of P waves in a six second strip and multiply by 10.
4. This method is an approximation.

1. A must for medics to memorize.
2. Take the number of large boxes between two consecutive R to R waves or P to P waves.  Divide the number of large boxes into 300.
3. This method is only recommended for regular rhythms.
4. 300, Select one 60 75 Movement 50 150 Tremors , 100, Select one 60 75 Movement 50 150 Tremors , 60, Select one 60 75 Movement 50 150 Tremors

1. For regular rhythms
2. Take the number of small boxes between two consecutive R to R waves or P to P waves and divide  into 1500.

5 step analysis

1. Is the rhythm regular, irregular or irregularly irregular.

1. Establish the underlying rate.
2. Get both the atria and ventricular rates.
3. Six second method, triplicate method or most accurate method.

1. Is the P upright/
2. Are all the P waves uniform.
3. Is there one P for every QRS complex?

1. Is the PR Interval constant or changes?
2. Is the PR Interval measurement at 0.12 and no longer than Select one AV 0.12 SA 0.20 sec.

1. Does the QRS complex change?
2. Is there one QRS for every P wave?
3. Is the QRS measurement less than Select one AV 0.12 SA 0.20 sec for adults and 0.08 for pediatrics?

Classification of ECG Rhythms

1. Normal Sinus Rhythm
2. Sinus Bradycardia
3. Sinus Tachycardia
4. Sinus Arrhythmia

1. Wandering Pace Maker
2. Atrial Flutter
3. Atrial Fibrillation
4. Atrial Tachycardia
5. SVT
6. "Stepchild" is a PAC

1. Escaped Junctional Rhythm
2. Accelerated Junctional
3. Junctional Tachycardia
4. "Stepchild" is a PJC

1. Idioventricular
2. V-Tach (monomorphic and polymorphic)
3. V-Fib
4. Asystole
5. "Stepchild" is a PVC

1. 1 degree heart block
2. 2nd degree type 1
3. 2nd degree type 2
4. 3rd degree

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Label the heart:
A green) Select one Left Ventricle Left Atrium Pulmonary Veins Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle B green) Select one Left Ventricle Left Atrium Pulmonary Veins Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle A black) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle B black) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle
C) Select one Left Ventricle Left Atrium Pulmonary Veins Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle D) Select one Left Ventricle Left Atrium Pulmonary Veins Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle   E) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle F) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle 1) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle
2) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle 3) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle 4) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle 5) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle 6) Select one Left Ventricle Mitral Left Atrium Pulmonary Veins Tricuspid Purkinje Fibers Aorta Left Bundle Branch Interatrial Pathways Right Bundle Branch AV Node Right Atrium SA Node Right Ventricle

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The letter A represents how much time in seconds? Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The letter B represents how much time in seconds? Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
For the following colors calculate the time in seconds?
The Brown line in seconds?     Select one 0.24 sec 0.18 sec 0.40 sec 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.14 sec 0.48 sec 0.20 sec 0.12 sec
The Blue line in seconds?        Select one 0.24 sec 0.18 sec 0.40 sec 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.14 sec 0.48 sec 0.20 sec 0.12 sec
The Green line in seconds?     Select one 0.24 sec 0.18 sec 0.40 sec 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.14 sec 0.48 sec 0.20 sec 0.12 sec
The Red line in seconds?        Select one 0.24 sec 0.18 sec 0.40 sec 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.14 sec 0.48 sec 0.20 sec 0.12 sec
The Pink line in seconds?       Select one 0.24 sec 0.18 sec 0.40 sec 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.14 sec 0.48 sec 0.20 sec 0.12 sec
Using the triplicate method of calculating rate (large boxes into 300) what is the rate for:
The Brown line?     Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The Blue line?        Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The Green line?     Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The Red line?        Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The Pink line?       Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
Using the most accurate method to calculate rate (divide small boxes into 1500) what is the rate for:
The Brown line?    Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The Blue line?        Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The Green line?    Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The Red line?        Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec
The Pink line?     Select one 0.04 sec 125 beats per minute 150 beats per minute 360 beats per minute 428 beats per minute 333 beats per minute 0.16 sec 0.20 sec 0.12 sec

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Using box 1: Black square numbered 1 is the? Select one Recharging of the ventricles Electrical activity from the SA node to the AV node Electrical activity from the end of the ventricles to the start of recharging of the ventricles. Ventricular electrical activity Isoelectric activity Atrial electrical activity
Using box 1: Blue square numbered 2 is the? Select one Recharging of the ventricles Electrical activity from the SA node to the AV node Electrical activity from the end of the ventricles to the start of recharging of the ventricles. Ventricular electrical activity Isoelectric activity Atrial electrical activity
Using box 1: Yellow square numbered 3 is the? Select one Recharging of the ventricles Electrical activity from the SA node to the AV node Electrical activity from the end of the ventricles to the start of recharging of the ventricles. Ventricular electrical activity Isoelectric activity Atrial electrical activity
Using box 1: The green gap numbered 4 is the? Select one Recharging of the ventricles Electrical activity from the SA node to the AV node Electrical activity from the end of the ventricles to the start of recharging of the ventricles. Ventricular electrical activity Isoelectric activity Atrial electrical activity
Using box 1: The red gap numbered 5 is the? Select one Recharging of the ventricles Electrical activity from the SA node to the AV node Electrical activity from the end of the ventricles to the start of recharging of the ventricles. Ventricular electrical activity Isoelectric activity Atrial electrical activity
Using box 1: The white box numbered 6 is termed the? Select one Recharging of the ventricles Electrical activity from the SA node to the AV node Electrical activity from the end of the ventricles to the start of recharging of the ventricles. Ventricular electrical activity Isoelectric activity Atrial electrical activity
Using box 2: The red rectangle represents the? Select one T wave PR Interval ST segment P wave QRS complex
Using box 2: The blue rectangle represents the? Select one T wave PR Interval ST segment P wave QRS complex
Using box 3: What is missing in the Black Circles? Select one T wave PR Interval ST segment P wave QRS complex
Using box 3: Is the rhythm regular or irregular?  Select one Regular Irregular

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The P waves, which are circled RED, are they the same or different? Select one Different Same
Is the rhythm regular or irregular?  Select one Regular Irregular
Using the QRS, which tip is circle in orange, what is the rate if it falls on the green line using the triplicate method? Select one 300 150 100 75 60 50
Using the QRS, which tip is circle in orange, what is the rate if it falls on the red line using the triplicate method? Select one 300 150 100 75 60 50
Using the QRS, which tip is circle in orange, what is the rate if it falls on the blue line using the triplicate method? Select one 300 150 100 75 60 50
Using the QRS, which tip is circle in orange, what is the rate if it falls on the black line using the triplicate method? Select one 300 150 100 75 60 50
Using the QRS, which tip is circle in orange, what is the rate if it falls on the pink line using the triplicate method? Select one 300 150 100 75 60 50

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Premature beats are ectopic beats.  To be a premature beat it must come before the next expected normal beat.  In the square boxes are premature beats.  There are three premature beats which are PVC, PAC, PJC. The key difference is the origin of the beat. If there is an upright P wave it is a PAC.  If the P wave is absent or inverted and the QRS is narrow is it a PJC.  If the QRS is wide it is a PVC. The circle is the area to focus on to determine which  premature beat it is.

Is the premature beat a: Select One PAC PVC PJC
Is the rhythm regular or irregular?  Select one Regular Irregular (You do not count the premature beat complex)
What is the rate if it falls on the green line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the pink line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the blue line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the yellow line using the triplicate method? Select one 300 150 100 75 60 50

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Premature beats are ectopic beats.  To be a premature beat it must come before the next expected normal beat.  In the square boxes are premature beats.  There are three premature beats which are PVC, PAC, PJC. The key difference is the origin of the beat. If there is an upright P wave it is a PAC.  If the P wave is absent or inverted and the QRS is narrow is it a PJC.  If the QRS is wide it is a PVC. The circle is the area to focus on to determine which  premature beat it is.

Is the premature beat a: Select One PAC PVC PJC
Is the rhythm regular or irregular?  Select one Regular Irregular (You do not count the premature beat complex)
What is the rate if it falls on the green line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the red line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the blue line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the pink line using the triplicate method? Select one 300 150 100 75 60 50

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Premature beats are ectopic beats.  To be a premature beat it must come before the next expected normal beat.  In the square boxes are premature beats.  There are three premature beats which are PVC, PAC, PJC. The key difference is the origin of the beat. If there is an upright P wave it is a PAC.  If the P wave is absent or inverted and the QRS is narrow is it a PJC.  If the QRS is wide it is a PVC. The circle is the area to focus on to determine which  premature beat it is.

Is the premature beat a: Select One PAC PVC PJC
Is the rhythm regular or irregular?  Select one Regular Irregular (You do not count the premature beat complex)
What is the rate if it falls on the black line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the red line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the blue line using the triplicate method? Select one 300 150 100 75 60 50
What is the rate if it falls on the yellow line using the triplicate method? Select one 300 150 100 75 60 50

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Using the ECG strip labeled box 4 is considered trigeminy or bigeminy? Select one Bigeminy Trigeminy
Using the ECG strip labeled box 5 is considered trigeminy or bigeminy? Select one Bigeminy Trigeminy

The green circles are normal beat and the red squares are ectopic beats.

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Is the QRS complete narrow or wide? Select one Narrow <0.12 sec Wide >0.12 sec
Is the rhythm regular or irregular? Select one Regular Irregular
What method must be used to calculate the rate? Select one Small boxes divided into 1500 Large boxes divided into 300 6 second method
Does every P wave have a QRS? Select one Yes No
Does every QRS have a P wave? Select one Yes No
Does the PR Interval stay the same measurement? Select one Yes No

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Using the ECG below answer the following questions:
Is the rhythm regular or irregular?  Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
Describe the P wave? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
What is the PR Interval measurement? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
What is the QRS measurement? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
Is there one P wave for every QRS? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
Is there one QRS for every P wave? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
Is the T wave upright or inverted? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
Using the 6 sec strip method to calculate rate what is the ventricular rate? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
Using the most accurate way to calculate rate (little boxes divided into 1500) what is the atrial rate? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec
Using the most accurate way to calculate rate (little boxes divided into 1500) what is the ventricular rate? Select one 78 beats per minute 80 beats per minute 70 beats per minute Upright Inverted Regular Irregular Uniform and upright Yes No 0.16 sec 0.06 sec