Date____________________________________
12 Lead ECK acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
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. How many chambers does the heart have?
a. 2
b. 6
c. 8
d. 4
4. Which vessel brings oxygen rich blood back to the heart?
a. Pulmonary Artery
b. Pulmonary Vein
c. Vena cava
d. Aorta
5. 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
Date____________________________________
12 Lead ECK acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
6. When is the heart fed?
a. Asystole
b. Diastole
c. Systole
d. Contraction
7. The components of the hearts 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
8. 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, 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.
9. 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
10. 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
11. That stage of ischemia is defined as?
a. Hypoxic tissue
b. Injured Tissue
c. Dead tissue
d. Recovering Tissue
Date____________________________________
12 Lead ECK acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
12. The stage of injury is defined as?
a. Hypoxic tissue
b. Injured Tissue
c. Dead tissue
d. Recovering Tissue
13. The stage of infarct is defined as?
a. Hypoxic tissue
b. Injured Tissue
c. Dead tissue
d. Recovering Tissue
14. 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
15. 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.
16. 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
17. 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
18. 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
Date____________________________________
12 Lead ECK acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
19. 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
20. 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 axillary, V3 between 2 and 4, V5
between 4 and 6.
21. 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
22. A normal EKG means means that a patient is not having a heart attack?
a. True
b. False
23. 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
24. Before transmitting you should read the 12 lead EKG for errors before
transmitting?
a. True
b. False
Date____________________________________
12 Lead ECK acquisition & Transmission for BLS Providers Written Assessment
Name__________________________________
25. What are common causes of ECG signal noise/artifact?
a. Vehicle movement
b. Breathing difficulty
c. Skin temperature
d. Age of electrodes