Quiz #13 Review Flashcards
2.) Which of the following statements regarding treatment for first degree heart block is correct
Treatment is generally not indicated unless the rate is slow and cardiac output impaired.
1.) An unresponsive, pulseless apneic patient presents with ventricular tachycardia on the cardiac monitor after defibrillation of the patient you should:
Resume CPR and reassess the patient after two minutes
3.) A 41-year-old man complains of chest heaviness and mild shortness of breath that began about two hours ago. He is conscious and alert,as you are assessing him he tells you that he has high blood pressure for which he takes clonidine his b/p is 160/90 HR 140 beats/min and regular. Respiration are 22 beats/min and somewhat labored. The cardiac monitor displays narrow complex tachycardia in lead II. which of the following intervention is not appropriate for this patient.
Adenosine
4.) When assessing anxious patient who presents with tachycardia you must:
You must determine if the tachycardia is causing hemodynamically instability
5.) A 2nd degree heart block type I occurs when:
Each excessive impulse is progressively delayed until one impulse is blocked entering the ventricle.
6.) You are dispatched to a residence at 2 am for a elderly man with shortness of breath. The pt tells you that he is suddenly awakened with a felling of being smothered. You note dry blood on his lips and he tells you that he has some type of breathing problem for which he uses a prescribed inhaler and take a “heart pill” you should you suspect:
Left sided heart failure
7.) Ventricular bigeminy occurs when:
Every second complex has a PVC
8.) Which of the following statements is correct:
Lead III is contiguous with lead II and aVF
9.) A 39 yr old man in asystole has been unresponsive to high quality CPR and has 2 doses of epi. The patient is incubated and an IO catheter is in place. You should focus on:
Searching for reservable causes.
10.) A 68 yr old woman presents with an acute onset of confusion, shortness of breath and diaphoresis her b/p is 72/50 HR slow and weak and her respirations are decreased and shallow. The EKG revealed a 3rd degree heart block at a rate of 38 beats/min after placing the pt on high flow o2 you should:
Immediately attempt transcutaneous pacing
11.). A 56 yr old women complains of chest tightness shortness of breath a nausea. During your assessment you note that she appears confused he is diaphoretic and his b/p 98/68 and has a rapid radial pulse. The cardiac monitor reveals a wide QRS complex tachycardia at a rate of 200 beats per minute. After administrating high flow O2 you should:
Establish IV access, consider sedation and perform synchronized cardioversion
12.) As you are reviewing the medications of a semiconscious pt as your partner and another paramedic provide pt care the pt’s medications include Lanoxin, enalapril, lasix, Coumadin and k-Dur. The medication that is most consistent with this pt who has:
CHF, hypertension, a- fib
13.) Which of the following statements regarding regarding asystole correct:
Asystole as a result of prolonged myocardial hypoxia
14.) You received a call for resident 44 yr old woman who is ill. The who patient receives dialysis tx three times a week told you that he has missed the last two treatments because he was not feeling well as your partner takes the patients vital signs you apply an EKG. It reveals sinus rhythm with a tall T wave, 12 lead EKG reveals a sinus rhythm with inverted complex in leads aVR on the basis of your clinical findings you should be most suspicious that the patient is
Hyperkalemic
15) A regular rhythm with inverted P waves before each QRS complex, a ventricular rate of 70 beats/min, narrow QRS complex, and a PR interval of 0.16 seconds should be interpreted as a
Accelerated junctional rhythm
