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You are dispatched to a 68 y/o female complaining of discomfort in her upper back. She is
nauseous and appears to be sweaty. Based on these symptoms, which of the possible causes is
most life-threatening. A. Stroke
B. Diabetic reaction
C. Cardiac compromise D. Indigestion
C. Cardiac compromise
A 62 y/o female who has been drinking alcoholic beverages is feeling dizzy. She cannot walk
and she complains of severe headache. You should suspect
A. Delirium tremens
B. Severe migraine
C. Hemorrhagic stroke
D. Acute alcohol intoxication
C. Hemorrhagic stroke
When you assess a pulse you are feeling the
A. Contraction of the left atrium
B. Relaxation of both ventricles
C. Relaxation of the atria
D. Contraction of the left ventricle
D. Contraction of the left ventricle
A common symptom of cardiac compromise is CP or discomfort known as
A. Fibrillation
B. Ischemia
C. Myocardial infarction
D. Angina
D. Angina
Your pt is a 65 y/o male CC CP, which of the following would be a contraindication for
assisting with the administration of sublingual nitro?
A. Heart rate <100
B. SBP >100
C. SBP <100 D. HR >100
,C. SBP <100
You are alone when you witness a 57 y/o woman suddenly collapse and become unresponsive.
She is not breathing. After calling for help you find that she has no pulse. You should
A. Begin chest compressions
B. Leave the pt and obtain an AED
C. Continue rescue breathing D. Perform blind finger sweep.
A. Begin chest compressions
Which of the following is the build-up of fatty deposits on the inner walls of an artery? A.
Coronary artery disease
B. Thrombus
C. Aneurysm
D. Atherosclerosis
D. Atherosclerosis
Your pt is a 56 y/o male who collapses while mowing the lawn. He is apneic and pulseless
immediately following collapse. What is the patient most likely experiencing?
A. Heart attack
B. Cardiac Arrest
C. Angina
D. Stroke
B. Cardiac Arrest
A 62 y/o female is complaining of crushing CP that radiates to between her shoulder blades. She
is very pale, diaphoretic, and feels nauseous. You should suspect a/an
A. Cardiac event
B. Cerebrovascular event
C. Hypoglycemic reactions
D. Asthma attack
A. Cardiac event
A 67 y/o female just had a syncopal episode while using the toilet. Vitals are BP 100/6-. P 110
irregular, R 12. She is weak and dizzy. You should suspect a
A. gastrointestinal obstruction
B. vertebral vascular accident
C. cardiac rhythm disturbance
D. acute myocardial infarction
C. cardiac rhythm disturbance
A pulseless and apneic 68 y/o male has an implanted pacemaker in his right shoulder. Without
delaying defibrillation where should you apply the AED pads.
A. Left shoulder (to avoid pacemaker) and right lower chest
,B. Nipple line under the left and right armpits
C. Anterior chest and back (between shoulder blades)
D. Right shoulder (directly over the pacemaker) and lower left chest.
C. Anterior chest and back (between shoulder blades)
A pt becomes unresponsive. You find she is apneic and pulseless. You should
A. Start CPR and apply the AED
B. Apply O2 via BVM and apply the AED
C. Apply AED and analyze
D. Request ALS and begin CPR
A. Start CPR and apply the AED
Albuterol is an example of a (an)
A. Vasodilator
B. Vasoconstrictor
C. Antihypertensive
D. Beta-agonist
D. Beta-agonist
Your 55-year-old pt complains of CP radiating to left arm. You should first
A. Complete a SAMPLE history
B. Administer prescribed nitro
C. Place the pt on O2
D. Perform head to toe assessment
A. Complete a SAMPLE history
After delivering a shock with an AED, the patient begins to move and speak. You should
A. Assess vitals and begin transport
B. Immediately remove the AED to avoid accidental shock
C. Begin BVM ventilations
D. Perform a sternal rub to assess LOC
A. Assess vitals and begin transport
a malfunction of the heart's electrical system may result in
A. Atherosclerosis
B. Pericarditis
C. Aneurysm
D. Arrhythmia
D. Arrhythmia
All of the following are indications for the use of nitro EXCEPT
A. Patient has a history of cardiac problems
, B. The patient's physician has prescribed nitro
C. Pt complains of CP
D. The pt's systolic BP is less than 90
D. The pt's systolic BP is less than 90
A 60 y/o female has chest pain. She has not taken her prescribed nitro you should
A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro
B> Immediately attached the AED and begin transport to hospital
C> Administer aspirin only and withhold the nitro
D> Consult medical direction with regard to assisting the pt in taking the nitro
A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro
You have assisted a 56 y/o pt in taking 1 nitro he continues to complain of CP. Vital signs are:
BP 94/64, P 120, R 14, SaO2 98%. You should
A. Reassess his BP
B. Assist him with a 2nd nitro
C. Transport
D. Assess lung sounds and have pt self-administer their inhaler
C. Transport
You are transporting a pt with CP, when suddenly she becomes unresponsive you should
A. Start CPR and transport more rapidly
B. Stop the ambulance and confirm absence of pulse
C. Immediately apply an AED and analyze
D. Insert an OPA and ventilate twice
B. Stop the ambulance and confirm absence of pulse
__________________ is a cardiac arrhythmia characterized by a complete disorganization of
electrical activity
A. Ventricular tachycardia
B. Pulseless electrical activity
C. Ventricular fibrillation D. Atrial fibrillation
C. Ventricular fibrillation
One of the most problematic side effects of nitro is
A. Hypotension
B. Bradycardia
C. Angina
D. Dyspnea
A. Hypotension