ATP-NREMT(P) Cardiac Quiz 2
C)Sinus rhythm
Question 1 of 20 You encounter a patient with a P-R interval of 0.16, a QRS duration of 0.08, and a regular R-R interval. This patient is in: A)Atrial fibrillation B)Sinus rhythm with first-degree heart block C)Sinus rhythm D)Supraventricular tachycardia
B)Unstable angina
Question 10 of 20 You arrive on scene of a patient who has had steadily worsening chest pain for four hours. He has taken 3 nitroglycerin with no relief. The best description os his chest pain is: A)Stable angina B)Unstable angina C)Prinzmetal's angina D)Vasopastic angina
D)Anteroseptal
Question 11 of 20 When assessing a 12-lead ECG, leads V1 to V3 allow you to view the _________wall of the left ventricle. A)Anterolateral B)Lateral C)Septal D)Anteroseptal
A)Nitroglycerin, 0.4 mg sublingual
Question 12 of 20 A 68-year-old woman is complaining of chest pain and shortness of breath. Her blood pressure is 110/64, pulse 60, respirations 32. ECG shows sinus bradycardia with a PR interval of 0.24. Lung sounds reveal crackles in the posterior bases. Management should include: A)Nitroglycerin, 0.4 mg sublingual B)A 250 cc fluid bolus C)Atropine, 0.5 mg IVP D)Preparation for immediate transcutaneous pacing
D)Epinephrine
Question 13 of 20 Management of pediatric bradycardia with significant signs and symptoms related to cardiac or respiratory compromise should be treated with: A)Atropine B)Lidocaine C)Sodium bicarbonate D)Epinephrine
B)May produce vasodilation and hypotension
Question 14 of 20 Amiodarone A)Should be given by rapid IV infusion only B)May produce vasodilation and hypotension C)Has a maximum dose of 17 mg/kg D)Is not indicated in cardiac arrest
B)Furosemide, 40 mg IV
Question 15 of 20 Which of the following medications and dosages are correct for a person with a long history of COPD and cardiac disease that presents with sudden onset of dyspnea who you believe is suffering acute pulmonary edema? A)Nitroglycerin 4.0 mg B)Furosemide, 40 mg IV C)Morphine sulfate, 20 mg IV D)Epinephrine, 0.3 mg
A)Increased myocardial oxygen demand
Question 16 of 20 An unwanted side effect of dopamine administration includes: A)Increased myocardial oxygen demand B)Respiratory depression C)Ventricular dysrhythmias D)Dilation of renal vessels at high doses
B)Fentanyl
Question 17 of 20 Which of the following medications would be the MOST acceptable alternative to morphine for analgesia in patients with acute coronary syndrome? A)Versed B)Fentanyl C)Diazepam D)Narcan
A)Adenosine, 6 mg rapid IV push
Question 18 of 20 Your female patient presents with PSVT. She is alert and oriented but pale. Her HR is 165bpm, and the ECG documents SVT. Her BP is 105/70 mm Hg. Supplemental oxygen is provided, and IV access has been established. Which of the following drug-dose combinations is the most appropriate initial treatment? A)Adenosine, 6 mg rapid IV push B)Propranolol, 1 mg IV bolus C)Synchronized cardioversion with 25 - 50 joules D)Verapamil, 5 mg IV bolus
C)Congestive heart failure
Question 19 of 20 You respond to a patient with shortness of breath. The patient said he was awakened from his sleep with shortness of breath. Assessment reveals vitals: BP 188/94, pulse 116, respirations 36, and a pulse oximetry reading of 88%. Lung sounds reveal crackles in the posterior bases. You suspect: A)A myocardial infarction B)Angina C)Congestive heart failure D)A respiratory disorder* C)Congestive heart failure
D)4 mg/ml
Question 2 of 20 Mixing 2 grams of lidocaine in 500 cc of solution will provide a concentration of: A)1 mg/ml B)2 mg/ml C)3 mg/ml D)4 mg/ml
D)Lead V6 is contiguous with lead V5 and lead I
Question 20 of 20 Which of the following statements is MOST correct? A)Lead I is contiguous with lead II B)Lead II is contiguous with leads V6 and aVL C)Lead V6 is contiguous with leads V4 and V5 D)Lead V6 is contiguous with lead V5 and lead I
B)Milliamps
Question 3 of 20 When performing transcutaneous pacing, the paramedic should increase the ___________ delivered until mechanical capture is obtained. A)Joules B)Milliamps C)Rate D)Millivolts
C)6 mg rapid IV push followed by a 20 cc fluid bolus
Question 4 of 20 The initial dose of adenosine that should be administered is: A)6 mg rapid IV push, repeated in 5 minutes if necessary B)6 mg IV push, repeated in 10 minutes C)6 mg rapid IV push followed by a 20 cc fluid bolus D)12 mg IV push
D)Star CPR, stop when ready to shock, and deliver a 200J shock
Question 5 of 20 Ten minutes after an 85-year-old woman collapses, paramedics arrive and start CPR for the first time. Their monitor screen shows fine VF. Which of these actions should they take next? A)Perform at least 5 minutes of vigorous CPR before attempting defibrillation B)Insert a tracheal airway, administer 2 to 2.5 mg epinephrine in 10 ml NS through the tracheal tube, and then defibrillate C)Deliver up to 3 precordial thumps while observing response on the monitor screen D)Star CPR, stop when ready to shock, and deliver a 200J shock
C)Wide QRS complex and prolonged QT interval
Question 6 of 20 You are caring for a 13-year-old tricyclic antidepressant overdose. What cardiac arrhythmia is likely to develop as a result of this type of overdose? A)Tall, peaked T waves B)SVT C)Wide QRS complex and prolonged QT interval D)Narrow QRS complexes with normal PR interval
A)Atropine, 0.5 mg
Question 7 of 20 A 78-year old male is alert and oriented to person, place, and time and complains of chest pain and difficulty breathing. You attach him to the ECG and notice a rhythm of 42 with corresponding pulse, a P-R interval of 0.20, and normal R-R interval. Vitals: BP 76/42, respirations 32. The patient also states that he feels nauseated and dizzy. Treatment for this patient should include: A)Atropine, 0.5 mg B)Oxygen 3 LPM, nasal cannula C)Immediate pacing D)Isuprel 2-10 mcg/min
B)Administration of IV dopamine
Question 8 of 20 Management of cardiogenic shock may include: A)Administration of morphine B)Administration of IV dopamine C)Administration of nitroglycerin, 0.3 mg sublingual D)Establishing an IV at 500 cc/hr
D)Defibrillate at 200 joules
Question 9 of 20 You just administer atropine 0.5 mg to a patient with a symptomatic bradycardia and multifocal PVCs. Suddenly your patient becomes unconscious and goes into ventricular fibrillation. Your next action is to: A)Administer lidocaine, 1.5 mg/kg B)Administer another 0.5 mg of atropine IVP C)Cardiovert at 100 joules D)Defibrillate at 200 joules