CET Holter Monitoring and Ambulatory EKG 3

Question 1

What is a key advantage of an implantable loop recorder (ILR) compared to a standard Holter monitor?

Accepted Answer

It can record cardiac data continuously for up to 3 years

Answer

It provides a full 12-lead EKG tracing

Answer

It continuously measures blood pressure

Answer

It automatically delivers electrical therapy during arrhythmias

Question 2

Mobile cardiac outpatient telemetry (MCOT) differs from a standard Holter monitor because it:

Accepted Answer

Transmits cardiac data wirelessly in real-time to a remote monitoring center

Answer

Records only for 12 hours

Answer

Is implanted subcutaneously under the skin

Answer

Only activates when manually triggered by the patient

Question 3

When a Holter recording is analyzed, which of the following is typically NOT assessed?

Accepted Answer

Pulmonary artery pressure

Answer

Frequency and type of arrhythmias

Answer

Heart rate variability

Answer

ST segment changes

Question 4

Which of the following is a significant concern when applying a Holter monitor to a patient?

Accepted Answer

Known severe allergy to electrode adhesive

Answer

Patient history of palpitations

Answer

Patient age over 65 years

Answer

Patient having a permanent pacemaker implanted

Question 5

During initial skin preparation for Holter monitoring, which step should be performed FIRST?

Accepted Answer

Clipping excessive body hair from the electrode sites

Answer

Applying electrode gel to the sites

Answer

Attaching lead wires to the recorder

Answer

Programming the recorder's time and date

Question 6

If a patient returns a Holter monitor that recorded for less than the prescribed duration, what should the technician document?

Accepted Answer

The reason for interruption, when it occurred, and the quality of available data

Answer

Nothing, since partial data has no diagnostic value

Answer

Only the total hours recorded

Answer

Only that the patient did not cooperate

Question 7

Which patient instruction is MOST important to reinforce before the patient leaves with a Holter monitor?

Accepted Answer

Keep the device dry and maintain the symptom diary accurately

Answer

Avoid eating high-fat foods during the recording period

Answer

Remove the device immediately if any discomfort is felt

Answer

Remain in bed for the first 12 hours of monitoring