Term
The ECG is interpreted by the _______
a. lab technician
b. medical assisting
c. physician
d. nurse practicioner |
|
Definition
| physician, usually the one ordering the procedure |
|
|
Term
the routine ECG consists of ________ leads
a. 6
b. 10
c. 8
d. 12 |
|
Definition
|
|
Term
| The patient must be ______ for a good tracing to be obtained |
|
Definition
|
|
Term
metal electrodes should be cleaned with
a. mild detergent/scouring powder
b. alcohol/ether
c. baking soda/water
d. mild detergent/ silver polish |
|
Definition
|
|
Term
a proper amount of ________ must be used with each metal electrode to provide maximum electrical conduction
a. alcohol
b. electrolyte
c. oil
d. powder |
|
Definition
|
|
Term
the ______ of the ECG is necessary to enable a physician to judge deviations from the standard.
a. length
b. quality
c. standardization
d. augmentation |
|
Definition
|
|
Term
| the usual standardization mark is ________ in size |
|
Definition
|
|
Term
| if the tracing is too large, the ________ button should be turned down to (1/2) one half. producing a standardization mark of 5 mm high and 2 mm wide. |
|
Definition
|
|
Term
| the tracing paper is normally run at a speed of _______ mm/second |
|
Definition
|
|
Term
| the heart is a four-chambered pump that produces |
|
Definition
| a minute electrical current by muscular contraction |
|
|
Term
| where does an electrical impulse originates |
|
Definition
| in the modified myocardial tissue of the sinoatrial node, causing the beginning of atrial depolarization, which is the first part of the cardiac cycle |
|
|
Term
| the first impulse recorded on the graph is called |
|
Definition
|
|
Term
| the first three leads are called |
|
Definition
| standard or biopolar leads and are labeled I, II, or III |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| The second three leads are called the |
|
Definition
augmented: aVR, aVL, and aVF.
augmented means to become larger |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| the six standard chest leads |
|
Definition
|
|
Term
|
Definition
| dependable, can be relied upon |
|
|
Term
|
Definition
| reestablishment of a polarized state in a muscle or nerve fiber following contraction or conduction of a nerve impulse |
|
|
Term
|
Definition
| pertaining to sitting; inactivity |
|
|
Term
|
Definition
| a part or section of an organ or a body |
|
|
Term
|
Definition
| occurring at the same time |
|
|
Term
|
Definition
| pertaining to the body as distinguished from the mind; physical. |
|
|
Term
|
Definition
| process of bringing into conformity with a standard; pertaining to ECG, a mark made at the beginning of each lead to establish a standard of reference |
|
|
Term
|
Definition
|
|
Term
|
Definition
| the production of a sketch by means of a stylus passing over the paper, as in electrocardiography |
|
|
Term
|
Definition
| an apparatus with a movable platform that permits walking or running in place |
|
|
Term
|
Definition
| a measure of electromotive force |
|
|
Term
|
Definition
| a device on an electrocardiongraph that enlarges the ECG impulses |
|
|
Term
|
Definition
| without rhythm; irregularity |
|
|
Term
|
Definition
| something extraneous to what is being looked for. Activity that causes interference on EKGs |
|
|
Term
|
Definition
| the excitement and contraction caused by the SA node at the beginning of the cardiac cycle |
|
|
Term
|
Definition
| refers to leads 4, 5, and 6 of the standard 12-lead ECG tracing; these leads are of different voltage. |
|
|
Term
|
Definition
| the study of the heart and blood vessels. |
|
|
Term
|
Definition
| to store in a computer; to put in a form a computer can use; to bring computers into use to control an operation |
|
|
Term
|
Definition
| (in cardilogy) a high-intensity, short-duration, electric shock applied to the area of the heart, resulting in total cardiac depolarization. |
|
|
Term
|
Definition
| happenin now; of the present time; the latest information |
|
|
Term
|
Definition
| a device designed to deliver an electric shock to a patient, in an effort to stop pulseless ventricular fibrillation or ventricular tachycardia |
|
|
Term
|
Definition
| a machine for obtaining a graphic recording of the electrical activity of the heart |
|
|
Term
|
Definition
| an instrument with a point or surface that transmits current to the patient's bpdy |
|
|
Term
|
Definition
| an instrument that measures current by electromagnetic action |
|
|
Term
|
Definition
| a device that attaches electrodes to a patient's chest for the pupose of obtaining a 24-hour ECG tracing in an accessory tape recorder |
|
|
Term
|
Definition
| a charge transmitted through certain tissues, especially nerve fibers and muscles, resulting in physiologic activity |
|
|
Term
|
Definition
| confusion of desired signals caused by undesired signals, as in artifacts on an ECG. |
|
|
Term
|
Definition
| stopping and starting again at intervals |
|
|
Term
|
Definition
| computarized analysis of ECG tracings |
|
|
Term
|
Definition
| time between events, space |
|
|
Term
|
Definition
| refers to the arms and legs. extremities |
|
|
Term
|
Definition
|
|
Term
|
Definition
| refers to the capability of ECG equipment of processing impulses from multiple leads |
|
|
Term
|
Definition
| pertaining to that area of the chest wall over the heart for the placement of ECG cheat leads |
|
|
Term
|
Definition
| network fibers found in the cardiac muscle that carries the electrical impulses resulting in the contraction of the ventricles |
|
|
Term
|
Definition
| ECG/EKG-a graphic record of the electric currents generated by the heart; a tracing of the heart action |
|
|
Term
| all muscle movement produces _______ |
|
Definition
|
|
Term
| the current enters the electricardiograph through the wires to reach the ___________ |
|
Definition
|
|
Term
| the amplifier _____ the electrical impulse |
|
Definition
|
|
Term
| electrical impulses are transformed into mechanical motion by the ________ |
|
Definition
|
|
Term
| an _______ produces printed representations on ECG paper |
|
Definition
|
|
Term
| an electrical impulse originates in the modified myocardial tissue in the _____ |
|
Definition
|
|
Term
| the first impulse recorded on the ECG paper from the atrial contraction is known as the |
|
Definition
|
|
Term
| when the muscles of the ventricles contract, the _______ of waves is produced on the ECG paper |
|
Definition
|
|
Term
| During the recovery of the ventricles, before another contraction is called the ________. it represents the repolarization of the ventricles. |
|
Definition
|
|
Term
| a routine ECG consists of ____ leads |
|
Definition
|
|
Term
| _________ means to make larger |
|
Definition
|
|
Term
| chest leads are also called _________ leads |
|
Definition
|
|
Term
| AC or _________ current interference is caused by additional electrical activity |
|
Definition
|
|
Term
| the standardization mark is included in an EKG to provide an _______ reading |
|
Definition
|
|
Term
| In the electrical conduction system, the first area of the heart to receive the electrical impulse is the Purkinje fibers |
|
Definition
| false. the modified myocardial tissue of the SA node |
|
|
Term
| Shivering from being nervous or cold can cause somatic tremor |
|
Definition
| true. muscle voltage artifacts as well |
|
|
Term
| a rhythm strip indicates to the physician the size of a patient's heart |
|
Definition
| false. traces impulses of the heart |
|
|
Term
| for better electrode contact, the skin sites should be rubbed vigorously to increased circulation |
|
Definition
|
|
Term
| stress test ECGs str performed routinely on all patients |
|
Definition
| false. on patients with high risk of heart disease |
|
|
Term
| a fetal monitor is walking or 24- hour ECG |
|
Definition
|
|
Term
| for a single- and multi-channel computerized electrocardiographs, you simply press "auto" to run a 12-lead ECG |
|
Definition
|
|
Term
| patients should keep a dairy of their activities and symptoms during a 24-hour electrocradiogram |
|
Definition
|
|
Term
| it is important to check the batteries and proper working order of the Holter monitor before applying the device to a patient |
|
Definition
|
|
Term
| it is necessary to shave dense chest hair for placement of electrodes |
|
Definition
|
|
Term
| AstroTraceClips "universal clip" |
|
Definition
| metal clips that attach to the electrodes |
|
|
Term
| first part of the cardiac cycle |
|
Definition
| atrial depolarization which is the P wave on the ECG paper |
|
|
Term
| what does the ECG measure? |
|
Definition
| electrical impulses of the heart muscle |
|
|
Term
which of the following are the standard or bipolar leads?
a. aVR, aVL, aVF
B. I, II, III
c. V1-V6
d. all of the above |
|
Definition
|
|
Term
which of the following carries the electrical impulse across the heart and causes the ventricle to contract?
a. SA node
b. AV node
c. Bundle of His
d. Purkinje fibers |
|
Definition
|
|
Term
| which part of the ECG complex is formed when the atria contract? |
|
Definition
|
|
Term
which lead records the right leg?
a. I
b. II
c. II
d. none of the above |
|
Definition
|
|
Term
there is interference in Lead I on the ECG tracing. which electrodes would you check first?
a. LL and RA
b. LL and LA
c. LA and RA
d. LL and RL |
|
Definition
|
|
Term
which of the following denotes the marking code for lead V3?
a. ...
b. ---
c. -...
d. ...- |
|
Definition
|
|
Term
| if the patient is cold, which type of interference may appear in the ECG tracing? |
|
Definition
|
|
Term
which of the following measurements denotes the usual standardization of an ECG machine?
a. 2 mm wide and 10 mm high
b. 4 mm wide and 20 mm high
c. 1 mm wide and 5 mm high
d. 10 mm wide and 2 mm high |
|
Definition
|
|
Term
if the ECG cycles are too close together, the speed should be changed to:
a. 50 |
|
Definition
|
|
Term
| if the tracing is too small, the sensitivity dial can be turned up to 2, marking the impulse |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Premature atrial contractions (PAC) |
|
|
Term
|
Definition
| Paroxysmal atrial tachycardia (PAT) |
|
|
Term
|
Definition
|
|
Term
|
Definition
| premature ventricular contractions |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Deaver Operating Scissors
(straight, sharp-sharp) |
|
|
Term
What is the use of:
Deaver Operating Scissors |
|
Definition
|
|
Term
|
Definition
Deaver Operating Scissors
(straight, sharp-blunt, curved) |
|
|
Term
|
Definition
| Sistrunk Operating Scissors |
|
|
Term
| What is the use of Sistrunk Operating Scissors |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Knowles Finger Bandage Scissors |
|
|
Term
|
Definition
| Judd-Allis Tissue Forceps |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is the use of Adson Tissue Forceps |
|
Definition
|
|
Term
| What is the use of Lister Bandage scissors |
|
Definition
|
|
Term
| What is the use of Knowles Finger Bandage Scissors |
|
Definition
|
|
Term
| What is the use of Judd-Allis Tissue Forceps |
|
Definition
|
|
Term
| What is the use of Scaple Blades |
|
Definition
|
|
Term
| What is the use of Collier Needle Holder |
|
Definition
|
|
Term
| What is the use of Semken Dressing Forceps |
|
Definition
|
|
Term
| What is the use of Plain Splinter Forceps |
|
Definition
|
|
Term
| What is the use of Spencer suture scissors |
|
Definition
|
|
Term
| What is the use of Tissue Forceps |
|
Definition
| Grasp tissue securely for control during dissection or suturing |
|
|
Term
| What is the use of Brown Needle Holder |
|
Definition
|
|
Term
| What is the use of Thumb Forceps |
|
Definition
| Pick up dressing, delicate tissue |
|
|
Term
| What is the use of Sponge-holding Forceps |
|
Definition
| Pick up and hold dressings |
|
|
Term
| What is the use of Littauer Stitch Scissors |
|
Definition
|
|
Term
| What is the use of Knife Handle |
|
Definition
|
|
Term
| What is the use of Backhaus Towel Forceps |
|
Definition
Grasp towels, dressings, hold drape towels in place
(use caution-will puncture skin) |
|
|
Term
| What is the use of Cushing Forceps |
|
Definition
|
|
Term
| What is the use of Hemostats |
|
Definition
| Grasp tissue to hold, clamp, or pull out of the way |
|
|
Term
| What is the use of Jones Towel Forceps |
|
Definition
Grasp towels, dressings, hold drape towel on place
(use caution-will puncture skin) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Guidellines that should be followed to protect sterile items? |
|
Definition
an acceptable border between a sterile and nonsterile area is 1".
anything below the waist is considered contaminated.
do not turn your back on a sterile field
sterile objects must not be wet |
|
|
Term
| Hands held down during rising |
|
Definition
|
|
Term
| Two to five minutes duration |
|
Definition
|
|
Term
|
Definition
A. ratchet
B. ring handle
C. Box-lock
D. Guide pins |
|
|
Term
|
Definition
| defined as the sterile material applied directly onto the surface of a wound or surgical site to completely cover the wound. They are usually made of gauze. |
|
|
Term
| Procaine hydrochloride is another name for Xylocaine |
|
Definition
|
|
Term
| Procaine hydrochloride is another name for |
|
Definition
|
|
Term
| Lidocaine hydrochloride is another name for |
|
Definition
|
|
Term
| Most common local anesthetic agents used |
|
Definition
|
|
Term
| If a surgical scrub has been performed within the past 48 hours, a 3 minutes surgical scrub is appropriate. |
|
Definition
|
|
Term
| A thorough surgical scrub should be performed for |
|
Definition
|
|
Term
| Which of the dressing and tissue forceps are used to pick up delicate tissue? |
|
Definition
Adson serrated forceps
Thumb forceps |
|
|
Term
| When preparing a tray setup you must place the drape over the tray without reaching over the tray |
|
Definition
|
|
Term
| After surgery, the patient should be introduced to call the physician if he or she has a temperature higher than 39.2 degree C (102.6 degree F) |
|
Definition
|
|
Term
| After surgery the patient should be introduced to call the physician if he or she has a temperature of |
|
Definition
| 37.7 degree C (100 degree F) |
|
|
Term
| Which of the following procedures includes applying silver nitrate to an area? |
|
Definition
|
|
Term
| When soaking surgical instruments, the detergent in the soaking solution should be of a neutral pH |
|
Definition
|
|
Term
Which of the following are sponge-holding forceps?
Forrester sponge forceps
Thumb sponge forceps
Backhaus sponge forceps |
|
Definition
|
|
Term
which of the following is used to retract tissue?
Spencer retractor
Brown retractor
Volkman fork retracter |
|
Definition
|
|
Term
| A mosquito 3 1/2" straight curved petit-point hemostat is used to grasp towels and dressings and to hold drapes in place |
|
Definition
|
|
Term
| A mosquito 3 1/2" straight curved petit-point hemostat is used to grasp tissue to hold, clamp, or pull out of the way. |
|
Definition
|
|
Term
| A Backhaus (clip) 3 1/2" is used to grasp towels and dressings and to hold drape towels in place |
|
Definition
|
|
Term
| When draping a patient's skin for acupuncture, it is important to use soap and water to cleanse the area prior to using antiseptic, if the skin is obviously dirty |
|
Definition
True (but only if the skin is obviously dirty: you should wash the area with soap and water and dry before proceeding)
(if not, simply prepare the skin by usingan antiseptic such as alcohol) |
|
|
Term
| How long does it usually take for a local anesthetic to numb area it was administered to? |
|
Definition
5-15 minutes
(and will keep the area anesthetized for up to 3 hours) |
|
|
Term
| which scissors are used to cut sutures? |
|
Definition
Littauer stitch scissors
(Spencer suture or Littauer stitch scissors are used both to cut sutures) |
|
|
Term
| A biopsy specimen must be preserved in a solution of 10% formain until it is prepared for examination |
|
Definition
|
|
Term
| A Collier Instrument is used to perform what?q |
|
Definition
|
|
Term
| It is possible for the skin to be completely sterile if the procedures are allowed? |
|
Definition
|
|
Term
| Why cannot the skin be completely sterile |
|
Definition
| the cells would be destroyed |
|
|
Term
| After putting a sterile glove on your dominant hand, put the glove on your nondominant hand by pulling it on with gloved dominant hand, but keep cuff turned back |
|
Definition
|
|
Term
| Place gloved fingers of your dominant hand under the cuff of the glove going on your nondominant hand. Put glove on by pulling on inside fold of cuff. Avoid touching thumb of dominant hand to outside cuff of other glove when it has been contaminated |
|
Definition
|
|
Term
A No. 3 knife handle 5" holds which of the following blades ?
20,12, or 23 |
|
Definition
12
(holds total of 10,11,12,& 15) |
|
|
Term
| Judd-Allis tissue forceps are used to cut tissue |
|
Definition
|
|
Term
| Catgut suture is made from the intestines of sheeps |
|
Definition
T
(it is eventually absorved by the body and does not need to be removed) |
|
|
Term
| It is not important to record the number of sutures in the patient chart if the sutures are superficial |
|
Definition
F
(and the anatomical locations as well) |
|
|
Term
| On a surgical instrument, serrations can be classified as heavy and delicate and some intruments with serrations are even classified as nontraumatic |
|
Definition
F
(surgical instruments with teeth can be classified as heavy or delicate, nontraumatic, or both) |
|
|
Term
| Antiseptic solution should be applied to a surgery site with a gauze square helf by transfer forceps, while gently wipping in a back-and-forth motion |
|
Definition
F
(begin application in the center of the site and move outward in circular motion) This pattern of continuous movement ensures total coverage without contamination from untreated areas |
|
|
Term
| Immediately after each use, instruments should be soaked in a chilled solution containing a detergent and a solvent |
|
Definition
F
(instruments should be soaked in a room-temperature solution containing detergent and a solvent) |
|
|
Term
| What angle is a razor held while shaving a patient for surgery? |
|
Definition
|
|
Term
| Medical aseptic hand washing should last approximately 1 minute before beginning work each day |
|
Definition
|
|
Term
| Liquid nitrogen is used in cryosurgery |
|
Definition
|
|
Term
| If a patient has hemophilia or family history of hemophilia, mark it in red ink on the patient's chart |
|
Definition
|
|
Term
| what type of scissors are used for cuttig tissue |
|
Definition
sistrunk
(used to cut tissue and suture) |
|
|
Term
| A biopsy may be placed on a square gauze to be handled later |
|
Definition
|
|
Term
|
Definition
| hereditary condition, transmitted through sex-linked chromosomes of female carriers; affects make only, causing inability to clot blood |
|
|
Term
|
Definition
| without sensation, with or without loss of consciousness |
|
|
Term
|
Definition
| one who studies anesthesiology |
|
|
Term
|
Definition
| an agent that produces insensibility to pain or touch, either generally or locally |
|
|
Term
|
Definition
| to cause a loss of sensation, loss of consciousness |
|
|
Term
|
Definition
| excission of a small piece of tissue for microscopic examination |
|
|
Term
|
Definition
| the use of a substance at subfreezing temperature to destroy or remove tissue |
|
|
Term
|
Definition
| an apparatus used to cauterize tissue with heat from a current of electricity |
|
|
Term
|
Definition
| a method used in removing skin tags, warts, and other skin growths and disorders. a process which uses subfreezing temp. to destroy/remove tissue, generally used substances are solid CO2/liquid nitrogen |
|
|
Term
| pre-operative instructions to patient |
|
Definition
| approximate time length of procedure, appropriate clothing to wear at appointment, amount of time to fast as instructed by Dr., arrange for someone to accompany her if necessary, anticipated time off work/arrange home care, the surgical care, printed material |
|
|
Term
| post-operative instructions to patient |
|
Definition
| make sure that return appointment visits are confirmed and reminder cards are given to patient before they leave office, limit activity for at least 2 weeks, phone patient the next day to follow-up and reassure patient that you and Dr. are genuinely concerned about their progress |
|
|
Term
| autoclaved items remain sterile for _____ days if properly processed |
|
Definition
|
|
Term
|
Definition
| Vasectomies (urologist's office)Arthroscopies, Lacerations/Wound repair, Outpatient procedures (D&C's, biopsies, IUD insertions, Wart, polyp, skin tags, toenail removals. |
|
|
Term
|
Definition
| gives the Dr. the authorization to perform a procedure on a patient |
|
|
Term
| when should sterile gloves be worn |
|
Definition
| whenever a sterile procedure is being performed |
|
|
Term
| when should clean gloves be worn |
|
Definition
| whenever there is a possibility of ocming into contact with blood or body fluids |
|
|
Term
|
Definition
| 2 to 3 minutes when you first get into the facility and then 20 seconds hand washing in between seeing each individual patient |
|
|
Term
| what would be found on basic suture-removal tray? |
|
Definition
| Sterile: thumb forceps, suture-removal scissors (or staple extractor), gauze, latex or vinyl gloves, cotton-tipped applicators, butterfly or Steri-Strip closures; antiseptic solution, hydrogen peroxide, basin with warm soapy water, bandages, towels, biohazardous waste bag, bandage scissors, patient's chart, and pen |
|
|
Term
| sutures that are not removed |
|
Definition
|
|
Term
| which direction should the sutures be pulled? |
|
Definition
| up and toward the incision with thumb forceps because pulling away from incision may open it |
|
|
Term
| why should the MA tell the patient about the suture/staple procedure before beginning |
|
Definition
| because no matter how strong the sensation he/she might feel, he/she must stay calm because tension causes pain |
|
|
Term
| information MA should chart after suture-removal procedure |
|
Definition
a. anatomical location
b. condition of site
c. number of sutures removed
d. type of anesthetic applied/support closures applied
e. type of bandage applied and your signature and title |
|
|
Term
| 4 groups of instruments categories |
|
Definition
sharps
graspers
clamps
retractors |
|
|
Term
| which glove should be put on first |
|
Definition
|
|
Term
| where are gloves placed after procedure is done |
|
Definition
| in bioharzardous waste bag |
|
|
Term
| what kind of handwashing is done before putting on sterile gloves |
|
Definition
| a surgical scrub using a nail brush. for at least 5 to 6 minutes |
|
|
Term
| what kind of handwashing is done after removing sterile gloves |
|
Definition
| medical aseptic hand wash |
|
|
Term
| general rules to follow when cleaning and caring for instruments |
|
Definition
blood, tissue, or body fluids must not dry on an instrument
instruments should be soaked in a room-temp. solution containing detergent and a solvent immediately after ea. use
detergent in the soaking solution should be of a neutral pH
separate delicate instruments from others
the soaking solution should contain a special protein that breaks down blood and body fluids on the surface of the instrument
inst. should be placed in a plastic container for soaking to prevent damage to their points and cutting edges
separate sharp inst. from others when cleaning and storing
all surfaces and crevices must be scrubed with a brush to remove any foreign material
careful visual inspection to check nicks, dullness, or warping
damaged inst. should not be used and should be either repaired or replaced |
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Term
| suggested clothing for a anatomical area of surgery |
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Definition
| Loose-fitting, easy to put on and take off, and not Sunday best clothes. |
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