Cardio

Question 1

What degree is:
Lead I
Lead II
Lead III

Answer 1

1: 0
2: +60
3: +120

Question 2

What degree is:
AvL
AvF
AvR

Answer 2

AvL: -30
AvF: +90
AvR: -150

Question 3

Lead I has + QRS
AvF has + QRS
What is the axis

Answer 3

Normal

Question 4

Lead I has + QRS
AvF has - QRS
WHAT IS THE AXIS

Answer 4

Left axis deviation

Question 5

Lead I has - QRS
AvF has + QRS
WHAT IS THE AXIS

Answer 5

Right axis deviation

Question 6

How do you find the exact axis degree on an ekg

Answer 6

Find the lead with the biphasic p wave. The axis is perpendicular

Question 7

What is a normal PR interval

Answer 7

0.2 sec

Question 8

Which atria usually enlarged due to severe lung dz

Answer 8

Right atria

Question 9

Which valve is associated with left atrial enlargement

Answer 9

Mitral

Question 10

What changes on ekg with RAE

Answer 10

P wave with high amplitude in inferior lead

II, III, AvF

Question 11

What ekg change with LAE

Answer 11

V1: p wave with large negative deflection

V1 and lead II: long duration of p wave

Question 12

EKG for RVH

Answer 12

1. R axis deviation
2. V1: R wave > S wave
3. V6: S wave > R wave

Question 13

What usually causes RVH

Answer 13

Pulmonary dz and congenital heart dz

Question 14

LVH on EKG

Answer 14

1. LAD

2. (R wave in V5/V6) + (S wave in V1/V2) is > 35mm

Question 15

What usually causes LVH

Answer 15

HTN and valvular dz

Question 16

What is the bpm of a junctional rhythm

Answer 16

40-60 bpm

Question 17

How long is a normal QRS complex

Answer 17

0.12 sec

Question 18

Normal P waves and narrow QRS

Where is the problem coming from

Answer 18

Above the ventricles

Question 19

No p waves / abnormal p waves
Wide QRS complex

Where is the problem coming from

Answer 19

Ventricles

Question 20

How to see PAC on ekg

Answer 20

Weird p wave with an early QRS

• QRS IS NARROW

Question 21

How to tell psvt on ekg

Answer 21

Tachy with retrograde p waves
R’ in v1

• QRS IS NARROW

Question 22

PVC on ekg

Answer 22

• QRS IS WIDE

and weird

Question 23

Vtach on ekg

Answer 23

QRS IS WIDE

usually regular

Question 24

5 things that make PVCs bad

Answer 24

Frequent
Multiform
3-5 consecutive
Occurs on a t wave
During MI

Question 25

1st degree block on ekg

Answer 25

PR > 0.2sec

Question 26

2nd degree Type I AV block on ekg

Answer 26

Progressive lengthening of PRI then a dropped QRS

Question 27

2nd degree type II AV block on ekg

Answer 27

P wave with no QRS, NO progressive lengthening

Question 28

Right BBB on ekg

Answer 28

Bunny ears in v1 and v2 QRS IS WIDE

Question 29

Left BBB on ekg

Answer 29

Large R waves in v5, v6 | WIDE QRS

Question 30

Inferior MI leads

Answer 30

II, III, AvF

Question 31

Lateral MI leads

Answer 31

I, AvL, v5, v6

Question 32

Anterior MI leads

Answer 32

V1 - V3

Question 33

Posterior MI leads

Answer 33

V1, V2

Question 34

Anteroseptal MI leads

Answer 34

V1, V2

Question 35

Anterolateral MI leads

Answer 35

V4 - V6

Question 36

When do you repeat troponins

Answer 36

Every 8-12 hr

Question 37

Which pediatric murmur is continuous and machinery

Answer 37

PDA

Question 38

Which pediatric murmur is a systolic murmur at the LLSB, may have s/s of CHF

Answer 38

VSD

Question 39

Which pediatric murmur is a systolic ejection murmur at 2nd LICA, early to mid systolic and causes FTT, a wide fixed split S2, and a RV heave

Answer 39

ASD

Question 40

Where is the murmur heard and where does it radiate: | AS

Answer 40

2nd RICS | Rad to neck and LSB

Question 41

Where is the murmur heard and where does it radiate: | AR

Answer 41

2-4 LICS | Rad to apex and RSB

Question 42

Where is the murmur heard and where does it radiate: | MS

Answer 42

Apex | No rad

Question 43

Where is the murmur heard and where does it radiate: | MR

Answer 43

Apex | Rad to L axilla

Question 44

Describe the timing of the murmur and what makes it louder: | AS

Answer 44

Midsystolic | Sitting leaning forward

Question 45

Describe the timing of the murmur and what makes it louder: | AR

Answer 45

Systolic And diastolic decrescendo Sitting leaning forward, full exhale

Question 46

Describe the timing of the murmur and what makes it louder: | MS

Answer 46

Middiastolic Left lateral position, full exhale Accentuated S1, opening snap

Question 47

Describe the timing of the murmur and what makes it louder: | MR

Answer 47

Pansystolic

Question 48

``` Tricuspid regurgitate: Where do you hear it Where does it radiate What is the timing What makes it louder ```

Answer 48

LLSB Rad to R sternum/xiphoid Pansystolic Increases with inspiration slightly

Question 49

``` Pulmonic stenosis: Where do you hear it Where does it radiate What is the timing What makes it louder ```

Answer 49

2nd-3rd LICS Rad to L shoulder and neck Systolic; mid-systolic crescendo-decrescendo None Early pulmonic ejection sound