Question 1

For purposes of ischemia evaluation,the baseline of the EKG is at the

Accepted Answer

A) ST segment. 
B) PR segment. 
C) TP segment. 
D) J-point. 
A) ST segment. 
B) PR segment. 
C) TP segment. 
D) J-point. B

Question 2

Which of the following is an indication for stress testing?

Accepted Answer

A) To evaluate asymptomatic individuals with no CAD risk factors 
B) To evaluate individuals with noncardiac chest discomfort 
C) To evaluate individuals with severe aortic stenosis 
D) To evaluate the prognosis and functional capacity after an MI 
A) To evaluate asymptomatic individuals with no CAD risk factors 
B) To evaluate individuals with noncardiac chest discomfort 
C) To evaluate individuals with severe aortic stenosis 
D) To evaluate the prognosis and functional capacity after an MI D

Question 3

Your patient took his routine beta-blocker medication this morning just before his stress test.What effect would this likely have on the results?

Accepted Answer

A) True positive 
B) True negative 
C) False positive 
D) False negative 
A) True positive 
B) True negative 
C) False positive 
D) False negative D

Question 4

A true positive stress test is one in which the stress test is ________ and the angiogram is ________.

Accepted Answer

The answer of A true positive stress test is one...

Question 5

Which of the following medications would most likely be administered during a pharmacologic stress test?

Accepted Answer

A) Atenolol 
B) Verapamil 
C) Adenosine 
D) Nitroglycerin 
A) Atenolol 
B) Verapamil 
C) Adenosine 
D) Nitroglycerin

Question 6

Which of the following is NOT a reason to terminate a stress test?

Accepted Answer

A) Patient's request 
B) ST segment elevation 
C) Falling blood pressure 
D) Shortening of the PR interval 
A) Patient's request 
B) ST segment elevation 
C) Falling blood pressure 
D) Shortening of the PR interval

Question 7

The patient's target heart rate is 180,but he develops severe chest pain,shortness of breath,and diaphoresis at a heart rate of 135.What should be done?

Accepted Answer

A) Continue the test until the target heart rate is reached. 
B) Stop the test immediately. 
C) Continue the test until the heart rate reaches 153,which will be the 85% needed for a valid test. 
D) Give the patient a nitroglycerin tablet sublingually and then continue the test. 
A) Continue the test until the target heart rate is reached. 
B) Stop the test immediately. 
C) Continue the test until the heart rate reaches 153,which will be the 85% needed for a valid test. 
D) Give the patient a nitroglycerin tablet sublingually and then continue the test.

Question 8

The target heart rate for a 60-year-old man having a stress test is

Accepted Answer

A) 280. 
B) 160. 
C) 190. 
D) 220. 
A) 280. 
B) 160. 
C) 190. 
D) 220.

Question 9

Which of the following is NOT a reason to terminate an exercise stress test?

Accepted Answer

A) Blood pressure drop of more than 10 mm Hg along with severe chest pain 
B) Sustained ventricular tachycardia 
C) Decreasing amplitude of the QRS complex and T waves 
D) EKG machine malfunction 
A) Blood pressure drop of more than 10 mm Hg along with severe chest pain 
B) Sustained ventricular tachycardia 
C) Decreasing amplitude of the QRS complex and T waves 
D) EKG machine malfunction

Question 10

On the morning of the stress test,it is important that the patient

Accepted Answer

A) eat a big meal for energy. 
B) fast for 12 hours to avoid nausea during the test. 
C) semi-fast for four hours before the test. 
D) eat as usual. 
A) eat a big meal for energy. 
B) fast for 12 hours to avoid nausea during the test. 
C) semi-fast for four hours before the test. 
D) eat as usual.

Question 11

The "gold standard" for determining the presence of coronary artery disease is the

Accepted Answer

A) exercise stress test. 
B) MUGA scan. 
C) thallium stress test. 
D) angiogram. 
A) exercise stress test. 
B) MUGA scan. 
C) thallium stress test. 
D) angiogram.

Question 12

Signal-averaged EKGs are used to uncover

Accepted Answer

A) early potentials,which can be useful in predicting the risk of potentially dangerous ventricular arrhythmias. 
B) early potentials,which can be useful in predicting the risk of potentially dangerous atrial arrhythmias. 
C) late potentials,which can be useful in predicting the risk of potentially dangerous atrial arrhythmias. 
D) late potentials,which can be useful in predicting the risk of potentially dangerous ventricular arrhythmias. 
A) early potentials,which can be useful in predicting the risk of potentially dangerous ventricular arrhythmias. 
B) early potentials,which can be useful in predicting the risk of potentially dangerous atrial arrhythmias. 
C) late potentials,which can be useful in predicting the risk of potentially dangerous atrial arrhythmias. 
D) late potentials,which can be useful in predicting the risk of potentially dangerous ventricular arrhythmias.

Question 13

Thallium-201 enters the heart in much the same way as which ion?

Accepted Answer

A) Sodium 
B) Magnesium 
C) Chloride 
D) Potassium 
A) Sodium 
B) Magnesium 
C) Chloride 
D) Potassium

Question 14

Stress testing is intended to

Accepted Answer

A) trigger sustained ventricular tachycardia. 
B) produce ST segment elevation. 
C) produce a drop in blood pressure more than 10 mm Hg. 
D) increase the patient's heart rate. 
A) trigger sustained ventricular tachycardia. 
B) produce ST segment elevation. 
C) produce a drop in blood pressure more than 10 mm Hg. 
D) increase the patient's heart rate.

Question 15

Which of the following is a relative contraindication to stress testing?

Accepted Answer

A) Known left main coronary artery disease 
B) Acute pulmonary embolus 
C) MI less than 48 hours old 
D) Symptomatic severe aortic stenosis 
A) Known left main coronary artery disease 
B) Acute pulmonary embolus 
C) MI less than 48 hours old 
D) Symptomatic severe aortic stenosis

Question 16

Which of the following is an absolute contraindication to stress testing?

Accepted Answer

A) Myocardial infarction less than 48 hours old 
B) Mild to moderate aortic stenosis 
C) Uncontrolled tachyarrhythmias or bradyarrhythmias 
D) Electrolyte abnormalities 
A) Myocardial infarction less than 48 hours old 
B) Mild to moderate aortic stenosis 
C) Uncontrolled tachyarrhythmias or bradyarrhythmias 
D) Electrolyte abnormalities

Question 17

The patient's blood pressure was 120/80 at rest.During the stress test,it has fallen to 90/50 and he is cold and clammy.What is the appropriate course of action?

Accepted Answer

A) Stop the test immediately. 
B) Stop for a minute,then resume at a slower pace. 
C) Continue as is. 
D) Slow the pace to let the patient recover,then speed it back up to the previous level. 
A) Stop the test immediately. 
B) Stop for a minute,then resume at a slower pace. 
C) Continue as is. 
D) Slow the pace to let the patient recover,then speed it back up to the previous level.

Question 18

A MET is a

Accepted Answer

A) measurement of energy absorption during exercise. 
B) measurement of oxygen consumption during exercise. 
C) method of exercise. 
D) pharmacologic agent used in stress testing. 
A) measurement of energy absorption during exercise. 
B) measurement of oxygen consumption during exercise. 
C) method of exercise. 
D) pharmacologic agent used in stress testing.

Question 19

For submaximal testing,what percentage of the target heart rate must be attained?

Accepted Answer

A) 65% 
B) 85% 
C) 70% 
D) 100% 
A) 65% 
B) 85% 
C) 70% 
D) 100%

Question 20

A positive stress test implies that

Accepted Answer

A) ischemia is present. 
B) ischemia is absent. 
C) infarction is present. 
D) infarction is absent. 
A) ischemia is present. 
B) ischemia is absent. 
C) infarction is present. 
D) infarction is absent.

For purposes of ischemia evaluation,the baseline of the EKG is at the

Which of the following is an indication for stress testing?

Your patient took his routine beta-blocker medication this morning just before his stress test.What effect would this likely have on the results?

A true positive stress test is one in which the stress test is and the angiogram is .

Which of the following medications would most likely be administered during a pharmacologic stress test?

Which of the following is NOT a reason to terminate a stress test?

The patient's target heart rate is 180,but he develops severe chest pain,shortness of breath,and diaphoresis at a heart rate of 135.What should be done?

The target heart rate for a 60-year-old man having a stress test is

Which of the following is NOT a reason to terminate an exercise stress test?

On the morning of the stress test,it is important that the patient

The "gold standard" for determining the presence of coronary artery disease is the

Signal-averaged EKGs are used to uncover

Thallium-201 enters the heart in much the same way as which ion?

Stress testing is intended to

Which of the following is a relative contraindication to stress testing?

Which of the following is an absolute contraindication to stress testing?

The patient's blood pressure was 120/80 at rest.During the stress test,it has fallen to 90/50 and he is cold and clammy.What is the appropriate course of action?

A MET is a

For submaximal testing,what percentage of the target heart rate must be attained?

A positive stress test implies that

Cardiac Anatomy and Physiology

Electrophysiology

Lead Morphology and Placement

Technical Aspects of the EKG

Calculating Heart Rate

How to Interpret a Rhythm Strip

Rhythms Originating in the Sinus Node

Rhythms Originating in the Atria

Rhythms Originating in the AV Junction

Rhythms Originating in the Ventricles

AV Blocks

How to Interpret a 12-Lead EKG

Myocardial Infarction

Medications and Electrical Therapy

Filters

Exam 17: Diagnostic Electrocardiography

For purposes of ischemia evaluation,the baseline of the EKG is at the

Which of the following is an indication for stress testing?

Your patient took his routine beta-blocker medication this morning just before his stress test.What effect would this likely have on the results?

A true positive stress test is one in which the stress test is ________ and the angiogram is ________.

Which of the following medications would most likely be administered during a pharmacologic stress test?

Which of the following is NOT a reason to terminate a stress test?

The patient's target heart rate is 180,but he develops severe chest pain,shortness of breath,and diaphoresis at a heart rate of 135.What should be done?

The target heart rate for a 60-year-old man having a stress test is

Which of the following is NOT a reason to terminate an exercise stress test?

On the morning of the stress test,it is important that the patient

The "gold standard" for determining the presence of coronary artery disease is the

Signal-averaged EKGs are used to uncover

Thallium-201 enters the heart in much the same way as which ion?

Stress testing is intended to

Which of the following is a relative contraindication to stress testing?

Which of the following is an absolute contraindication to stress testing?

The patient's blood pressure was 120/80 at rest.During the stress test,it has fallen to 90/50 and he is cold and clammy.What is the appropriate course of action?

A MET is a

For submaximal testing,what percentage of the target heart rate must be attained?

A positive stress test implies that

Cardiac Anatomy and Physiology

Electrophysiology

Lead Morphology and Placement

Technical Aspects of the EKG

Calculating Heart Rate

How to Interpret a Rhythm Strip

Rhythms Originating in the Sinus Node

Rhythms Originating in the Atria

Rhythms Originating in the AV Junction

Rhythms Originating in the Ventricles

AV Blocks

How to Interpret a 12-Lead EKG

Myocardial Infarction

Medications and Electrical Therapy

Filters

A true positive stress test is one in which the stress test is and the angiogram is .