12 Lead ECG Acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
Date____________________________________
1. What are the components of a Cardiac System?
a. Public Education, Early Dispatch Recognition, Recognition,
Treatment and Transport protocols, Emergency Department
procedures, Early Neurology and Cardiology intervention.
b. Citizen CPR, Early Access, Early Defibulation, Early Advanced Care,
and transport to a Cardiac Center.
c. A series of personal to include, technicians, Nurses and Physicians
designed to deliver Emergency Cardiac care to a patient suffering
from a heart attack.
d. Public Education and Awareness, Citizen CPR, Placement of
defibulators in public places, Early access to 911 and rapid transport
to specialty care centers.
2. What are the benefits of a Cardiac System?
a. Increased use of citizen CPR, Rapid transport to the closest Receiving
Emergency Center, Increased use of Cardiology services, and early
placement into interventional services.
b. Early detection, Appropriate resources dispatched, Early
recognition and treatment by EMS crews, Reduce door to balloon
time, Early Cardiology involvement.
c. Early access to 911, decreased detection, quicker transport times to
specialty care centers, Increased public awareness and increased
mortality
d. Reduction in additional units utilized in a 911 response, Decreased on
scene times due to load and go verses lengthy on scene evaluation
times.
3. Which vessel brings oxygen rich blood back to the heart?
a. Pulmonary Artery
b. Pulmonary Vein
c. Vena cava
d. Aorta
4. What are the two coronary arteries that feed the heart?
a. Inferior and Superior Coronary Arteries
b. Myocardial and Epicardial Coronary Artery
c. Anterior and Posterior Coronary Artery
d. Right and Left Coronary Artery
5. When is the heart fed?
a. Asystole
b. Diastole
c. Systole
d. Contraction
12 Lead ECG Acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
Date____________________________________
6. The components of the heart’s electrical system are?
a. SA node, AV node, Bundle of His, Bundle Branches
b. SV Node, AA Node, Bundle of His, Bundle Branches
c. SA Node, AV Node, Bundle Branches, Cardiac cells
d. SA node, AV node, Electrical Valves, Bundle branches
7. Which patient is most likely suffering from ACS?
a. 35-year-old male, complaining of indigestion, nausea. History of
Diabetes, and high blood pressure.
b. 45 year old female, smoker, history of diabetes, elevated
cholesterol complaining of nausea and SOB
c. 70-year-old male complaining of back pain, history of cancer, no sob,
or chest pain.
d. 45-year-old female complaining of fatigue and nausea, history of
diabetes, no sob, chest pain.
8. What are risks factors associated with ACS?
a. Drug use, occupation, environment, family history and age
b. Occupation, education level, age, smoking, life style
c. Life style, education, family history, diabetes, obesity
d. Age, life style, obesity, diabetes, occupation, smoker
9. What are the three initiating events of ACS?
a. Thrombus rupture, Plaque formation, Vasoconstriction
b. Vasodilatation, Plaque formation, thrombus rupture
c. Thrombus formation, plaque rupture, vasoconstriction
d. Platelet formation, lumen change, plaque formation
10. Ischemic heart tissue is defined as?
a. Hypoxic tissue
b. Injured Tissue
c. Dead tissue
d. Recovering Tissue
11. In what stage can tissue be reperfussed?
a. Hypoxic tissue
b. Injured Tissue
c. Dead tissue
d. Recovering Tissue
12. The stage of infarct is defined as?
a. Hypoxic tissue
b. Injured Tissue
c. Dead tissue
d. Recovering Tissue
12 Lead ECG Acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
Date____________________________________
13. Which patient exhibits signs of classic chest pain?
a. Dull pressure that radiates to his shoulders and left arm
b. Stabbing pain, that is positional and radiates to the abdomen
c. Shortness of breath, syncope and indigestion
d. Right sided pain, increases with inspiration
14. Which patient exhibits atypical signs of chest pain?
a. General weakness, with fatigue and shortness of breath
b. Central chest pain with radiation to the back
c. Pleuritic pain with increases with on inspiration
d. Dyspnea, weakness, nausea with neck pain.
15. Which patient is most likely to present with atypical chest pain patterns?
a. 45 year old male, obese smoker
b. 50 year old female, no other history
c. 75 year old female, diabetic
d. 35 year old female obese smoker
16. Which symptoms most closely represent an anginal equivalent chest pain?
a. Sharp chest pain, radiation and nausea
b. Dullness, radiation and shortness of breath
c. Pressure anterior, diaphoresis
d. Dyspnea, weakness and palpitations
17. What are the indications for acquiring a 12 lead ECG?
a. Altered mental status and hypertension
b. Chest pain/Discomfort, stroke, post-resuscitation
c. Lethargy, shortness of breath and back pain
d. Hypertension, nausea, flu like symptoms
18. What are the three steps to acquire a 12 lead ECG?
a. Prepare Equipment, Prepare Patient, Perform Procedure
b. Prepare the patches, prepare the rig, Perform skill
c. Prepare the Paramedic, Prepare the family perform the family
d. Prepare the Doctor, Prepare the Nurse, Perform procedure
12 Lead ECG Acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
Date____________________________________
19. What is the correct placement of the chest leads?
a. V1-2 5th IC space at the margin of the sternum, V4 6th IC space
midclavicular, v6 6th IC space mid axillary, v3 between 2 and 4, v5
between 4 and 6.
b. V1-2 2nd IC space at the margin of the sternum, V4 5th IC space
midclavicular, V6 5th IC space axillary, V3 between 2 and 4, V5
between 4 and 6.
c. V1-2 3rd IC space at the margin of the sternum, V4 4th IC Space
midclavicular, V6 4th IC Space axillary, V3 between 2 and 4, V5
between 4 and 6.
d. V1-2 4th IC space at the margin of the sternum, V4 5th IC Space
midclavicular, V6 5th IC space midaxillary, V3 between 2 and 4,
V5 between 4 and 6.
20. What is the correct placement of the limb leads?
a. Black right shoulder, White right leg, red left shoulder, green left leg
b. White right shoulder, black left shoulder, red left leg, green right
leg
c. Green right shoulder, black left leg, red left shoulder, white right leg
d. White right shoulder, red right leg, Black left shoulder, green left leg
21. A normal ECG means that a patient is not having a heart attack?
a. True
b. False
22. On a female patient leads V4-6 go?
a. Over the breast
b. On top of the breast
c. Around the breast
d. Under the breast
23. Before transmitting you should read the 12 lead ECG for errors before
transmitting?
a. True
b. False
24. What is a common cause of ECG signal noise/artifact?
a. Vehicle movement
b. Breathing difficulty
c. Skin temperature
d. Age of electrodes
12 Lead ECG Acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
Date____________________________________
25. What is the proper way to prep the skin for electrode placement?
a. Remove dirt and debris with alcohol skin cleaner, leaving hair in
place.
b. Leave dirt and debris in place, placing electrodes in clean areas
around hair.
c. Brush dirt and debris away with a soft cloth, clean and shave skin
if hair prevents lead placement.
d. Wash shin with soap and water, to remove debris wetting down hair
to increase contact with electrodes