Cardiology fisdap 2022
a 66 year old female complains of severe shortness of breath that started during the night. she denies chest pain. vitals: BP 180/92, P 110, R irregular, 24 with crackcles. what is the most likely cause?
CHF
An 80 year old male presents with shortness of breath, fatigue, peripheral edema, and jugular vein distention. Breath sounds reveal crackles and rhonchi. The most likely cause is:
Congestive Heart Failure
Aspirin is administered to patients with chest pain because it?
Decreases the ability of platelets to form
When do coronary arteries fill with blood?
Diastole
A 64 year old patient tells you "I feel like I'm about to die". You administer nitroglycerin and oxygen and there is no relief of chest pain. Vitals are BP 90/66, P 60,
Transport immediately
A 48 year old male complains of 8/10 chest pain that radiates to his neck. Vital signs are BP 112/78, P 60, R 18. The patient's daily medications include Metoprolol, Cialis, and aspirin. What should you do?
Transport rapidly in a position of comfort to the closest facility.
The systolic blood pressure measures pressure during which of the following?
Ventricular contraction
After an AED has analyzed a patient, the machine states "shock advised." The most likely cause is:
Ventricular tachycardia
which of the following signs is most indicative of hypo perfusion?
altered mental status
a 55 year old female's skin is cool, clammy, and ashen. her level of consciousness begins to decrease and you can no longer palpate a radial pulse. what should you do?
assess her carotid pulse
a 57 year old male with chest pain needs assistance taking his medication. what should you do?
assess his vitals
a 61 year old male with chest pain took one does of nitro prior to your arrival. he has experienced relief. vitals: BP 88/44, P58, R22. what should you do?
assist with admin of aspirin
which of the following would suggest a syncopal episode?
brief period of unconsciousness
A buildup of calcium and cholesterol form plaque inside a blood vessel. Which would most likely be the cause?
Acute coronary syndrome
A patient presents with a sudden onset of tearing chest pain, absent radial pulse on the right arm, and a history of high blood
Aortic dissection
Which vessels regulate regional blood flow to the capillary beds?
Arterioles
An asthmatic 50 year old female is sitting at her desk. She's anxious and complaining of tightness in her chest. You should?
Assist her with her prescribed inhaler
What are the two upper chambers of the heart?
Atria The atria are the superior areas of the heart. The right atrium pumps oxygen poor blood into the right ventricle, and the left atrium pumps oxygen-rich blood into the left ventricle.
Which artery is located in the neck
carotid
what artery supplies the heart muscle with blood?
coronary
what is hypoperfusion?
inadequacy of cellular gas exchange
After blood has been oxygenated, it returns to the heart by entering the:
left atrium
What chamber of the heart pumps blood into the aorta?
left ventricle
what chamber of the heart receives blood from the venae cavae?
right atrium
What is the chamber of the heart that pumps blood into the lungs?
right ventricle
What is the term for a pulse rate above 100?
tachycardia - a pulse rate above 100 beats per minute is defined as tachycardia, commonly referred to as "tachy"
what is the name of the chambers of the heart that contract simultaneously to pump blood out of the heart?
ventricles
A 65 year old male complains of weakness and indigestion from the morning. Vital signs are BP 150/90 P 116 R 24.
MI
Which of the following is a sign/symptom of cardiogenic shock?
Progressive hypotension
Within two minutes of assisting your patient with his third nitroglycerin tablet, he complains of dizziness and becomes sweaty. Radial pulses are present, rapid, and weak. You should suspect that the:
Nitroglycerin causes vasodilation and decreased perfusion
Which patient is most likely to benefit from an AED?
54 y/o choking PT unresponsive no carotid pulse
At what rate should single rescuer CPR be performed for a 17 year old female?
120 per minute
A 36 year old female has a chief complaint of chest pain. She is conscious & alert. Her SPo2 is 93%. You should:
O2 NRM 15 LPM
