Patient Care Technician (PCT) AAH Practice Exam

More than one premature beat that appears identical is called?

1. Multifocal

2. Unifocal

3. Monomorphic

4. Polymorphic

The correct answer is: Unifocal

The term "unifocal" refers specifically to premature beats (such as premature atrial contractions or premature ventricular contractions) that originate from a single focus or site within the heart, hence the beats appear identical when viewed on an electrocardiogram (ECG). This is significant in differentiating from other types of beats. When multiple premature beats appear identical, it indicates that they are coming from the same originating point or ectopic focus, suggesting a consistent electrical activity from that site. In contrast, multifocal beats would originate from multiple different ectopic foci, leading to varying appearances, and thus are not identical. The term "monomorphic" is often used interchangeably with "unifocal" in certain contexts, although it can also refer more specifically to waves that, while originating from one focus, are also uniform in shape across the entire rhythm. "Polymorphic" refers to beats that exhibit different shapes and sizes, which does not apply when discussing multiple identical beats. Understanding these terms helps healthcare professionals accurately identify the underlying rhythm disturbances and determine the appropriate clinical action or treatment needed.