Fidsap emt cardiology
vena cava
Blood enters the right atrium from the
Continue CPR until a shock is advised
CPR has been ongoing for ten minutes on a patient in cardiac arrest. An AED has just been applied and is ready to analyze. You should
140/90
Chronic hypertension in adults typically begins at pressure of higher than
Minimal interruptions to chest compressions
During CPR, which of the following is most important?
Allows blood to fill the heart chamber
During CPR, why is the upstroke of the compression critical?
at least 2 inches
During adult CPR, you should compress the chest
Administer oxygen
Durning the primary assessment, a 57 year old female says she has chest pain and points to her epigastric area. What should you do?
deoxygenated blood away from the heart
The pulmonary artery carries
Ventricular contraction
The systolic blood pressure measures pressure during which of the following?
Coronary arteries
The vessels that supply the myocardium are called the
Preventing platelets from clotting
What action does aspirin have in the body that makes it beneficial for patients experiencing acute myocardial infarction?
Organized electrical activity without a pulse
What best describes PEA?
Inadequate ejection of blood from the ventricles
What is the cause of heart failure?
myocardium
What is the muscular middle layer of the heart?
It dilates coronary arteries
What is the primary action of nitroglycerin?
Diastole
When do coronary arteries fill with blood?
ventricular fibrillation
Which electrical cardiac disturbance will an Automatic External Defibrillator (AED) shock?
Progressive hypotension
Which of the following is a sign of symptom of cardiogenic shock?
aorta
Which of the following is the largest artery in the body?
A 54 year old choking patient who is unresponsive with no carotid pulse
Which patient is mostly likely to benefit from an AED?
mitral
Which valve controls blood flow between the left atrium and the left ventricle?
arterioles
Which vessels regulate regional blood flow to the capillary beds?
Position your shoulders over your hands
While performing chest compressions, you should
Nitroglycerin caused vasodilation and decreased perfusion
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
As soon as possible on arrival at the patient's side
You are in airport and see an adult collapse. As you get the AED from the wall, a bystander starts CPR. If indicated, you should deliver your first shock
Contact medical control to assist the patient with his ntiroglycerin
You just arrived at the scene of a 75 year old male with generalized weakness and chest pain. He has not taken his prescribed medications: nitroglycerin, aspirin, and atenolol. You should
Immediately start chest compressions
You observe an older male slump to the floor. He is pulseless. What should you do?
Start CPR, and request the EMS unit to stop.
You shocked a patient back into a normal rhythm with an AED. During transport, the patient becomes cyanotic and pulseless. What should you do?
cardiogenic shock
A 36 year old female with a history of congenital heat defects is slow to respond. She has pale, cool, and clammy skin. Vital sign are BP 68/30, P 128, R 26. What should you suspect?
Cardiogenic Shock
A 40 year old patient with a history of coronary artery disease and recent mastectomy is complaining of chest discomfort. Vital signs are P 120, R 22, BP 80/54. You Should suspect
Gastroesophageal reflux disease
A 44 year old female awakened with shortness of breath complaining of indigestion, nausea and epigastric pressure. Antacids didn't help. You should suspect
Assess for breathing and manage his airway if necessary
A 46 year old male was in cardiac arrest. You administered one shock, and at the 2 minute pulse check, you feel a strong carotid pulse. What should you do?
Transport rapidly in a position of comfort to the closest facility
A 48 year old male complains of 8/10 crushing chest pain that radiates to his neck. Vital signs are BP 112/78, P 60, R 18. The patient's daily medications include Metoprolo, Cialis, and aspirin. What should you do?
Pulmonary edema
A 48 year old patient complains of difficulty breathing. Patient's history reveals an acute myocardial infarction eight months ago. Vital signs are BP 144/88, P 110, R 24. Auscultation reveals crackle in the lung bases. You should suspect
complains of headache and has a BP of 132/90
A 49 year old male with a history of heart problems complains of chest pressure and shortness of breath. You should assist him in taking his prescribed nitroglycerin if he
Immediately start chest compressions
A 54 year old female suddenly becomes pulseless and apneic. What should you do?
angina pectoris
A 54 year old male complains of chest tightness after raking leaves for an hour. The pain subsided after he rested and took two nitroglycerin tablets. He has had very similar episodes in the past. He is most likely experiencing
Acute MI
A 57 year old female developed severe weakness and mile shortness of breath while shoveling snow. She is diaphoretic and complaining or nausea and jaw pain. You should suspect
left sided heart failure
A 60 year old patient is short of breath and cyanotic. Lung sounds reveal crackles and you note accessory muscle use. You should suspect
supine
A 62 year old male complains of chest pain and lightheadedness. Vital signs are BP 88/56, P 126, R 18. What is the best position for this patinet?
Transport immediately
A 64 year old patient states "I feel like I am about to die." Nitroglycerin and oxygen have not decreased her chest pain. Vital Signs are BP 90/66, P 60, R 24. You should
Myocardail Infarction
A 65 year old male complains of weakness and indigestion that began this morning. vital signs are BP 150/90, P 116, R 24. You should suspect
Administer oxygen
A 66 year old female called EMS for chest pain. Prior to calling she took three doses of her prescribed sublingual nitrogylcerin with no relief. What should you do?
place the patient in a supine position
A 67 year old male has significant shortness of breath, chest pain and nausea. He is ashen and clammy. Vitals are BP is 90/60, P 148, R 34. You should
administer oxygen via non re-breather mask
A 67 year old male with a history of asthma complains of chest tightness and shortness of breath. He took one nitroglycerin tablet without relief. He is pale and sweaty with SpO2 76% What should you do? a, assist him with his prescribed inhaler b, administer oxygen via non-rebreather mask c, quickly obtain full vital signs d,assist him in taking another nitroglycerin
CHF
A 68 year old female with a cardiac history is complaining of shortness of breath. Auscultation reveals crackles bilaterally. You should suspect a, COPD b, asthma c, hypertension d,CHF
move him onto hard surface
A 69 year old male is lying in his bed and complains of chest pain. During your assessment he becomes unresponsive and pulseless. What should you do?
cardiogenic shock
A 73 year old female has chest pain and shortness of breath with bilateral crackles. Vital signs are BP 80/40, P 112, R 22. What is the most likely cause?
Myocardial infarction
A 76 year old female is sitting in a tripod position complaining of abdominal discomfort, nausea, dizziness, and fatigue. She has taken 2 nitroglycerin tablets without relief. You should suspect
acute coronary syndome
A 78 year old diabetic patient with a syncopal episode now complains of anxiety, shortness of breath, and back pain. You should suspect
acute coronary syndrome
A buildup of calcium and cholesterol form plaque inside a blood vessel which would most likely cause
start chest compresisons
A cardiac patient has been "down" for six minutes without any care. What should you do?
preform cpr while attaching aed
A child is in cardiac arrest with unknown down time. What should you do? a,preform cpr while attaching aed b, initiate transport to nearest facility c, assist ventalation via bag-valve mask d, attach the aed and analyze
Myocardial infarction
A patient complains of chest pain radiating to both of his shoulders after diner. He is pale, diaphoretic and slight short of breath. Vital signs are BP 150/90, P 120 and irregular, R 20. You should suspect
check abcs
A patient has been in cardiac arrest for seven minutes after being struck by lightning. You should
Acute myocardial infarction
A patient is complaining substernal chest pain with radiating pain to his back and jaw. The pain is not relieved with rest. You should suspect
Myocardial infarction
A patient presents with a sudden onset of tearing chest pain, absent radial pulse on the right arm, and a history of high blood pressure. You should suspect
An irregular heartbeat
A patient was struck by lightning. You should suspect
Turn her on her side and monitior her airway
A patient who collapsed has been revived following one shock with an AED. She is now moaning and breathing on her own. What should you do?
Hypertensive crisis
A sudden, severe increase in blood pressure is called a
Ventricular tachycardia
After an AED has analyzed a patient, the machine states "shock advised." The most likely cause is
left atrium
After blood has been oxygenated, it returns to the heart by entering the
Congestive Heart Failure
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 like cause is
Assist the patient with his prescribed nitroglycerin
An 84 year old male with a history of "heart problems" complains of chest pain. The chest pain started 30 minutes ago while at rest. Vital signs are BP 110/70, P 92, and R 20, SpO2 95%. What should you do?
Assist her with her prescribed inhaler
An asthmatic 50 year old female is sitting at her desk. She is anxious and complaining of tightness in her chest. You should
Myocardial infarction
An oriented 78 year old female with pale, moist skin is complaining of indigestion. Vital signs are BP 180/90, P 116 and irregular, R 24 and regular. You should suspect
decreases the ability of platelets to form clots
Aspirin is administered to patients with chest pain because it
120 compressions/minute
At what rate should single rescuer CPR be performed for a 17 year old female?
recovery
you have just defibrillate a patient who now has a pulse and effective respirations in which position should you place him? a, fowler b, prone c, recovery d, supine
cardiogenic shock
If the heart lacks enough power to pump the proper volume of blood through the circulatory system, it is known as
bradycardia
In an adult, a pulse rate of 50 is called
sublingually
Nitroglycerin is a medication which is typically administered
administer oxygen via nasal cannula 4 lpm
36 year old female complains of chest pain, she is conscious and alert with spO2 of 93% you should a, administer oxygen via nasal cannula 4 lpm b, administer 15 lpm of oxygen via non-rebreather mask c, use the bag-valve mask without supplemental oxygen d, use a flow restricted oxygen device
