fisdap cardiology

Question 1

64 yo states “I am about to die” NTG/O2 did not decrease chest pain, BP 90/66, P60, R24

Answer 1

transport immediately

Question 2

Largest artery?

Answer 2

Aorta

Question 3

Struck by lightning >

Answer 3

irregular heartbeat

Question 4

Oriented 78 yo, Female with pale, moist skin complaints of indigestion, BP 80/40, P116 irregular, R 24 regular

Answer 4

MI

Question 5

73 yo Female, chest pain and shortness of breath , bilateral crackles, BP 80/40, P112 R 22

Answer 5

Cardiogenic shock

Question 6

49 yo male, history of heart problems, has chest pressure, shortness of breath. Assist in taking prescribed NTG if he:

Answer 6

headache BP 132/90

Question 7

Child in cardiac arrest with unknown downtime

Answer 7

CPR & AED

Question 8

When do coronary arteries fill with blood?

Answer 8

diastole

Question 9

Vessels that supply myocardium

Answer 9

coronary artery

Question 10

Sudden onset of tearing chest pain, absent radial pulse on right arm, history of high blood pressure

Answer 10

aortic dissection

Question 11

Heart lacks enough power to pump the proper volume of blood through circulatory system

Answer 11

cardiogenic shock

Question 12

40 yo with history of coronary artery disease and recent mastectomy complains of chest discomfort, P 120, R 22, BP 80/54

Answer 12

septic shock

Question 13

76 yo female, tripod position, complaints of abdominal
discomfort, nausea, dizziness, fatigue. Taken 2 NTG
without relief.

Answer 13

MI

Question 14

78 yo diabetic with syncopal episodes complaints of

anxiety, shortness of breath, back pain

Answer 14

acute coronary syndrome

Question 15

Cardiac arrest for 7 minutes after struck by lightning

Answer 15

CPR

Question 16

Primary assessment, 57 yo female, has chest pain at

epigastric region. What should you do?

Answer 16

Administer 02

Question 17

Aspirin’s effect on the body for AMI

Answer 17

prevent platelets from clotting

Question 18

65 yo male, complains of weakness and indigestion, BP

150/90 P 116 R24

Answer 18

MI

Question 19

A buildup of calcium and cholesterol form plaque inside

blood vessels most likely causes

Answer 19

Acute coronary syndrome (OR ATHEROSCLEROSIS)

Question 20

Shocked patient back into normal rhythm with AED.

During transport, patient becomes cyanotic and pulseless

Answer 20

CPR and request ambulance to stop

Question 21

67 yo male, history of asthma, complains of chest
tightness and shortness of breath. Took 1 NTG without
relief. Skin is pale and sweaty. sPO2: 76%

Answer 21

Administer 02 by NBR

Question 22

Cause of heart failure

Answer 22

inadequate ejection of blood from ventricles

Question 23

44 yo Female awakened with shortness of breath,

indigestion, epigastric pressure, and antacids do not help

Answer 23

MI

Question 24

Within 2 minutes of assisting patient with 3rd NTG tablet,
complaints of dizziness and is sweaty. Radial pulse is
present, rapid and weak.

Answer 24

NTG causes vasodilation and decreased perfusion

Question 25

60 yo complain of shortness of breath and is cyanotic. Has crackles and uses accessory muscles.

Answer 25

Left heart failure

Question 26

Muscular middle layer of heart

Answer 26

Myocardium

Question 27

57 yo female has severe weakness with mild shortness of breath while shoveling snow. Is diaphoretic and has nausea and jaw pain.

Answer 27

MI

Question 28

Sudden, severe increase of blood pressure

Answer 28

hypertensive crisis

Question 29

Vessels that regulate regional blood flow to capillary beds

Answer 29

Arterioles

Question 30

Chronic hypertension in adults begin at pressure higher than

Answer 30

140/90

Question 31

54 yo male has chest tightness after raking leaves. Pain is gone after rest and 2 NTG tablets. He has had similar episodes in the past.

Answer 31

angina pectoris

Question 32

Primary action of NTG

Answer 32

dilates coronary artery

Question 33

Substernal chest pain with radiating pain to back and jaw. Pain not relieved with rest.

Answer 33

AMI

Question 34

54 yo female is suddenly pulseless and apneic

Answer 34

give chest compressions

Question 35

Aspirin is given to patients with chest pain because

Answer 35

decrease the ability of platelet clotting

Question 36

67 yo male complains of shortness of breath, chest pain, | nausea. He is ashen and clammy. BP 90/60, P 148, R 32

Answer 36

place in supine

Question 37

48 yo complain of difficult breathing, history reveals AMI | 8 months ago. BP 144/88, P 110, R 24. Crackles in lungs

Answer 37

Pulmonary edema

Question 38

Signs and symptoms of cardiogenic shock

Answer 38

JVD

Question 39

62 yo male complains of chest pain and lightheadedness. | BP 88/56, P 126, R 18

Answer 39

Supine

Question 40

Asthmatic 50 yo female sitting at her desk, is anxious and | complains of tightness in chest

Answer 40

Call medical control

Question 41

68 yo female with cardiac history is complaining of | shortness of breath and crackles bilateral

Answer 41

CHF

Question 42

48 yo male is complaining of 8/10 crushing chest pain that radiates to neck. BP 112/78, P 60, R18. Daily medications= metoprolol, Cialis, aspirin

Answer 42

transport immediately

Question 43

46 yo male in cardiac arrest, had 1 shock, and at 2 minute | pulse check = carotid pulse is strong

Answer 43

assess for breathing and manage airway

Question 44

36 yo female with history of congenital heart defects is slow to respond. Skin is pale, cool, and clammy. BP 68/30, P 128, R 26

Answer 44

cardiogenic shock

Question 45

80 yo male has shortness of breath, fatigue, peripheral | edema and JVD. Has crackles and rhonchi.

Answer 45

CHF

Question 46

84 yo with history of heart problems complains of chest pain that started 30 minutes ago while at rest. BP 110/70, R 20, sPO2 95%

Answer 46

administer NTG

Question 47

Adult pulse of 50

Answer 47

Bradycardic

Question 48

69 yo male is lying in bed and has chest pain. He becomes | unresponsive and pulseless.

Answer 48

Move to hard surface

Question 49

Systolic blood pressure measures pressure during

Answer 49

ventricular contraction

Question 50

Most likely to benefit from AED

Answer 50

54 yo choking patient who is unresponsive with no | carotid pulse

Question 51

NTG is typically administered

Answer 51

Sublingually

Question 52

Adult patient in cardiac arrest with bystander CPR in | progress

Answer 52

continue CPR while partner attaches AED

Question 53

Adult collapses. As you get the AED a bystander starts | CPR. You should deliver 1st shock if indicated,

Answer 53

ASAP on arrival at patient's side

Question 54

Patient complains of chest pain radiating to both shoulders. Is pale, diaphoretic, slight shortness of breath. Pain worsens with deep breaths. BP 150/90, P 120 irregular, R 20

Answer 54

Costochondritis

Question 55

Pulmonary artery carries

Answer 55

Deoxygenated blood away from the heart

Question 56

EMR is doing CPR. Upon arrival AED indicates shock | advised

Answer 56

defibrillate patient

Question 57

Cardiac arrest patient is "down" for 6 minutes without | care

Answer 57

chest compression

Question 58

A just defibrillated patient who now has a pulse and | effective respirations

Answer 58

Recovery

Question 59

75 yo male has weakness and chest pain. He has not taken prescription medications (NTG, aspirin, atenolol)

Answer 59

medical control to assist with NTG

Question 60

66 yo female has chest pain. Took 3 doses of NTG with | no relief.

Answer 60

administer O2

Question 61

While performing chest compressions

Answer 61

shoulders should be over your hands

Question 62

Most important part in CPR

Answer 62

minimal interruptions to chest compressions

Question 63

Patient collapsed and is revived with 1 shock from the | AED. Now is moaning and breathing on her own.

Answer 63

turn on side and monitor airway

Question 64

CPR rate on a 17 yo female

Answer 64

120 compressions/min