RapidEMT, Chapter 16, Quiz

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

Assess the adequacy of his respirations.

The EMT should use and AED on a child between 1 month and 8 years of age if:

Pediatric pads and an energy-reducing device are available.

The electrical impulse generated by the heart originates in the:

Sinoatrial node.

Angina pectoris occurs when:

Myocardial oxygen demand exceeds the supply.

When preparing to obtain a 12-lead ECG, the "LL" and "RL" electrodes should be placed:

On the thighs or ankles.

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

A rapid heart rate.

A patient tells you that he has left ventricular assist device (LVAD). Which of the following conditions should you suspect that he has experienced?

Acute myocardial infarction.

Cardiogenic shock can occur within 24 hours of a(n):

Acute myocardial infarction.

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 saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband does. You should:

Administer oxygen, give her 324 aspirin, and assess her further.

When, for a brief period of time, heart tissues do not get enough oxygen, the pain is called:

Angina.

You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes 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.

Which of the following signs is commonly observed in patients with right-sided heart failure?

Dependent edema.

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

Dry the chest if it is wet.

Risk factors for AMI that cannot be controlled include:

Family history.

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

Have chronic hypertension.

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

Immediately resume CPR.

At 0500 hours, you respond to the home of a 76-year-old man complaining of chest pain. Upon arrival, the patient states that he had been sleeping the recliner all night to indigestion, when the pain woke him up. He also tells you he has taken two nitroglycerin tablet. His vital signs are as follows: respirations, 16 breaths/min; pulse, 98 beats/min blood pressure, 92/766 mm Hg. He is still complaining of chest pain. What actions should you take to intervene?

Provide high flow oxygen.

The only vein(s) in the body that carry oxygenated blood is/are the:

Pulmonary veins.

A patient in cardiac arrest is wearing an external defibrillator vest, which is interfering with effective chest compressions. The EMT should:

Remove the battery from the monitor and and then remove the vest.

Most AEDs are set up to adjust the voltage based on the impedance, which is the:

Resistance of the body to the flow of electricity.

Deoxygenated blood from the body returns to the:

Right atrium.

A dissected aortic aneurysm occurs when:

The inner layers of the aorta become separated.

A patient with atherosclerotic heart disease experiences chest pain during exertion because:

The lumen of the coronary artery is narrowed and cannot accommodate increased blood flow.

Nitroglycerin is contraindicated in patients:

Who have experienced a head injury.