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ECG Basics

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show positive  
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show negative  
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In lead III, the left leg electrode is...   show
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In the AVF lead, where is the + charge located? The ground?   show
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What are the two ground electrodes in lead AVR? The positive electrode?   show
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What are the ground electrodes in lead AVL? And the positive?   show
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show I, II, III, AVR, AVL, AVF  
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The limb leads lie in what plane?   show
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show I and AVL  
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show II, III, and AVF  
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show Chest leads (V1-V6)  
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show Positive electrode  
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show By positive deflection  
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show 0.2 second  
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Amount of time represented b/n two fine lines   show
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show 5  
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show Atrial depolarization; no more than 2.5 mm in height & no more than .11 sec in length  
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QRS: define and normal duration   show
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QT interval: define and normal duration   show
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P-R interval: define and normal duration   show
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show -30 to -90  
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show 60-100 bpm  
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show 60-80 bpm  
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Inherent rate of Junctional foci   show
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show 20-40 bpm  
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show Rate: 60-100 bpm; Rhythm: Regular; P waves: uniform, + in lead II, one precedes each QRS; PR interval: 0.12-0.20 sec and constant from beat to beat; QRS duration: 0.06 - 0.12 sec  
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show Rate: Usually 60 - 100 bpm; Rhythm: irregular, phasic w/respiration, increase w/inspiration (sympathetic), decr w/expiration (parasymp)  
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show P waves: uniform, + in lead II, one preceds each QRS, at very fast rates it may be diff to distinguish a P from T waves; PR: 0.12 - 0.20 sec and constant; QRS: 0.06 - 0.12 sec  
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Charictaristics of Sinus Bradycardia   show
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show Rate: 101-180 bpm; Rhythm: reg; P: uniform, + in lead II, one preceding each QRS; @ very fast rates it may be diff to distinguish P from T waves; PR: 0.12 - 0.20 and constant; QRS: 0.06 - 0.12 sec  
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show the mean vector located by degrees in the frontal plane.  
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What is the axis if lead I is positive and aVF is negative   show
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show Right axis deviation  
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show extreme right axis deviation  
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show A wave of depolarization towards + electrode inscribes a + deflection; A wave of depolarization toward a - electrode inscribes a - deflection.  
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General characteristics of supraventricular dysrhythmias   show
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show the impulse will conduct down the normal ventricular conducting system -> QRS will be of normal duration  
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Rate and rhythm of a Wandering Atrial Pacemaker   show
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What do you call a wandering atrail pacemaker with a rate > than 100 bpm?   show
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show P: size, shape and direction may change from beat to beat, at least 3 different P morphologies needed to Dx; PR: variable; QRS: 0.06 - 0.12 sec  
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show Atrial fibrillation  
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Rate and rhythm of SA Block   show
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show P: uniform, + in lead II, one precedes each QRS, at very fast rates it may be diff to distinguish P from T; PR: 0.12 - 0.20 and constant from beat to beat; GRS: 0.06 - 0.12 sec  
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Charictaristics of Sinus Arrest   show
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Origin of escape beat during sinus arrest   show
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show P prime wave present but is not from the sinus. PR interval will be wider than a junction escape.  
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P prime wave   show
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show Rate: usually w/in normal range but depends on underlying rhythm; Rhythm: regular and late beats; P waves: may occur before, during, or after QRS, inverted in leads II, III, aVF; PR: if P occurs before QRS, it will usually be < or= 0.12; QRS: usully<0.12  
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show Rate: 40-60 bpm; Rhythm: regular  
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show P: may occur before, during, after QRS, inverted in II, III, & aVF; PR: if a P occurs before QRS it's usually < or = 0.12, if there's no P there's no PR; QRS: usually < 0.12 sec  
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show Rate: usually too slow to adequately perfuse (15-40 bpm); No P wave or atrial foci; no junctional escape mechanism; will likely see ischemic changes  
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