Deck 31: Conduction System of the Heart and Electrocardiography
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Deck 31: Conduction System of the Heart and Electrocardiography
1
A health care provider who suspects that a patient is having a heart attack will look very carefully at this portion of the ECG.
A)Q- T interval
B)P- R interval
C)S- T segment
D)QRS complex
A)Q- T interval
B)P- R interval
C)S- T segment
D)QRS complex
C
2
This portion of the ECG is associated with ventricular contraction.
A)S- T segment
B)QRS complex
C)Q- T interval
D)P- R interval
A)S- T segment
B)QRS complex
C)Q- T interval
D)P- R interval
A
3
During exercise, the heart rate .
A)increases to a set "exercise rate"
B)decreases in inverse relation to the exertion involved
C)increases proportional to the exertion involved
D)decreases slightly, but the contractions are stronger
A)increases to a set "exercise rate"
B)decreases in inverse relation to the exertion involved
C)increases proportional to the exertion involved
D)decreases slightly, but the contractions are stronger
C
4
In sequential order, the components of the intrinsic conduction system, beginning at the SA node, are .
A)subendocardial conducting network (Purkinje fibers), bundle branches, AV bundle, AV node
B)AV node, AV bundle, bundle branches, subendocardial conducting network (Purkinje fibers)
C)AV bundle, AV node, subendocardial conducting network (Purkinje fibers), bundle branches
D)bundle branches, AV node, AV bundle, subendocardial conducting network (Purkinje fibers)
A)subendocardial conducting network (Purkinje fibers), bundle branches, AV bundle, AV node
B)AV node, AV bundle, bundle branches, subendocardial conducting network (Purkinje fibers)
C)AV bundle, AV node, subendocardial conducting network (Purkinje fibers), bundle branches
D)bundle branches, AV node, AV bundle, subendocardial conducting network (Purkinje fibers)
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5
Bradycardia describes a heart rate of .
A)less than 60 beats/min
B)60- 80 beats/min
C)80- 100 beats/min
D)over 100 beats/min
A)less than 60 beats/min
B)60- 80 beats/min
C)80- 100 beats/min
D)over 100 beats/min
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6
The T wave of the ECG represents .
A)repolarization of the ventricles
B)repolarization of the atria
C)repolarization of the intrinsic conduction system
A)repolarization of the ventricles
B)repolarization of the atria
C)repolarization of the intrinsic conduction system
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7
The QRS complex is associated with .
A)depolarization of the atria
B)repolarization of the ventricles
C)depolarization of the ventricles
D)depolarization of the ventricular septum
A)depolarization of the atria
B)repolarization of the ventricles
C)depolarization of the ventricles
D)depolarization of the ventricular septum
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8
In the normal heart, the has the highest rate of discharge and sets the rate of depolarization for the heart as a whole.
A)bundle branches
B)AV node
C)AV bundle
D)SA node
A)bundle branches
B)AV node
C)AV bundle
D)SA node
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9
If the AV node is damaged so that it can no longer transmit the signal from the SA node (total heart block), will the ventricles continue to contract? Why or why not?
A)Yes: the AV bundle will keep the heart going at the usual rate.
B)Yes: however, ventricular contractions will no longer follow atrial contractions, and the rate of ventricular contractions will be significantly slowed.
C)No: there are no cells left to pace and coordinate the heart beat.
D)No: the SA node must be intact to pace the system.
A)Yes: the AV bundle will keep the heart going at the usual rate.
B)Yes: however, ventricular contractions will no longer follow atrial contractions, and the rate of ventricular contractions will be significantly slowed.
C)No: there are no cells left to pace and coordinate the heart beat.
D)No: the SA node must be intact to pace the system.
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10
It the interval between R waves is on an ECG is 0.80 sec, then the heart rate is .
A)80 beats/min
B)70 beats/min
C)75 beats/min
D)65 beats/min
A)80 beats/min
B)70 beats/min
C)75 beats/min
D)65 beats/min
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11
The electrocardiogram (ECG)shows a record of .
A)electrical activity of the heart muscle
B)the electrical events in the intrinsic conduction system
C)each heart beat (or contraction)
A)electrical activity of the heart muscle
B)the electrical events in the intrinsic conduction system
C)each heart beat (or contraction)
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12
A normal Q- T interval is .
A)0)32- 0.38 sec when heart rate is 70 beats/min
B)1)0- 2.0 sec when heart rate is 80 beats/min
C)0)16- 0.18 sec when the heart rate is 60 beats/min
D)0)08 sec when the heart rate is 50 beats/min
A)0)32- 0.38 sec when heart rate is 70 beats/min
B)1)0- 2.0 sec when heart rate is 80 beats/min
C)0)16- 0.18 sec when the heart rate is 60 beats/min
D)0)08 sec when the heart rate is 50 beats/min
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13
How does holding the breath affect heart rate?
A)heart rate decreases
B)heart rate is unaffected by breath holding
C)heart rate increases
A)heart rate decreases
B)heart rate is unaffected by breath holding
C)heart rate increases
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14
Ventricular fibrillation is _ _.
A)slow, strong ventricular contractions
B)rapid, uncoordinated ventricular contractions
C)fluttering of the atria
D)strong, rhythmic atrial contractions
A)slow, strong ventricular contractions
B)rapid, uncoordinated ventricular contractions
C)fluttering of the atria
D)strong, rhythmic atrial contractions
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15
The middle and largest deflection wave in a normal ECG is the .
A)T wave
B)P wave
C)QRS complex
A)T wave
B)P wave
C)QRS complex
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16
The function of the intrinsic conduction system is to .
A)contract slightly before the cardiac tissue to which it is connected
B)carry branches of the autonomic nervous system to heart muscle
C)ensure that the heart beats in a sequential and coordinated manner
D)maintain the structural integrity of the atria and ventricles
A)contract slightly before the cardiac tissue to which it is connected
B)carry branches of the autonomic nervous system to heart muscle
C)ensure that the heart beats in a sequential and coordinated manner
D)maintain the structural integrity of the atria and ventricles
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