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Transcript
EKG EOPA Test Prep The heart is described as being roughly the size of a ________ and weighing approximately ________. • A. tomato; 2 pounds • B. clinched fist; 10.6 ounces • C. coconut; 5.2 ounces • D. baseball; 1.5 pounds The heart is described as being roughly the size of a ________ and weighing approximately ________. • A. tomato; 2 pounds • B. clinched fist; 10.6 ounces • C. coconut; 5.2 ounces • D. baseball; 1.5 pounds The pulmonary arteries arise from the aorta near its origin at the left ventricle and supply blood to the heart muscle, which has a great need for oxygen and nutrients. T or F • A. True • B. False The pulmonary arteries arise from the aorta near its origin at the left ventricle and supply blood to the heart muscle, which has a great need for oxygen and nutrients. T or F • A. True • B. False • What would make the statement in the previous question TRUE? The pulmonary arteries arise from the aorta near its origin at the left ventricle and supply blood to the heart muscle, which has a great need for oxygen and nutrients. The CORONARY arteries arise from the aorta near its origin at the left ventricle and supply blood to the heart muscle, which has a great need for oxygen and nutrients. Myocardial infarction is also known as a heart attack. T or F Myocardial infarction is also known as a heart attack. TRUE The four areas of the heart in which myocardial infarction can be independently diagnosed are inferior, posterior, anterior, and _______________. • A. exterior • B. lateral • C. external • interdermal The four areas of the heart in which myocardial infarction can be independently diagnosed are inferior, posterior, anterior, and _______________. • A. exterior • B. lateral • C. external • D. interdermal _________ is an imbalance in pump function, in which the heart fails to maintain circulation of blood adequately. • A. angina pectoris • B. pulmonary edema • C. MRI (Magnetic Imaging Resonance) • D. CHF (Congestive Heart Failure) _________ is an imbalance in pump function, in which the heart fails to maintain circulation of blood adequately. • A. angina pectoris • B. pulmonary edema • C. MRI • D. CHF What is angina pectoris? What is angina pectoris? • Chest pain caused by insufficient blood flow to cardiac muscle • Relieved by rest and/or nitroglycerin • No permanent damage to cardiac muscle What is pulmonary edema? • Fluid in the lungs • Is a sign of Congestive Heart Failure A __________ is a specialized study of the heart during which a catheter is inserted into the femoral or brachial artery. • A. PET • Tilt table test • Cardiac catheterization • MRI A __________ is a specialized study of the heart during which a catheter is inserted into the femoral or brachial artery. • A. PET • Tilt table test • Cardiac catheterization • MRI _______ is a nuclear isotope that travels to the heart muscle with blood flow. • A. an infusion tracer • B. a perfusion tracer • C. a heart tracer • D. none of the above _______ is a nuclear isotope that travels to the heart muscle with blood flow. • A. an infusion tracer • B. a perfusion tracer • C. a heart tracer • D. none of the above A _____________ is a continuous tape recording of a patient’s EKG for 24 hours and must be worn during the patient’s regular daily activities. • A. heart monitor • B. holter monitor • C. Cardiac catheter • D. pulse oximeter A _____________ is a continuous tape recording of a patient’s EKG for 24 hours and must be worn during the patient’s regular daily activities. • A. heart monitor • B. Holter monitor • C. Cardiac catheter • D. pulse oximeter What does a pulse oximeter measure? What does a pulse oximeter measure? • Indirectly monitors the oxygen saturation of the patient’s blood to serve as an indication of oxygen delivery to peripheral tissues An abnormally tall P wave usually indicates hyperkalemia. T or F An abnormally tall P wave usually indicates hyperkalemia. T or F • FALSE – it usually indicates hypertrophy of the right atrium _______ abnormalities are sensitive indicators of cardiac disease. • A. QT intervals • QRS complex • ST Segment • PR Interval _______ abnormalities are sensitive indicators of cardiac disease. • A. QT intervals • QRS complex • ST Segment • PR Interval The ________ normally sets the heart rate at 60 to 100 beats per minute. • A. AV Node • B. Bundle of His • C. SA Node • D. Perkinje fibers The ________ normally sets the heart rate at 60 to 100 beats per minute. • A. AV Node • B. Bundle of His • C. SA Node • D. Perkinje fibers What is the intrinsic rate of the AV node? What is the intrinsic rate of the AV node? • 40 – 60 beats per minute __________ are abnormal electrical activities occurring in the atria before a normal sinus impulse can occur. • A. sinus arrhythmias • Atrial arrhythmias • Advanced arrhythmias • Basic arrhythmias __________ are abnormal electrical activities occurring in the atria before a normal sinus impulse can occur. • A. sinus arrhythmias • Atrial arrhythmias • Advanced arrhythmias • Basic arrhythmias Cardiac enzymes tests are a series of tests that are performed on samples of ______ obtained by ____________ • 1. gas; pulse oximeter • 2. urine; catheter • 3. blood; venipuncture • 4. cardiac muscle; cardiac catheterization Cardiac enzymes tests are a series of tests that are performed on samples of ______ obtained by ____________ • 1. gas; pulse oximeter • 2. urine; catheter • 3. blood; venipuncture • 4. cardiac muscle; cardiac catheterization CBC stands for __________ • A. complete body count • B. complete body condition • C. calcium blood count • D. complete blood count CBC stands for __________ • A. complete body count • B. complete body condition • C. calcium blood count • D. complete blood count The _________ echocardiogram can take clearer pictures of the heart than regular ultrasounds. This test may be done if a regular echocardiogram is unclear. • A. transesophageal • B. transthoracic • C. stress • D. pharmacologic stress The _________ echocardiogram can take clearer pictures of the heart than regular ultrasounds. This test may be done if a regular echocardiogram is unclear. • A. transesophageal • B. transthoracic • C. stress • D. pharmacologic stress When is a pharmacologic stress test done? When is a pharmacologic stress test done? • When a patient is not physically able to do a treadmill stress test Angiography is used for diseases such as aneurisms, atherosclerosis, and ________ that changes or affect the blood vessels. • A. emphysema • B. thrombosis • C. chronic asthma • D. myocardial infarction Angiography is used for diseases such as aneurisms, atherosclerosis, and ________ that changes or affect the blood vessels. • A. emphysema • B. thrombosis • C. chronic asthma • D. myocardial infarction What is the difference between a thrombus and an embolus? What is the difference between a thrombus and an embolus? • Both are blood clots • A thrombus is stationary • An embolus moves The echocardiogram uses a transducer that transmits ____________ to take readings about the heart. • A. sound • B. chemical • C. electrical • D. electrolyte The echocardiogram uses a transducer that transmits ____________ to take readings about the heart. • A. sound • B. chemical • C. electrical • D. electrolyte Identify the following dysrhythmia. Identify the following dysrhythmia. Identify the following rhythm. Identify the following rhythm. Identify the following dysrhythmia. Identify the following dysrhythmia. Identify the following dysrhythmia(s). Identify the following dysrhythmia(s). Ventricular tachycardia to ventricular fibrillation What three things should you do for this patient? What four things should you do for this patient? 1. check monitor – electrodes, gain 2. Check CAB 3. call 911/MD 4. get AED Identify the following dysrhythmia. Identify the following dysrhythmia. Normal sinus rhythm with unifocal PVC’s Identify the following dysrhythmia. Identify the following dysrhythmia. Sinus Tachycardia Identify the following dysrhythmia. Identify the following dysrhythmia. Identify the following dysrhythmia. Atrial flutter Identify the following dysrhythmia. Identify the following dysrhythmia. Identify the following dysrhythmia. Identify the following dysrhythmia. Ventricular Bigimeny Identify the following dysrhythmia. Ventricular Bigimeny What is the rate of this rhythm? What is the rate of this rhythm? About 60 BPM – PVC’s are not counted as they don’t produce blood flow. Identify the following dysrhythmia. Identify the following dysrhythmia. Identify the following dysrhythmia. Identify the following dysrhythmia. Ventricular tachycardia Identify the following dysrhythmia. Identify the following dysrhythmia. NSR with PVC couplets Identify the following rhythm. Identify the following rhythm. Normal sinus rhythm Identify the following dysrhythmia. Identify the following dysrhythmia. Third degree heart block