1|Page
FISDAP CARDIOLOGY EMT EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A 72-year-old female complains of dyspnea that woke her from
her sleep. Her feet and ankles are swollen, and auscultation of
her lungs reveals crackles to both lung bases. She has a history
of hypertension, type II diabetes, and a heart attack 2 years ago.
Her BP is 170/94 mm Hg, her pulse is 110 beats/min and
irregular, her respirations are 24 breaths/min and labored, and her
oxygen saturation is 85% on room air. What should you suspect?
A) Acute asthma attack
B) Congestive heart failure
C) Acute hypertensive crisis
D) Emphysema exacerbation - ANSWER-B
The patient's clinical presentation is consistent with
congestive heart failure (CHF) with acute pulmonary edema.
Dyspnea that awakens a person from sleep is called
paroxysmal nocturnal dyspnea (PND) and is classic for CHF.
Crackles auscultated over her lungs further support the
diagnosis of pulmonary edema, and her low oxygen
saturation indicates hypoxemia. Swelling to the feet and
,2|Page
ankles suggests an element of right heart failure as well.
Emphysema is unlikely because there is no mention of it in
her medical history. Furthermore, patients with emphysema
typically have dyspnea all the time, not just when they lie
down to sleep. Acute asthma is also unlikely; one would
expect wheezing (not crackles) in the lungs. Although the
patient's BP is elevated, she has no other signs of acute
hypertensive crisis, such as a headache, nausea and
vomiting, and ringing in the ears
When treating a patient with chest pain, pressure, or discomfort,
you should FIRST:
A) administer supplemental oxygen.
B) place the patient in a position of comfort.
C) request an ALS ambulance response to the scene.
D) assess the blood pressure and give nitroglycerin. - ANSWER-
B
An important aspect of treating a patient with chest pain,
pressure, or discomfort is to ensure that the patient is in a
comfortable position. Most of the time, the patient will
already be in this position upon your arrival. A comfortable
,3|Page
position will help minimize anxiety, which in turn decreases
cardiac oxygen consumption and demand. The decision to
administer supplemental oxygen depends on the patient's
oxygen saturation and/or whether or not respiratory distress
is present. Following your assessment, if you feel that ALS
support is needed, you should request it. If the patient has
prescribed, unexpired nitroglycerin; the systolic blood
pressure is greater than 100 mm Hg; and the patient has not
taken the maximum of three doses, you should contact
medical control to obtain permission to assist the patient in
taking the nitroglycerin.
A rapid heart rhythm, usually at a rate of 150 to 200 beats/min,
that originates in the ventricles and can cause hemodynamic
compromise is called:
A) asystole.
B) ventricular fibrillation.
C) ventricular tachycardia.
D) pulseless electrical activity. - ANSWER-C
Ventricular tachycardia (V-Tach) is a rapid heart rhythm,
usually at a rate of 150 to 200 beats/min, that originates in the
, 4|Page
ventricle instead of the atrium. V-Tach usually does not allow
adequate time between beats for the left ventricle to fill with
blood; therefore, the blood pressure may fall. V-Tach may
occur with or without a pulse. Ventricular fibrillation (V-Fib)
is a disorganized, chaotic dysrhythmia that does not produce
a pulse; it occurs when cardiac cells randomly discharge to
the point that regular cardiac contraction is impossible.
Asystole (flatline) represents an absence of cardiac electrical
and mechanical activity; obviously, asystole does not
produce a pulse. Pulseless electrical activity (PEA) is a
phenomenon in which organized electrical activity is present
on the cardiac monitor, despite the absence of a pulse
A 71-year-old woman presents with an acute onset of confusion,
slurred speech, and left-sided weakness. She is conscious and
her airway is patent. Her BP is 180/94 mm Hg, her pulse is 70
beats/min and irregular, her respirations are 14 breaths/min and
unlabored, and her oxygen saturation is 97% on room air. What
should you do?
A) Administer up to 325 mg of chewable aspirin
B) Position her supine and assist her ventilations
C) Give oxygen via nasal cannula at 4 to 6 L/min
FISDAP CARDIOLOGY EMT EXAM LATEST 2026-2027 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A 72-year-old female complains of dyspnea that woke her from
her sleep. Her feet and ankles are swollen, and auscultation of
her lungs reveals crackles to both lung bases. She has a history
of hypertension, type II diabetes, and a heart attack 2 years ago.
Her BP is 170/94 mm Hg, her pulse is 110 beats/min and
irregular, her respirations are 24 breaths/min and labored, and her
oxygen saturation is 85% on room air. What should you suspect?
A) Acute asthma attack
B) Congestive heart failure
C) Acute hypertensive crisis
D) Emphysema exacerbation - ANSWER-B
The patient's clinical presentation is consistent with
congestive heart failure (CHF) with acute pulmonary edema.
Dyspnea that awakens a person from sleep is called
paroxysmal nocturnal dyspnea (PND) and is classic for CHF.
Crackles auscultated over her lungs further support the
diagnosis of pulmonary edema, and her low oxygen
saturation indicates hypoxemia. Swelling to the feet and
,2|Page
ankles suggests an element of right heart failure as well.
Emphysema is unlikely because there is no mention of it in
her medical history. Furthermore, patients with emphysema
typically have dyspnea all the time, not just when they lie
down to sleep. Acute asthma is also unlikely; one would
expect wheezing (not crackles) in the lungs. Although the
patient's BP is elevated, she has no other signs of acute
hypertensive crisis, such as a headache, nausea and
vomiting, and ringing in the ears
When treating a patient with chest pain, pressure, or discomfort,
you should FIRST:
A) administer supplemental oxygen.
B) place the patient in a position of comfort.
C) request an ALS ambulance response to the scene.
D) assess the blood pressure and give nitroglycerin. - ANSWER-
B
An important aspect of treating a patient with chest pain,
pressure, or discomfort is to ensure that the patient is in a
comfortable position. Most of the time, the patient will
already be in this position upon your arrival. A comfortable
,3|Page
position will help minimize anxiety, which in turn decreases
cardiac oxygen consumption and demand. The decision to
administer supplemental oxygen depends on the patient's
oxygen saturation and/or whether or not respiratory distress
is present. Following your assessment, if you feel that ALS
support is needed, you should request it. If the patient has
prescribed, unexpired nitroglycerin; the systolic blood
pressure is greater than 100 mm Hg; and the patient has not
taken the maximum of three doses, you should contact
medical control to obtain permission to assist the patient in
taking the nitroglycerin.
A rapid heart rhythm, usually at a rate of 150 to 200 beats/min,
that originates in the ventricles and can cause hemodynamic
compromise is called:
A) asystole.
B) ventricular fibrillation.
C) ventricular tachycardia.
D) pulseless electrical activity. - ANSWER-C
Ventricular tachycardia (V-Tach) is a rapid heart rhythm,
usually at a rate of 150 to 200 beats/min, that originates in the
, 4|Page
ventricle instead of the atrium. V-Tach usually does not allow
adequate time between beats for the left ventricle to fill with
blood; therefore, the blood pressure may fall. V-Tach may
occur with or without a pulse. Ventricular fibrillation (V-Fib)
is a disorganized, chaotic dysrhythmia that does not produce
a pulse; it occurs when cardiac cells randomly discharge to
the point that regular cardiac contraction is impossible.
Asystole (flatline) represents an absence of cardiac electrical
and mechanical activity; obviously, asystole does not
produce a pulse. Pulseless electrical activity (PEA) is a
phenomenon in which organized electrical activity is present
on the cardiac monitor, despite the absence of a pulse
A 71-year-old woman presents with an acute onset of confusion,
slurred speech, and left-sided weakness. She is conscious and
her airway is patent. Her BP is 180/94 mm Hg, her pulse is 70
beats/min and irregular, her respirations are 14 breaths/min and
unlabored, and her oxygen saturation is 97% on room air. What
should you do?
A) Administer up to 325 mg of chewable aspirin
B) Position her supine and assist her ventilations
C) Give oxygen via nasal cannula at 4 to 6 L/min
