CCT - Certified Cardiographic Technician Ambulatory (Holter) Monitoring Questions and Answers

Question 1

A patient undergoing Holter monitoring is instructed to keep a diary. What is the primary purpose of this diary?

Accepted Answer

To correlate the patient's symptoms with the ECG recording.

Answer

To record medication times and dosages.

Answer

To document diet and fluid intake.

Answer

To track hours of sleep and rest periods.

Question 2

A patient calls the clinic stating that their Holter monitor is beeping intermittently. They have checked the battery, and it appears to be fine. Which of the following is the most likely cause?

Accepted Answer

A poor or detached electrode connection.

Answer

The monitor's memory is full.

Answer

A serious arrhythmia has been detected.

Answer

The device is operating normally.

Question 3

Which of the following instructions is most critical for a CCT to provide to a patient being fitted for a standard 24-hour Holter monitor?

Accepted Answer

Refrain from bathing or showering while wearing the device.

Answer

Avoid using a microwave oven during the monitoring period.

Answer

Press the event marker button every hour on the hour.

Answer

Limit physical activity to only essential daily tasks.

Question 4

Ambulatory Holter monitoring is particularly effective for diagnosing which of the following conditions?

Accepted Answer

Intermittent or paroxysmal arrhythmias.

Answer

Acute ST-elevation myocardial infarction.

Answer

Stable angina pectoris.

Answer

Congestive heart failure exacerbation.

Question 5

While reviewing a 24-hour Holter recording, a technician notes several periods of significant baseline wander and artifact, making interpretation difficult. Which of the following is a common cause of this type of artifact in an ambulatory setting?

Accepted Answer

Poor electrode-to-skin contact.

Answer

Patient sleeping in a cold room.

Answer

Interference from a nearby cell phone.

Answer

Low battery power in the monitor.

Question 6

What is the standard, most common recording duration for a traditional Holter monitor test?

Accepted Answer

24-48 hours

Answer

4-8 hours

Answer

7 days

Answer

30 days