acsm 030-444 Exam Questions
Questions for the 030-444 were updated on : Nov 21 ,2025
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Question 1
The P wave on the ECG can be
- A. Negative
- B. Positive
- C. Isoelectric
- D. Either positive or negative
Answer:
D
Question 2
Myocardial cells can be excited in response to all of the following stimuli EXCEPT:
- A. Electrical
- B. Chemical
- C. Mechanical
- D. Emotional
Answer:
D
Question 3
In atrial flutter, the stimulation rate is approximately
- A. 75 bpm
- B. 125 bpm
- C. 200 bpm
- D. 300 bpm
Answer:
D
Question 4
Right-axis deviation may be caused by
- A. Acute pericarditis.
- B. Right atrial enlargement.
- C. Chronic obstructive pulmonary disease.
- D. Cardiomyopathy.
Answer:
C
Question 5
In the ECG strip sho'ATI1 below, what abnormalities are indicated?
- A. Left atrial enlargement and LVH.
- B. Right atrial enlargement and right ventricular hypertrophy.
- C. Left anterior fascicular block and left posterior h,scicular block.
- D. Subendocardial ischemia and infarction Avf V3 V6
Answer:
A
Question 6
Tall, positive T waves may be caused to all of the following EXCEPT
- A. Hyperacute phase of MI.
- B. LVH.
- C. Acute pericarditis.
- D. Hypocalcemia.
Answer:
D
Question 7
Digitalis effect refers to
- A. Scooped-out depression of the ST segment produced by digitalis.
- B. Elevation of the PR interval produced by digitalis.
- C. Shortening of the QT interval produced by digitalis.
- D. Prolongation of the QRS complex produced by digitalis.
Answer:
A
Question 8
In response to various stimuli, movements of ions occur, causing the rapid loss of the internal
negative potential. This process is known as
- A. Polarization.
- B. Repolarization.
- C. Automaticity.
- D. Depolarization.
Answer:
D
Question 9
Which of the following is one cause of a wide QRS complex?
- A. Hypokalemia.
- B. Defective intraventricular conduction.
- C. Right atrial enlargement.
- D. Abnormal ST segment
Answer:
B
Question 10
Differentiation between supraventricular and ventricular rhythm is made on the basis of the
- A. Duration (width) of the QRS complex and the presence or absence of P waves.
- B. Appearance of the ST segment.
- C. Amplitude of the U wave.
- D. Duration of the PR interval.
Answer:
A
Question 11
Which of the following conditions can prolong the QT interval?
- A. Hypokalemia and hypercalcemia.
- B. Hyperkalemia and hypercalcemia.
- C. Hypocalcemia and hypokalemia.
- D. Hypocalcemia and hyperkalemia.
Answer:
D
Question 12
Abnormally tall and peaked T waves suggest which of the following?
- A. Hyperkalemia.
- B. Acute pericarditis.
- C. Acute MI.
- D. Hypokalemia.
Answer:
A
Question 13
In the ECG strip shown below, which arrhythmia is indicated?
- A. Atrial flutter.
- B. Atrial fibrillation.
- C. Premature atrial contractions.
- D. Atrial tachycardia.
Answer:
A
Question 14
In the ECG strip shown below, which arrhythmia is present?
- A. Premature ventricular contractions.
- B. Ventricular tachycardia.
- C. Ventricular trigeminy.
- D. Ventricular bigeminy. (From Goldberger AL: Clinical Electrocardiography: A Simplified Approach, 6th ed. 51. Louis, Mosby, 1999, p 167.)
Answer:
B
Question 15
Subendocardial ischemia usually produces
- A. ST-segment elevation.
- B. ST -segment depression.
- C. Q waves.
- D. U waves.
Answer:
B