Cardiology Test Review

Question 1

What are the two major branches of the left coronary artery?

Answer 1

Left anterior descending and circumflex arteries

Question 2

I am a HR of 60 with a PR interval that widens until I drop a QRS. What am I?

Answer 2

Winkebach

Question 3

I have 3 p waves before ever yQRS and a PR interval of .14 with a WRS of .08. I am regular and rapid at 140 beats per minute. What am I?

Answer 3

A-flutter

Question 4

Describe S1

Answer 4

Mitral and tricuspid valves closing

Question 5

Describe S2

Answer 5

Aortic and semilunar valves closing

Question 6

1 large box of height on the ECG paper is hoe many millivolts?

Answer 6

.5 Millivolts

Question 7

Name the first line med for confirmed v-tach with a pulse?

Answer 7

Amiodarone 150 mg/10min

Question 8

Normal QT interval is?

Answer 8

.33-.42 seconds

Question 9

I have rapid irregular heart rate of 160-200 with chest pain, PB is 100/50. Treat me.

Answer 9

Cadizem .25 mg/kg or Metoprolol 5 mg

Question 10

ACLS first line medication for symptomatic PT in wide complex tachycardia is?

Answer 10

Adenosine 6 mg

Question 11

Cardiac monitor shows a sinus rhythm with an occasional early beat. Looking at the beat there is no P wave, and the QRS looks normal at .10. This is most likely?

Answer 11

PJC

Question 12

Upward deflection in the ECG paper represents?

Answer 12

Positive impulse (electricity moving towards the positive lead)

Question 13

Name the 4 chambers of the heart?

Answer 13

Left and right atrium and left and right ventricles

Question 14

These specialized givers connect to the cardiac valves preventing prolapse and back flow in the heart?

Answer 14

Chordae Tendineae

Question 15

This is the inner most layer of the heart

Answer 15

Endocardium

Question 16

These 5 electrolytes are responsible for the cardiac function…

Answer 16

Sodium, Potassium, Magnesium, Calcium, and Chloride

Question 17

Sodium Chemical Name

Answer 17

Na+

Question 18

Magnesium Chemical Name

Answer 18

Mg++

Question 19

Chloride Chemical Name

Answer 19

Ch-

Question 20

Calcium Chemical Name

Answer 20

Ca+

Question 21

Potassium Chemical Name

Answer 21

K+

Question 22

What is resting potential?

Answer 22

The normal electrical state of the cardiac cells where Potassium is resting inside the cell and Sodium is resting outside the cell.

Question 23

What is the first med for Bradycardia?

Answer 23

Atropine

Question 24

What receptors are located in the hear and are responsible for increased heart rate and contractility?

Answer 24

B1 Receptors

Question 25

The parasympathetic nervous system (vagus nerve) innervates the heart through the?

Answer 25

Cardiac Plexus

Question 26

What meds are commonly prescribed to PT's who have A-fib?

Answer 26

Digoxin, Coumadin, Cardizem, Verapamil, Metoprolol, Amiodarone

Question 27

What structures within the cardiac muscle fibers conduct electricity 400 times faster than the standard cell membrane.

Answer 27

Intercalated Disk

Question 28

What is the sequence of events that occurs between the end of one heart contraction and the end of the next?

Answer 28

Cardiac Cycle

Question 29

ECG shows a regular rhythm with a PRI of .25 and a QRS of .22 and a hr of 70. What rhythm is this?

Answer 29

Sinus Rhythm with first degree heart block

Question 30

What is the inability of the heart to meet the metabolic need of the body, resulting in inadequate tissue perfusion?

Answer 30

Cardiogenic Shock

Question 31

What are 6 things that can cause chest pain/ discomfort?

Answer 31

Angina, PE, Reflux, Pleuritic pain, Musculoskeletal Pain, Costal Congitis, Aortic Dissection

Question 32

How do we care for ROSC patients?

Answer 32

12 Lead EKG, ice, Labs, and a doctor

Question 33

Paroxysmal Nocturnal Dyspnea is most commonly caused by?

Answer 33

Left Heart Failure

Question 34

What pneumonic is used to help providers remember how to treat chest pain?

Answer 34

MONA

Question 35

How does morphine have vasodilatory effects?

Answer 35

Because it releases histamine

Question 36

Primary treatment of a PT with chest pain and dyspnea should be focused on cardiac. True or false?

Answer 36

False | Airway comes first!

Question 37

What is Atherosclerosis?

Answer 37

A progressive, degenerative disease of the medium-sized and large arteries.

Question 38

Pericarditis is what?

Answer 38

Irritation of the sac around the heart. This leads to many of the leads in a 12 lead EKG being effected.

Question 39

In treatment of a stable PT in SVT, oxygen is administered and IV is started. What is the next treatment for this PT?

Answer 39

As them to do a Vagal Maneuver

Question 40

PT in V-tach with a pulse, but unstable and has an altered LOC, chest pain, and severer hypotension. Your treatment should be?

Answer 40

Electro-cardioversion at 50-100j

Question 41

What is vasculitis?

Answer 41

Inflammation of the blood vessels

Question 42

PT has a rapid, irregular, narrow rhythm at a rate of 200-230. PT is unstable with altered LOC, hypotension, and Dyspnea. What should your treatment be?

Answer 42

Electro-cardioversion at 120-200j

Question 43

Pt presents with chest pain, and shortness of breath. Pain is sharp and moves into his back. Pt is pale, hypotensive, right arm BP is 80/50 and left arm is 140-90. What should I suspect?

Answer 43

Aortic DIssection

Question 44

What things will help me figure out why my PT is in PEA?

Answer 44

H's and T's

Question 45

What are the signs and symptoms of Beck's Triad?

Answer 45

Muffled Heart tones Narrowing Pulse Pressure JVD