EMT Chapter 16: Cardiovascular Emergencies Quiz

Most patients are instructed by their physician to take up to _____ doses of nitroglycerin before calling EMS

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The electrical stimulus that originates in the heart's primary pacemaker is controlled by impulses from the brain that arrive by the:

Autonomic nervous system

Nitroglycerin relieves cardiac-related chest pain by:

Dilating the coronary arteries and improving cardiac blood flow.

Prior to attaching the AED to a cardiac arrest patient, the EMT should:

Dry the chest if wet.

Deoxygenated blood from the body returns to the:

Right atrium

During your treatment of a woman in cardiac arrest, you apply the AED, analyze her cardiac rhythm, and receive a "no shock advised" message. This indicates that:

She is not in ventricular fibrillation.

Nitroglycerin is contraindicated in patients:

Who have experienced a head injury.

Acute coronary syndrome (ACS) is a term used to describe:

A group of symptoms that are caused by myocardial ischemia.

Which of the following is NOT a common sign or symptom associated with malfunction of an Implanted cardiac pacemaker?

A rapid heart rate.

A 66-year-old female with a history of hypertension and diabetes presents with substernal chest pressure of 2 hours duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/mins and irregular, her respirations are 22 breathes/min, and her oxygen saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband does. You should:

Administer oxygen, giver her 324 mg of aspirin, and assess her further.

A 49-year-old male presents with an acute onset of crushing chest pain and diaphoresis. You should FIRST:

Assess the adequacy of his respirations

You and your partner arrive at the scene of a middle-aged man who collapsed about 5 mins ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any care. You should:

Begin high-quality CPR and apply the AED as soon as possible.

Rapid, labored breathing in a patient with signs and symptoms of AMI should make you suspicious for:

Congestive heart failure

Blood that is ejected from the right ventricle:

Flows into the pulmonary arteries

Sign and symptoms of a hypertensive emergency would MOST likely be delayed in patients who:

Have chronic hypertension

Major risk factors for AMI include all of the following, EXCEPT:

Hypoglycemia

After the AED has delivered a shock, the EMT should:

Immediately resume CPR.

Angina pectoris occurs when:

Myocardial oxygen demand exceeds supply

Common signs and symptoms of AMI include all of following EXCEPT:

Pain exacerbated by breathing.

A 67-year-old female presents with difficulty breathing and chest discomfort that awakened her from her sleep. She states that she has congestive heart failure, has had two previous heart attacks, and has been prescribed nitroglycerin. She is conscious and alert with adequate breathing. Her blood pressure us 94/64 mm Hg and her heart rate is 120 beats/min. Treatment for this patient include:

Placing her in an upright position.