UCLA EKG ACTUAL / STUDY GUIDE EXAM
QUESTIONS WITH VERIFIED CORRECT ANSWERS GRADED A+
Injury - ---Answers---ST segment elevation (a sign of acute injury going on presently) (look for sad face)
- Injury indicates the acuteness of an infarct (acute or recent)
- can still save heart cells/reverse
Necrosis - ---Answers---significant Q waves (≥than 1 square wide or ≥1/3 amplitude)
- indicated by Q-waves which make the dx
- Infarction is completed, now dead tissue
(canNOT be reversed, permanent damage)
anterior wall - ---Answers---V1, V2, V3, V4
- occlusion of anterior descending coronary artery
Anteroseptal region - ---Answers---V1, V2
Inferior wall - ---Answers---II, III, aVF
- occlusion of right or left coronary artery
- / 2
Lateral wall - ---Answers---I, aVL and V5, V6
- occlusion of circumflex artery
Posterior wall - ---Answers---since no post lead look in V1 for unusually large R wave
- occlusion of right coronary artery
Angina pectoris - ---Answers---...
Unstable angina - ---Answers---...
Digitalis Effect - ---Answers---- shortened QT interval
- characteristic down-sloping ST depression (SCOOPING ST
seg)
Hyperkalemia - ---Answers---tall, peaked and narrow T
severe --> flattening of P wave, wide QRS, and tall T='sine wave'
Hypokalemia - ---Answers---- flat T present
- depressed ST seg
- U wave to prominent U wave
Pericarditis - ---Answers---ST segment elevated in ALL leads
- / 2