Cardiology fisdap 2022
a diaphoretic 65 year old male is experiencing a sudden onset of left jaw pain. vitals: BP 118/80, P 70, R 18. what should you suspect?
. acute coronary syndrome
what respiratory condition can be directly caused by congestive heart failure
. pulmonary edema
A 78 year old diabetic PT with a syncopal episode now complains of anxiety, shortness of breath and back pain. You suspect?
A) ACUTE CORONARY SYNDROME
What is the primary action of Nitro?
A) Dilate Coronary Arteries
A PT is complaining of substernal chest pain with radiating pain to his back and jaw. The pain is not relieved with rest. You should suspect?
A. Acute myocardial infarction
A 66 year old Female called EMS for chest pain. Prior to calling she took 3 doses of her prescription sublingual nitroglycerin with no relief what should you do?
ADMINISTER OXYGEN
57 y/o Female chief complaint is chest pain and points to epigastric. You should
Administer o2
A 69 year old male is lying in his bed and complaining of chest pain. during your assessment he becomes unresponsive and pulseless. what should you do?
B) MOVE HIM ONTO A HARD SURFACE
A patient complains of chest pain radiating to both shoulders after dinner. He's pale diaphoretic and slightly short of breath. Vitals are BP 150/90 P 120 R 20. You suspect?
B) MYOCARDIAL INFARCTION
A 36 year old female with a history of congenital heart defects is slow to respond. She has pale, cool, and clammy skin. Vital signs are BP 68/30, P 128, R 26. What should you suspect?
B. Cardiogenic Shock
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:
B. Complains of a headache and has a BP of 132/90
You have just defibrillated a patient who now has a pulse and effective respirations, what position do you place them in?
C) RECOVERY
What is the cause of heart failure?
C. Inadequate ejection of blood from ventricles
If the heart lacks enough power to pump proper volume of blood through the circulatory system, this is referred to?
CARDIOGENIC SHOCK
A 68 year old female with cardiac history complains of shortness of breath, auscultations reveal crackles bilaterally. you should suspect?
D) CHF
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:
D. Angina pectoris
You are in an airport and see an adult collapse. As you get an AED from the wall, a bystander starts CPR. If indicated, you should deliver the first shock:
D. As soon as possible on arrival at the patient's side
The vessels that supply the myocardium are called the:
D. Coronary arteries
Which valve controls blood flow between the left atrium and the left ventricle?
D. Mitral
A sudden severe increase of blood pressure is called:
Hypertensive crisis
60 year old patient short of breath and cyanotic. Lung sounds reveal crackles and you note accessory muscle use.
Left- sided heart failure
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. What should you suspect?
MYOCARDIAL INFARCTION
What action does aspirin have on the body that makes it beneficial for patients have an acute myocardial infarction?
PREVENTING PLATELETS FROM CLOTTING
A 48 year old patient complains of difficulty breathing. Patients history reveals an acute MI 8 months ago. Vital Signs are BP 144/88 P 110 R 24. Auscualtions reveal crackles in the lung bases. You should suspect?
PULMONARY EDEMA
A 67 year old male with significant shortness of breath, chest pain, and nausea, is ashen & clammy. Vital signs are BP 90/60
Place patient in supine
A patient has been in cardiac arrest for 7 minutes after being struck by lightning. You should:
Start chest compressions
A 62 year old male has a chief complaint of chest pain and is lightheaded. BP 88/56 P 126 R 18. What is the best position?
Supine
An 84 year old male has a history of "Heart Problems". Chief Complaint is chest pain that started 30 mins ago at rest. BP 110/70 P 92 R 20 SPo2 95%. You should
a. Assist patient with prescribed Nitro
A 67 year old female has a history of asthma. Her chief complaint is chest tightness and shortness of breath. She took 1 nitroglycerin with no relief. She is pale, sweaty, and has a SPo2 of 76%. You should
a. O2 via NRB
You observed an older male, slumped to the floor. He is pulseless. What should you do?
a. Start chest compressions
A patient collapsed, revived w/ 1 AED shock. Now he is moaning, breathing on his own. You should:
a. Turn to side & monitor airway
a 48 year old male suddenly becomes confused after taking nitro. he is sitting upright but is unable to follow your directions. what should you do?
a. place him in a supine position
an AED delivers a "no shock indicated" message for a patient with no palpable carotid pulse. what should you suspect?
a. pulseless electrical activity
an unresponsive 72 year old female is pale with peripheral cyanosis. she has a pulse of 20 beats per minute, what should you do?
a. transport
40 y/o PT w/ history of coronary artery disease & recent mastectomy chief Complaint is chest discomfort. BP 80/54 P 120 R22
b. Cardiogenic shock
A 76 year old female is in tripod position. She complains of abdominal discomfort, nausea, dizziness, fatigue. She has taken 2 nitroglycerins with no relief. You should suspect
b. MI
when assessing an extremely hypothermic patient, what should you do?
b. expect the pulse check will take more time than norma
a 42 year old female has a pulse and is breathing adequately after a single shock from the AED. in which position should you place her?
b. recovery
Where does the heart receive its nutrition from blood passing through?
coronary artery
what element of blood is affected by sickle cell anemia?
erythocytes
Which chamber of the heart is the most muscular?
left ventricle
a 45 year old female complains of weakness, shortness of breath, back pain, and pressure in her chest. what should you suspect?
myocardial infarction
a 56 year old male complains of epigastric pain that started an hour ago. he is diaphoretic and the pain is radiating to his left arm. what should you suspect
myocardial infraction
what is the term for adequate circulation of blood through the body's tissue?
perfusion
a 92 year old male complains of headache, difficulty breathing, slurred speech and loss of grip in his left hand. what should you suspect?
stroke
What pressure is created when the heart contracts and forces blood into the arteries?
systolic