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Certified EKG Technician (CET) Exam — Practice

EKG Analysis and Interpretation: practice questions

Our EKG tech (CET) bank has 64 questions on this topic. Here are 5 of them with answers; the full mock exam draws from every topic, like the real one.

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Question 1

A QRS duration of 0.14 s with an 'M-shaped' (rSR') pattern in V1 suggests

  1. Atrial flutter
  2. First-degree AV block
  3. Left bundle branch block
  4. Right bundle branch block
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D. Right bundle branch block — RBBB widens the QRS with an rSR' pattern in V1.

Question 2

Which rhythm shows 'sawtooth' waves between QRS complexes?

  1. Atrial fibrillation
  2. Atrial flutter
  3. Sinus tachycardia
  4. Ventricular fibrillation
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B. Atrial flutter — Flutter waves have a sawtooth pattern, often at a 2:1 or 4:1 conduction ratio.

Question 3

A sinus rhythm at 48 per minute is called

  1. Normal sinus rhythm
  2. Atrial flutter
  3. Sinus tachycardia
  4. Sinus bradycardia
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D. Sinus bradycardia — Sinus bradycardia is a sinus rhythm below 60/min.

Question 4

After a ventricular pacing spike, what does the QRS usually look like?

  1. Narrow and normal
  2. Absent
  3. Sawtooth
  4. Wide
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D. Wide — Ventricular paced beats spread cell to cell, producing a wide QRS.

Question 5

Using the 6-second method, a strip has 8 QRS complexes in 6 seconds. What is the heart rate?

  1. 100 per minute
  2. 60 per minute
  3. 80 per minute
  4. 48 per minute
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C. 80 per minute — Count QRS complexes in 6 seconds and multiply by 10: 8 × 10 = 80.

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