Download EKG review 2 student

EMERGENCY MEDICAL SERVICES PROGRAM
UNIVERSTIY OF WISCONSIN HOSPITAL AND CLINICS
EKG REVIEW #2
1.
What is considered to be the beginning of Ventricular repolarization?
2.
What is the area called that marks the end of depolarization and the beginning of
repolarization of the ventricles.
3.
Describe where the NEGATIVE and the POSITIVE are for the following
LEAD I
LEAD II
LEAD III
4.
Fill in the blanks for counting
300 ___ ___ ___ ___ ___ ___ ___ ___ ___
Can the rhythm be both irregular and regular to use this method?
5.
How many LARGE boxes are there in 6 seconds?
6.
A T wave should be ___________ of entire QRS.
7.
ST segment depression suggests ________________
depression is described as greater or equal to ___________
ST segment elevation suggests ____________
elevation is described as greater or equal to ________
8.
What are the two AV valves and where are they located?
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9.
What is the formula for cardiac output?
10.
What THREE things is Stroke volume dependant on?
11.
Describe absolute refractory period
12.
How do you tell the difference between sinus arrhythmia and sinus arrest?
13.
Why does a PVC, no matter what type, always make the rhythm irregular?
14.
Describe Compensatory Pause
15.
List the characteristics of a classic PVC
16.
Describe an interpolated PVC-include compensatory pause
17.
Describe an end-diastolic PVC-include compensatory pause
18.
Describe a Retrograde PVC-include compensatory pause
19.
What does Bigeminy, Trigeminy and Quadrigeminy mean?
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20.
Describe Uniformed and Mulitformed PVCs
21
Describe R on T phenomenon
22.
You are analyzing a wide, bizarre early beat. This beat might be
23.
Describe the differences of the above two beats
QRS
direction of initial wave of QRS
Compensatory pause
Direction of T wave
P present
Pulse
24.
What is the difference between a Ventricular escape beat and a PVC
25.
What is the difference between a Ventricular escape beat and Ventricular escape
rhythm?
26.
Describe the EKG characteristics of (include rate)
Acclerated idioventricular
Ventricular escape rhythm
Ventricular Tachycardia
27.
Three types of VT (from an EKG standpoint ) are
28.
Describe PEA
29.
Describe the “p waves” or lack of P waves and PR intervals in Junctional
rhythms. Do all THREE versions.
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30.
What is the difference between a Junctional escape beat and a PJC
31.
What is the difference between a Junctional escape beat and Junctional escape
rhythm?
32.
Describe the EKG characteristics of (include rate)
Acclerated Junctional
Junctional escape rhythm
Jucntional Tachycardia
33.
What are the THREE common characteristics of all PACs?
34.
Describe the PR interval and the QRS of all three types of PACs
35.
The rate range for Atrial Tachycardia is usually
AT usually starts with a __________
How many consecutive impulses need to be present to be called AT? ________
Usually conduction of P:QRS is what ratio?
36.
In WAP, discuss
Irregular vs Regular and why?
P waves
PR interval
37.
A tachycardic WAP is really a ___________
38.
In MAT, which wave of the EKG do we asses for greater than 100?
39.
When assessing A flutter, you do not comment on which three EKG
waves/segments?
40.
TRUE/ FALSE Atrial Flutter
ATRIAL rate is 250-350 ++
Usually more F waves than QRS
A QRS will always stomp out a flutter wave
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41.
Which two Atrial Rhythms have no atrial kick?
What is the significance of no atrial kick?
42.
Your patient is in Atrial Fib and you are analyzing his rhythm.
Can you comment on his P waves? PR interval, ST segment, T waves?
43.
A Fib great than 100 is called
A Fib less than 100 is called
44.
The TWO Hallmarks of A fib are
45.
Which two leads are the best for analyzing BBB?
46.
Describe the QRS duration and a Normal T wave direction in BBB.
47.
Which portion of the QRS do you look at to diagnose left vs right BBB?
48.
SVT with BBB may look just like what rhythms?
48.a.
What is the only thing abnormal (EKG wise) about First Degree heart block?
49.
Describe the EKG characteristics of Mobitz I ODB
50.
Describe the EKG characteristics of Mobitz II ODB
51.
Where does the “block” occur with Mobitz 1 ODB and Mobitz II ODB?
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52.
Your patient is having more Ps than QRS, the ratio is 2:1, what is the best way
to determine if your patient is in Mobitz I or Mobitz II?
53.
What is the difference between HGB and ODB?
54.
Your patient is having more Ps than QRS, the ratio is 4:1, what is the best way
to determine if your patient is in Mobitz I or Mobitz II?
55.
Some Third Degree heart blocks have a normal QRS, some wide, Why?
56.
Describe the relationship of the P wave to the QRS in Third Degree Heart block.
57.
Complete this sentence….BAD is _______________
58.
What is the difference between Third Degree and Block Acceleration
Dissociation?
59.
Which Heart block is most capable of producing Ventricular Asystole?
60.
Which blocks do not receive Atropine and why?
EKG review 2 student
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