Chapter 02: Basic Electrophysiology
Aehlert: ECGs Made Easy, 6th Edition
MULTIPLE CHOICE
1. In most patients, the sinoatrial (SA) and atrioventricular
... [Show More] (AV) nodes are supplied by the
coronary artery.
a. right
b. left main
c. circumflex
d. left anterior descending
ANS: A
The SA node receives its blood supply from the SA node artery that runs lengthwise through
the center of the node. The SA node artery originates from the right coronary artery in about
60% of people. The AV node is supplied by the right coronary artery in 85% to 90% of the
population. In the remainder, the circumflex artery provides the blood supply.
OBJ: Describe the location, function, and, when appropriate, the intrinsic rate of the following
structures: sinoatrial node, atrioventricular bundle, and Purkinje fibers.
2. The intrinsic rate of the atrioventricular (AV) bundle is beats/min.
a. 20 to 40
b. 40 to 60
c. 60 to 80
d. 80 to 100
ANS: B
The AV bundle has pacemaker cells capable of firing at a rate of 40 to 60 beats/min.
OBJ: Describe the location, function, and, when appropriate, the intrinsic rate of the following
structures: sinoatrial node, atrioventricular bundle, and Purkinje fibers.
3. How do you determine whether the atrial rhythm on an ECG tracing is regular or irregular?
a. Compare QT intervals.
b. Compare PR intervals.
c. Compare R to R intervals.
d. Compare P to P intervals.
ANS: D
To evaluate the regularity of the atrial rhythm on a rhythm strip, the interval between two
consecutive P waves is measured. The distance between succeeding P-P intervals is measured
and compared. If the atrial rhythm is regular, the P-P intervals will measure the same.
OBJ: Describe a systematic approach to the analysis and interpretation of cardiac dysrhythmias.
4. is the ability of cardiac pacemaker cells to spontaneously initiate an electrical impulse
without being stimulated from another source, such as a nerve.
a. Excitability
b. Conductivity
c. Automaticity [Show Less]