Cardiology (Part2) Flashcards
A 55 year-old female complains of pressure in her upper abdomen. She tells you it is started while she was sitting at her desk doing paperwork. She has a history of hypertension and high cholesterol. Her vital signs are P 88 and irregular, R 16, BP 140/86, and SPO2 is 95% on room air you should administer:
A) Aspirin
B) Oxygen by nasal cannula
C) antacid
D) Oxygen by simple face mask
A) Aspirin
An 85-year-old man tells you he woke up sweaty and nauseated. He tells you he, has a funny feeling in his chest that he cannot specifically describe. He tells you he has a history of diabetes and hypertension. His lungs are clear to osculation. His vital signs are P104 and irregular, R 14, BP102/88, and SPO2 is 91% on room air. You should first:
A) assess for orthostatic hypotension.
B) assist with the administration of nitroglycerin
C) administer oxygen
D) assess his blood glucose level
C) administer oxygen
Which of the following can result in the occlusion of a coronary artery?
A) increase the stomach vascular resistance
B) pulmonary artery embolism
C) arthrosclerosis of a coordinate artery
D) reduce cardiac output
C) Arthur Squillace of a coronary artery
Why should you administer aspirin to a patient whom you suspect has cardiac compromise?
A) to dilate, coronary arteries at the site of the ruptured plaque
B) to reduce clotting at the site of a ruptured coronary plaque
C) to dissolve a ruptured coronary plaque
D) to provide analgesic effects at the site of a ruptured coronary plaque
B) to reduce cladding at the site of corrupted coronary plaque
An 81-year-old male is experiencing chest pain. He has no signs of dypsnea or shock. Why should you target oxygen and administration to a SPO2 between 94% and 99%?
A) to increase vasodilation
B) to increase carbon dioxide removal
C) to reduce production of free radicals
D) to reduce platelet aggregation
C) to reduce production of free radicals
What causes discomfort associated with angina?
A) myocardial tissue strain
B) myocardial tissue hypoxia
C) increased intracellular pressure
D) decreased Lactate production
B) myocardial tissue hypoxia
A 28 year-old female complaints that she feels like she is going to pass out. She tells you this started suddenly after ingesting several energy drinks. Her vital signs are P172, R 18, BP 96/76, and SPO2 is 98% on room air. What should you suspect in causing her complaint?
A) neurogenic shock
B) increased cardiac output
C) tachycardia
D) stroke
C) tachycardia
A 65-year-old male complains of generalized weakness. He tells you that he almost passed out earlier today. His lungs are clear to ausculation. His vital signs are P 44, R 16, BP 96/68, and SPO2 is 94% on room air. You should suspect:
A) respiratory distress
B) cardiogenic shock
C) obstructive shock
D) respiratory failure
B) cardiogenic shock
A 66-year-old female complains of a sudden onset of dizziness. She tells you she thinks she has the flu. Her lungs are clear to osculation, and she has had good chest expansion. Her skin is pale, warm, and dry. Her vital signs are P 48R 16 BP 88/56, and SPO2 is 93% on room air. You should suspect:
A) reduced cardiac output
B) increase sympathetic stimulation
C) poor Alveolar ventilation
D) influenza
A) reduced cardiac output
32-year-old male complains of nearly passing out and nausea. He tells you he feels a fluttering in his chest. He has a 26 pack year, smoking history. You osculate scattered bronchi in the basis of his lungs. His vital signs are P168, R 14, BP 92/58 and SPO2 is 94% on room air. You should suspect:
A) respiratory failure
B) reduced cardiac output
C) vasovagal syncope
D) in digestion
B) reduce cardiac output
An 80-year-old female complains of a suddenly regular heartbeat. She tells you she feels weak and nauseated. Her vital signs are P128 and irregular, or 16, BP 148/92, and SPO2 is 95% on air you should suspect:
A) cardogenic shock
B) ventricular fibrillation
C) a stroke
D) cardiac arrhythmia
D) cardiac arrhythmia
59-year-old male complains of dizziness and palpitations. He denies Dyspnea. His vital signs are P178, R 16, BP 92/56 and SPO2 is 94% on room air. You should:
A) administer oxygen by nasal cannula
B) assist with the administration of nitroglycerin
C) administer oxygen by nonrebreather mask
D) administer aspirin
B) administer oxygen
A 52-year-old female complains of waking up lightheaded. Her skin is pale and diaphoretic. You ausculate clear lung sounds. Her vital signs are P 46, R 16, BP 86/58, and SPO2 is unattainable. You should:
A) administer aspirin
B) administer oxygen
C) assist with the administration of nitroglycerin
D) attached the AED
B) administer oxygen
A 50-year-old male has a new onset of palpitations in his chest. He denies pain or difficulty breathing. He has a history of smoking and hypertension. You ausculate course crackles scattered in his lower lungs. His vital signs are P116 and irregular, R 14, BP 148/92, and SPO2 is 95% on room air. You should:
A) administer oxygen by nonrebreather mask
B) assist with the administration of nitroglycerin
C) transport him
D) administer oxygen by nasal cannula
C) transport him
27-year-old female complains of palpitations and dizziness. She denies any past medical history. Her vital signs are P188, R18, BP 88/62, and SPO2 is 94% on room air. You should first;:
A) administer oxygen
B) transport her
C) administer aspirin
D) attach the AED
A) administer oxygen
39-year-old male complaints of severe fatigue. He denies pain or difficulty breathing. He tells you he has myocarditis last year and since then his heart rate has been slow his skin is pale. His vital signs are P 54, R 16, BP 114/84, and SPO2 is 94% on room air. You should:
A) transport him
B) administer oxygen by nonrebreather mask
C) administer oxygen by nasal cannula
D) administer aspirin
A) transport him
Why would a 21 year-old female who has a regular pulse of greater than 160 have signs of cardiogenic shock?
A) electrical impulses are not conducted efficiently
B) oxygen diffusion is decreased because of increased perfusion
C) myocardial cells do not have enough time to polarize
D) preload is reduced to a decreased atrial filling time
D) preload is reduced to a decreased atrial filling time
Why would a 20 year-old male who has a regular pulse less than 50 have signs of hypoperfusion?
A) his atrial filling time is too long
B) diastolic is decreased
C) coronary artery filling time is reduced
D) his cardiac output is too low
D) his cardiac output is too low
A 44 year-old female tells you she feels palpitations and short of breath. She tells you she is taking medication to treat her atrial fibrillation. Her lungs are clear to auscultation. Her vital signs are P106 and irregular, R 18, BP 146/84, and SPO2 is 95% on room air. You should.:
A) administer aspirin
B) administer oxygen by nonrebreather
C) transport her
D) administer oxygen by nasal cannula
D) administer oxygen by nasal cannula
An unresponsive 84 year-old male was found in bed. His skin is pale and diaphoretic. His lungs are clear to auscultation and have equal expansion. His vital signs are P 38, or 16, BP 82/58, and SPO2 is 90% on room air. You should:
A) attach the AED
B) assist his ventilation
C) begin chest compressions
D) administer oxygen
D) administer oxygen
An unresponsive 54 year-old female is apneic and pulseless. Your partner begins chest compressions while you attach the AED and analyze the rhythm. The AED announces, “shock advised.” You should suspect:
A) a pulseless of ventricular tachycardia
B) aystole
C) super ventricular tachycardia
D) pulseless electrical activity
A) a pulseless of ventricular tachycardia
You are resuscitating and unresponsive 90-year-old male who is in cardiac arrest. After the AED and analyzes his rhythm, it advises you should shock him. What cardiac rhythm should you suspect he is in?
A) Wolff, Parkinson White syndrome
B) ventricular fibrillation
C) atrial fib
D) paroxysmal super ventricular tachycardia
B) ventricular fibrillation
An unresponsive 88 year-old female is apenic and pulseless. You’re performing chest compressions. Your partner attaches the AED and analyzes her rhythm. The AED announces, “no shock advised.” You should suspect;
A) the patient was moving while the AED was analyzing the rhythm
B) pulseless electrical activity
C) ventricular fibrillation
D) your partner did wait until after two minutes of compressions before on analyzing her rhythm
B) pulseless electrical activity
An unresponsive 71-year-old male is lying in his bed. His wife tells you that she last saw him normal last night when he went to bed. You should first;
A) perform a stroke assessment
B) assess his breathing and pulse
C) assess his blood glucose level
D) move him to the floor
B) assess his breathing and pulse
