chapter 16 quiz and vocab

B. angina.

When, for a brief period of time, heart tissues do not get enough oxygen, the pain is called: Select one: A. acute myocardial infarction. B. angina. C. ischemia. D. coronary artery disease.

A. Provide high-flow oxygen.

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 in the recliner all night due to indigestion, when the pain woke him up. He also tells you he has taken two nitroglycerin tablets. His vital signs are as follows: respirations, 16 breaths/min; pulse, 98 beats/min; blood pressure, 92/76 mm Hg. He is still complaining of chest pain. What actions should you take to intervene? Select one: A. Provide high-flow oxygen. B. Administer a third nitroglycerin tablet. C. Apply an AED. D. Begin chest compressions.

C. the inner layers of the aorta become separated.

when: Select one: A. all layers of the aorta suddenly contract. B. a weakened area develops in the aortic wall. C. the inner layers of the aorta become separated. D. the aorta ruptures, resulting in profound bleeding.

B. who have experienced a head injury

Nitroglycerin is contraindicated in patients: Select one: A. who have taken up to two doses. B. who have experienced a head injury. C. with a history of an ischemic stroke. D. with a systolic blood pressure less than 120 mm Hg.

B. Dependent edema

Which of the following signs is commonly observed in patients with right-sided heart failure? Select one: A. Labored breathing B. Dependent edema C. Pulmonary edema D. Flat jugular veins

C. obtain vital signs and a SAMPLE history.

A 49-year-old male presents with an acute onset of crushing chest pain and diaphoresis. You should: Select one: A. administer up to 324 mg of baby aspirin. B. administer up to three doses of nitroglycerin. C. obtain vital signs and a SAMPLE history. D. assess the adequacy of his respirations.

A. administer oxygen, give her 324 mg of aspirin, and assess her further.

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 pulse is 100 beats/min and irregular, her respirations are 22 breaths/min, and her oxygen saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband does. You should: Select one: A. administer oxygen, give her 324 mg of aspirin, and assess her further. B. obtain a SAMPLE history and contact medical control for advice. C. give her high-flow oxygen, attach the AED, and transport at once. D. give her one nitroglycerin and reassess her systolic blood pressure.

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

A patient in cardiac arrest is wearing an external defibrillator vest, which is interfering with effective chest compressions. The EMT should: Select one: A. leave the battery attached to the monitor and remove the vest. B. remove the battery from the monitor and leave the vest in place. C. perform ventilations only and allow the vest device to defibrillate. D. remove the battery from the monitor and then remove the vest.

B. immediately resume CPR.

After the AED has delivered a shock, the EMT should: Select one: A. assess for a carotid pulse. B. immediately resume CPR. C. re-analyze the cardiac rhythm. D. transport the patient at once.

B. acute myocardial infarction.

Cardiogenic shock can occur within 24 hours of a(n): Select one: A. hypertensive emergency. B. acute myocardial infarction. C. aortic aneurysm. D. unstable angina attack.

A. right atrium.

Deoxygenated blood from the body returns to the: Select one: A. right atrium. B. right ventricle. C. left atrium. D. left ventricle.

A. resistance of the body to the flow of electricity.

Most AEDs are set up to adjust the voltage based on the impedance, which is the: Select one: A. resistance of the body to the flow of electricity. B. direction that the electrical flow takes in the body. C. actual amount of energy that the AED will deliver. D. distance between the two AED pads on the chest.

B. dry the chest if it is wet.

Prior to attaching the AED to a cardiac arrest patient, the EMT should: Select one: A. contact medical control. B. dry the chest if it is wet. C. perform CPR for 30 seconds. D. assess for a pulse for 20 seconds.

C. family history.

Risk factors for AMI that cannot be controlled include: Select one: A. excess stress. B. hyperglycemia. C. family history. D. lack of exercise.

C. pediatric pads and an energy-reducing device are available.

The EMT should use an AED on a child between 1 month and 8 years of age if: Select one: A. he or she is not breathing and has a weakly palpable pulse. B. his or her condition is rapidly progressing to cardiac arrest. C. pediatric pads and an energy-reducing device are available. D. special pads are used and the child has profound tachycardia.

C. sinoatrial node.

The electrical impulse generated by the heart originates in the: Select one: A. bundle of His. B. coronary sinus. C. sinoatrial node. D. atrioventricular node.

B. pulmonary veins.

The only vein(s) in the body that carry oxygenated blood is/are the: Select one: A. external jugular veins. B. pulmonary veins. C. subclavian veins. D. inferior vena cava.

C. on the thighs or ankles

When preparing to obtain a 12-lead ECG, the "LL" and "RL" electrodes should be placed: Select one: A. on the lower abdomen. B. anywhere on the arms. C. on the thighs or ankles. D. on either side of the chest.

A. A rapid heart rate

Which of the following is NOT a common sign or symptom associated with malfunction of an implanted cardiac pacemaker? Select one: A. A rapid heart rate B. Syncope or dizziness C. Heart rate less than 60 beats/min D. Generalized weakness

B. myocardial oxygen demand exceeds supply.

Which of the following is NOT a common sign or symptom associated with malfunction of an implanted cardiac pacemaker? Select one: A. A rapid heart rate B. Syncope or dizziness C. Heart rate less than 60 beats/min D. Generalized weakness

A. begin high-quality CPR and apply the AED as soon as possible.

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: Select one: A. begin high-quality CPR and apply the AED as soon as possible. B. have your partner perform CPR while you question the bystanders. C. perform two-rescuer CPR for 5 minutes and request ALS backup. D. immediately apply the AED pads and analyze his cardiac rhythm

A. have chronic hypertension.

symptoms of a hypertensive emergency would MOST likely be delayed in patients who: Select one: A. have chronic hypertension. B. regularly take illegal drugs. C. have had a stroke in the past. D. are older than 40 years of age.