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Ecgs Made Easy 6th Edition Aehlert Test Bank
Ecgs Made Easy 6th Edition Aehlert Test Bank
https://testbankfan.com/download/ecgs-made-easy-6th-edition-aehlert-test-bank/
MULTIPLE CHOICE
1. In most patients, the sinoatrial (SA) and atrioventricular (AV) nodes are supplied by the
_____ coronary artery.
a. right
b. left main
c. circumflex
d. left anterior descending
ANS: A
The SA node receives its blood supply from the SA node artery that runs lengthwise
through the center of the node. The SA node artery originates from the right coronary
artery in about 60% of people. The AV node is supplied by the right coronary artery in
85% to 90% of the population. In the remainder, the circumflex artery provides the blood
supply.
OBJ: Describe the location, function, and, when appropriate, the intrinsic rate of the following
structures: sinoatrial node, atrioventricular bundle, and Purkinje fibers.
OBJ: Describe the location, function, and, when appropriate, the intrinsic rate of the following
structures: sinoatrial node, atrioventricular bundle, and Purkinje fibers.
3. How do you determine whether the atrial rhythm on an ECG tracing is regular or
irregular?
a. Compare QT intervals.
b. Compare PR intervals.
c. Compare R to R intervals.
d. Compare P to P intervals.
ANS: D
To evaluate the regularity of the atrial rhythm on a rhythm strip, the interval between two
consecutive P waves is measured. The distance between succeeding P-P intervals is
measured and compared. If the atrial rhythm is regular, the P-P intervals will measure the
same.
OBJ: Describe a systematic approach to the analysis and interpretation of cardiac dysrhythmias.
5. In the heart’s conduction system, the _____ receive(s) an electrical impulse from the
bundle of His and relay(s) it to the Purkinje fibers in the ventricular myocardium.
a. atrioventricular (AV) node
b. atria
c. sinoatrial (SA) node
d. right and left bundle branches
ANS: D
The right and left bundle branches divide into smaller and smaller branches and then into a
special network of fibers called the Purkinje fibers. These fibers spread from the
interventricular septum into the papillary muscles. They continue downward to the apex of
the heart, composing an elaborate web that penetrates about one third of the way into the
ventricular muscle mass. The fibers then become continuous with the muscle cells of the
right and left ventricles.
OBJ: Describe the location, function, and, when appropriate, the intrinsic rate of the following
structures: sinoatrial node, atrioventricular bundle, and Purkinje fibers.
6. In the heart’s conduction system, the _____ receive(s) an electrical impulse from the right
and left bundle branches and relay(s) it to the ventricular myocardium.
a. AV node
b. SA node
c. Purkinje fibers
d. atrial pacemaker cells
ANS: C
The right bundle branch innervates the right ventricle. The left bundle branch spreads the
electrical impulse to the interventricular septum and left ventricle.
OBJ: Describe the location, function, and, when appropriate, the intrinsic rate of the following
structures: sinoatrial node, atrioventricular bundle, and Purkinje fibers.
OBJ: Define and describe the significance of each of the following as they relate to cardiac
electrical activity: P wave, QRS complex, T wave, U wave, PR segment, TP segment, ST segment,
PR interval, QRS duration, and QT interval.
8. The normal pacemaker of the heart is the _____ node, which is found in the _____ atrium,
and has an intrinsic firing rate of _____ beats/min.
a. sinoatrial; left; 40 to 60
b. sinoatrial; right; 60 to 100
c. atrioventricular; left; 20 to 40
d. atrioventricular; right; 100 to 180
ANS: B
The sinoatrial (SA) node is normally the primary pacemaker of the heart because it has the
fastest firing rate of all of the heart’s normal pacemaker sites (60 to 100 beats/min). The
SA node is located in the upper posterior part of the right atrium where the superior vena
cava and the right atrium meet.
OBJ: Describe the location, function, and, when appropriate, the intrinsic rate of the following
structures: sinoatrial node, atrioventricular bundle, and Purkinje fibers.
9. On an ECG, what is the first negative deflection seen after the P wave?
a. Q wave
b. R wave
c. S wave
d. T wave
ANS: A
A QRS complex normally follows each P wave. The QRS complex begins as a downward
deflection—the Q wave. A Q wave is always a negative waveform.
OBJ: Define and describe the significance of each of the following as they relate to cardiac
electrical activity: P wave, QRS complex, T wave, U wave, PR segment, TP segment, ST segment,
PR interval, QRS duration, and QT interval.
10. Lead II records the difference in electrical potential between the _____ leg and _____ arm.
a. left; left
b. left; right
c. right; left
d. right; right
ANS: B
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by rubbing the large plate machine at the Royal Institution. Thinking
the effect might still have been produced by animalculæ, and
intending to visit the following day the ruins of Trassermant, I ordered
the horse to be well washed in the morning. On pouring water over
his neck, I found a peculiar spasmodic action produced, which did
not take place when it was poured upon any other part of the body,
not even on the off-side of the neck, on which fell the mane.
Ascending the lower part of the mountain chain toward the snow, the
effect was scarcely visible; but on returning to the valley, it was
considerably increased, and especially after the animal had been
well washed and dried. Approaching the sea, it became more
powerful, and at Mogadór I got several persons to witness the
phenomenon. I was here told by the kaid, who had accompanied me
from Marocco, to take great care of the animal; that there were very
few of them in the country, and that the Sultán seldom gave them
away; that it was not only a horse of high blood but of fire, and it
would never tire. It has done a great deal of hard work, and fully
bears out the character given of him. I have moreover observed, on
touching him with the spur, or when he is excited by the firing of a
gun, or the sight of other horses, that a violent action is produced on
this side of the neck. Upon entering the desert, the effect nearly
disappeared, and at the same time a great portion of his courage,
although he continued to do his work well. The difference may,
however, be owing to the great change from an abundant to a spare
diet, and to his sympathising with his master by shewing more bone
than flesh, as our meals are reduced to one a-day. Can the colour
have any thing to do with it? He is golden dun, with a black mane
and tail. I have seen but three of the same hue, two in the stables of
the Sultán, and the third in the possession of the Sheïkh of Stuka;
but I could not obtain permission to examine them. I am very anxious
to send him to England; but I fear it will be impossible, as the whole
of the persons in power in Marocco are so incensed against me for
having eluded their vigilance, and succeeded in getting out of the
empire upon the direct track of the gold district, that I am told that no
favour would now be granted, and that if I come back, I shall rue
what I have done in passing to this place. The road is now open to
me: my intention is not to follow the caravan route, but to proceed
with a small escort and a few camels by the road the couriers take,
and thus obtain a new line and bearing to establish the position of
Tumbuktú. I had made a collection for the Royal Institution of some
mineralogical and fossil specimens; amongst which were many of
copper, antimony and lead, and what they here call brass (nhas
asfer). The last was obtained, but with difficulty, for Professor
Berzelius, at the request of the consul-general at Tangiers. But
having to lighten my baggage, when passing through Lower Suse,
the mule-load of stones had to be sent away, with a promise that
they should be forwarded to Mogadór. They were addressed to
yourself, with a request to send the duplicates to the professor at
Stockholm. I fear much they will never reach you, as a Berber told
me the people will be sure to think they contain gold, and they will all
be sent to the furnace.”
It appears, however, by a letter to Mr. Drummond Hay, that Sheïkh
Alí subsequently told Mr. Davidson, that finding they were only
stones, he, the Sheïkh, had thrown them away, but had kept the
baskets.
In allusion to the project of making Agadeer the port for sending
goods into the interior of Africa, he says, that the people there
asserted that the story circulated of the insecure state of property in
that country was unfounded; that such reports were spread by the
people of Mogadór, who feared that foreigners would come and
settle there, if it was thought that trade could be carried on with Suse
better by that route than the old one. It was this very dread of the
trade being directed into a new channel, that seems to have thrown
such impediments in the way of Mr. D.’s journey to Tumbuktú.
FOOTNOTES: