Certified Medical Assistant (CMA AAMA)Procedures, Examinations and DiagnosticsHard

During EKG standardization, the machine is set so that 1 millivolt (mV) of electrical activity produces a deflection of 10 mm on the graph paper. If a patient's QRS complex measures 15 mm in height, what is the approximate voltage represented?

  1. A1.5 mV
  2. B0.5 mV
  3. C2.0 mV
  4. D1.0 mV
Show answer & explanation

Correct answer: A. 1.5 mV

Standard calibration is 10 mm = 1 mV, so each millimeter represents 0.1 mV. A 15 mm deflection equals 15 x 0.1 mV = 1.5 mV.

Why the other options are wrong

  • B. This would correspond to only 5 mm of deflection, not 15 mm.
  • C. This would require 20 mm of deflection, more than stated.
  • D. This would correspond to exactly 10 mm, not the 15 mm given.

EKG Standardization Calculation

Standard EKG calibration is 10 mm = 1 mV, meaning each millimeter of deflection equals 0.1 mV of electrical voltage.

  • Standard calibration: 10 mm = 1 mV
  • Each mm = 0.1 mV
  • Used to verify accurate machine calibration and voltage measurement

Memory trick: Ten millimeters, one millivolt—divide by ten for each mm.

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