100+ Free AMCA ETC Practice Questions
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A posterior STEMI is suggested by which EKG findings in leads V1–V2?
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Key Facts: AMCA ETC Exam
100
Exam Questions
AMCA ETC
2 hours
Time Limit
AMCA
70%
Passing Score
AMCA
36%
Electrocardiography
Largest domain
$119
Exam Fee
AMCA 2026
2 years
Certification Valid
10 CEU renewal
The AMCA ETC exam has 100 questions completed in 2 hours with a 70% passing score. Electrocardiography is the largest domain at 36%, covering 12-lead placement, waveform interpretation, arrhythmia recognition, and troubleshooting. The $119 exam fee is often covered by training program vouchers. Certification is valid for 2 years; recertification requires 10 CEUs.
Sample AMCA ETC Practice Questions
Try these sample questions to test your AMCA ETC exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1Which node is considered the primary pacemaker of the heart?
2What is the normal intrinsic rate of the AV node when acting as a secondary pacemaker?
3The correct order of electrical conduction through the heart is:
4Which electrode placement is used for the V1 lead in a standard 12-lead EKG?
5Where is the V4 precordial electrode placed?
6Which limb lead electrode is placed on the right leg (RL)?
7What does the P wave on an EKG represent?
8The QRS complex on an EKG represents:
9The T wave on an EKG represents:
10What is the normal PR interval?
About the AMCA ETC Exam
The AMCA EKG Technician Certification (ETC) validates competency in performing and interpreting electrocardiograms in clinical settings. The 100-question, 2-hour exam covers six domains: Electrocardiography (36%), Anatomy and Physiology of the Heart (20%), Diseases/Disorders of the Heart (14%), General Patient Care (12%), Medical Terminology (10%), and Pharmacology (8%). NCCA-accredited since 2025, the ETC is recognized in all 50 states and is frequently required or preferred for EKG technician roles in hospitals, clinics, and cardiology offices.
Questions
100 scored questions
Time Limit
2 hours
Passing Score
70%
Exam Fee
$119 (American Medical Certification Association (AMCA) / PSI Testing Centers)
AMCA ETC Exam Content Outline
Electrocardiography
12-lead placement (V1–V6 anatomical landmarks, limb leads), waveform interpretation (P, QRS, T, U waves; PR, QRS, QT intervals), normal sinus rhythm, rate calculation, rhythm strip analysis, atrial rhythm analysis, ventricular rhythm analysis, STEMI pattern localization, pacemaker spikes, and common tracing problems (artifact troubleshooting)
Anatomy and Physiology of the Heart
Cardiac anatomy (chambers, valves, great vessels), electrical conduction system (SA node, AV node, Bundle of His, bundle branches, Purkinje fibers), blood flow through the heart, cardiac cycle, heart sounds, heart rate regulation, cardiac output, and intercostal space landmarks
Diseases and Disorders of the Heart
Sinus arrhythmias (bradycardia, tachycardia), atrial arrhythmias (PACs, AFib, AFlutter, SVT, MAT), junctional rhythms, ventricular arrhythmias (PVCs, VT, VFib, torsades), AV heart blocks (1°, 2° Mobitz I/II, 3°), STEMI localization, electrolyte effects (hyperkalemia, hypokalemia, hypocalcemia, hypercalcemia), and coronary artery disease basics
General Patient Care
Patient identification (two-identifier safety standard), informed consent, patient positioning (supine), skin and electrode site preparation, electrode placement, standard precautions, hand hygiene, infection control, single-use electrode disposal, HIPAA and PHI protection, professional scope of practice, and emergent response (recognizing critical findings and notifying clinicians)
Pharmacology
Cardiac medications affecting EKG: antiarrhythmics (amiodarone, lidocaine, sotalol, adenosine), ACLS drugs (epinephrine, atropine), digitalis effects, QT-prolonging medications, and electrolyte replacement rationale
Medical Terminology
Cardiac and circulatory prefixes (brady-, tachy-, cardio-, angio-), suffixes (-arrhythmia, -cardia, -gram), root words, abbreviations common in EKG and cardiology documentation
How to Pass the AMCA ETC Exam
What You Need to Know
- Passing score: 70%
- Exam length: 100 questions
- Time limit: 2 hours
- Exam fee: $119
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
AMCA ETC Study Tips from Top Performers
Frequently Asked Questions
What is the AMCA EKG Technician Certification (ETC)?
The AMCA ETC is a nationally recognized certification for EKG technicians offered by the American Medical Certification Association (AMCA). It demonstrates competency in performing 12-lead EKGs, interpreting cardiac rhythms, Holter monitoring, and telemetry. The certification received NCCA accreditation on September 1, 2025, and is recognized in all 50 states.
How many questions are on the AMCA ETC exam?
The AMCA ETC exam contains 100 multiple-choice questions. Candidates have 2 hours to complete the exam. The passing score is 70% (70 correct out of 100). The exam is administered at PSI Testing Centers or at your school with live remote proctoring.
What does the AMCA ETC exam cover?
The exam covers six content areas: Electrocardiography (36%), Anatomy and Physiology of the Heart (20%), Diseases/Disorders of the Heart (14%), General Patient Care (12%), Medical Terminology (10%), and Pharmacology (8%). Electrocardiography — covering 12-lead placement, waveform interpretation, and arrhythmia recognition — is the largest domain.
What are the eligibility requirements for the AMCA ETC exam?
AMCA requires a high school diploma or equivalent and recommends a minimum of 10 successful EKG recordings before attempting the exam. Completing an AMCA-recognized EKG training program is strongly recommended. Individual state requirements may apply, so verify your state's specific prerequisites.
How much does the AMCA ETC exam cost?
The AMCA ETC exam fee is $119. Many EKG technician training programs include an exam voucher that covers this cost. The recertification fee is $15 plus CEU costs every 2 years.
How long is AMCA ETC certification valid?
The AMCA ETC certification is valid for 2 years. Recertification requires 10 continuing education units (CEUs). CEUs can be earned through AMCA-approved courses or outside accredited programs. Certifications expired for more than one year require retesting.
How should I prepare for the AMCA ETC exam?
Focus your preparation on the highest-weight domain: Electrocardiography (36%), which covers 12-lead placement, waveform intervals, and arrhythmia recognition. Then master cardiac anatomy and conduction (20%), disease patterns including STEMI and electrolyte effects (14%), and patient care/HIPAA (12%). Use AMCA's official study guide and practice questions aligned to the blueprint.