EMT Ch 20 Chapter Test
Assuming your protocol allows the administration of nitroglycerin when certain conditions exist, what is the maximum number of tablets to be administered in the prehospital setting?
3
Which of the following may be a sign or symptom of a problem with the heart?
All of the above (Nausea, with or without vomiting, Chest discomfort, Fainting or near fainting)
Which of the following is a general term used to refer to a problem with the heart?
Cardiac compromise
You suspect that your patient is suffering from angina pectoris. What signs or symptoms would you expect to see with this condition?
Chest pain that is relieved with nitroglycerin
You respond to the scene of a 56-year-old obese female complaining of respiratory distress. She states that she has been feeling weak and a "little sick" for the past two days, but the respiratory distress has been getting progressively worse for the past several hours. She states she has "heart problems," suffers from high blood pressure, and takes a "water pill." She is afebrile and has coarse crackles bilaterally. What is most likely the cause of her respiratory distress?
Congestive heart failure
Which of the following is a condition that can result from fatty deposits forming in the inner lining of the arteries?
Coronary artery disease
What is not a result of a mechanical malfunction of the heart?
Dysrhythmia
What stimulates a mechanical contraction of the cells of the heart, creating a mechanical squeeze used to push blood?
Electrical energy
What is (are) the first organ(s) perfused by blood leaving the heart?
Heart
You are treating a male patient with chest pain caused by the complete occlusion of one of the coronary arteries. What would you most likely expect with this patient?
His pain will not be alleviated with any of the above medications- nitroglycerin, aspirin, or oxygen
Which of the following statements regarding angina pectoris is true?
It can be brought on by exertion or stress.
Which of the following is the beneficial action of nitroglycerin in some cardiac emergencies?
It relaxes blood vessels throughout the body.
Which of the following is typical of angina pectoris?
May subside with rest
Which of the following is the result of a portion of the heart muscle dying due to a lack of oxygen?
Myocardial infarction
You are on-scene with a 48-year-old unresponsive male patient. Bystanders state he complained of chest pain and then suddenly collapsed. Vital signs are blood pressure 68/42, pulse 36, and respiratory rate 3. He is unresponsive to painful stimuli. After performing the primary assessment and treating all life threats, what is your next intervention?
Package the patient for rapid transport.
Which of the following best describes a fluttering sensation in the chest?
Palpitations
Which of the following terms refers to swelling of the lower extremities seen in many cardiac patients?
Pedal edema
Which of the following is the name given to the condition in which fluid accumulates in the lungs?
Pulmonary edema
Which of the following is the beneficial action of a beta blocker medication?
Slows the heart rate
In which of the following situations would the administration of aspirin to a cardiac patient be prohibited?
The patient has a gastrointestinal ulcer.
Which of the following statements regarding the administration of nitroglycerin tablets is true?
The patient may complain of a headache following administration.
Which of the following is the EMT's role in caring for a patient presenting with symptoms of anxiety, irritability, a short temper, and chest pain with shortness of breath?
Treat the patient as though he were having a heart problem.
Which of the following is not a typical indication of congestive heart failure (CHF)?
Weight loss
A weakened area of an artery that balloons out and may rupture, causing catastrophic bleeding, is called:
an aneurysm.
