CPCT Domain 5: EKG Welcome to your CPCT Domain 5: EKG 1. CPCT: EKG A patient's EKG shows a regular rhythm with a rate of 55 bpm, a P wave preceding each QRS complex, and a PR interval of 0.20 seconds. Which of the following is the most likely diagnosis? A. Atrial fibrillation B. Sinus bradycardia C. Ventricular tachycardia D. Premature atrial contractions None 2. CPCT: EKG During an EKG, a technician notes that the T waves are inverted in leads II, III, and aVF. What does this indicate? A. Right ventricular hypertrophy B. Ischemia in the inferior portion of the heart C. Left atrial enlargement D. A normal variant in pediatric patients None 3. CPCT: EKG What EKG finding is indicative of hyperkalemia? A. Prolonged QT interval B. Peaked T waves C. Shortened PR interval D. Presence of U waves None 4. CPCT: EKG What is the significance of a PR interval that progressively lengthens until a QRS complex is dropped? A. It indicates a premature ventricular contraction. B. It is characteristic of a sinus arrhythmia. C. It suggests ventricular tachycardia. D. It is a hallmark of Mobitz Type I (Wenckebach) block. None 5. CPCT: EKG On an EKG, a regular rhythm with three premature beats having abnormal QRS complexes without preceding P waves is noted. These beats occur with a pattern, after every two normal beats. This pattern is most indicative of: A. Ventricular bigeminy B. Trigeminy C. Ventricular fibrillation D. Atrial flutter None 6. CPCT: EKG Which of the following EKG findings is most suggestive of left ventricular hypertrophy? A. QRS duration greater than 120 ms B. ST segment elevation in leads II, III, and aVF C. Tall R waves in lead V5 and V6 D. Inverted T waves in leads V1 and V2 None 7. CPCT: EKG A technician observes a P wave with a different morphology followed by a QRS complex that arrives earlier than expected. This pattern repeats irregularly throughout the strip. The most likely explanation is: A. Junctional rhythm B. Premature atrial contractions C. Premature ventricular contractions D. Atrial fibrillation None 8. CPCT: EKG In an EKG, a pattern of QRS complexes wider than 0.12 seconds, occurring without preceding P waves and with an irregular rhythm, suggests: A. Atrial flutter B. Ventricular tachycardia C. Premature atrial contractions D. Ventricular fibrillation None 9. CPCT: EKG What does an EKG segment showing ST elevation in leads V1 through V4 suggest? A. Inferior wall myocardial infarction B. Anterior wall myocardial infarction C. Left ventricular hypertrophy D. Pericarditis None 10. CPCT: EKG An EKG displaying a delta wave and shortened PR interval is most consistent with: A. Ventricular fibrillation B. Wolff-Parkinson-White Syndrome C. Atrial fibrillation D. First-degree AV block None 11. CPCT: EKG On an EKG, which finding is consistent with a diagnosis of pericarditis? A. ST segment elevation in all leads B. Deep Q waves in leads II, III, and aVF C. ST segment depression in leads V1-V3 D. Tall, peaked T waves in the anterior leads None 12. CPCT: EKG An EKG displays a regular rhythm with narrow QRS complexes at a rate of 160 bpm. No discernible P waves are present, and the rhythm is originating above the ventricles. This is most indicative of: A. Atrial fibrillation B. Atrial flutter with 2:1 conduction C. Paroxysmal supraventricular tachycardia (PSVT) D. Ventricular tachycardia None 13. CPCT: EKG What is the significance of a biphasic P wave in lead V1 on an EKG? A. Right atrial enlargement B. Left atrial enlargement C. Normal variant D. Ischemic heart disease None 14. CPCT: EKG On an EKG, a patient exhibits a rhythm that is irregularly irregular with no P waves before the QRS complexes. The most likely diagnosis is: A. Atrial flutter B. Atrial fibrillation C. Ventricular fibrillation D. Premature ventricular contractions None 15. CPCT: EKG The presence of Q waves in leads V1 to V3 on an EKG is most suggestive of: A. Anterior myocardial infarction B. Lateral myocardial infarction C. Old inferior myocardial infarction D. Right ventricular hypertrophy None 16. CPCT: EKG A patient's EKG shows a widened QRS complex (>0.12 seconds) and an RSR' pattern in leads V1 and V2. This finding is indicative of: A. Left bundle branch block B. Right bundle branch block C. Anterior wall myocardial infarction D. Ventricular tachycardia None 17. CPCT: EKG An EKG strip demonstrates a gradual decrease in the amplitude of the QRS complexes followed by a disappearance of the QRS complexes for a brief period. This pattern repeats cyclically. What does this suggest? A. Electrical alternans B. Ventricular fibrillation C. Sinus arrest D. Atrial fibrillation None 18. CPCT: EKG On an EKG, what does the presence of U waves, particularly after a prolonged QT interval, suggest? A. Hypercalcemia B. Hypokalemia C. Hyperkalemia D. Hypocalcemia None 19. CPCT: EKG An EKG showing ST depression and T wave inversion in leads I, aVL, V5, and V6 suggests myocardial ischemia in which region of the heart? A. Inferior B. Anterior C. Lateral D. Posterior None 20. CPCT: EKG What does a normal sinus rhythm with an occasional QRS complex that appears prematurely without a preceding P wave, and with a QRS shape differing from the sinus beats, indicate? A. Atrial flutter B. Ventricular bigeminy C. Premature ventricular contraction (PVC) D. Premature atrial contraction None 1 out of 20 Time is Up! Time's up