DEPARTMENT OF PARAMEDIC AND EMERGENCY CARE| FISDAP
CARDIOLOGY MODULE EXAMINATION 2026| EMT PROGRAM –
COMPREHENSIVE EVALUATION
Department of Emergency Medical Services
FISDAP Cardiology Examination
EMT Certification Assessment – 2025/2026
A patient experiencing a right ventricular infarction would be expected to present with:
A) hypertension and tachycardia
B) ST elevation in lead II, III and aVF.
C) greater than 2-mm ST depression in lead V1
D) sever pulmonary edema and hemoptysis
B) ST elevation in lead II, III and aVF.
You are assessing a middle-aged female who complains of chest discomfort. She is conscious,
alert, and oriented. Her skin is diaphoretic. Her blood pressure is 122/72 mm Hg, her pulse rate
is 120 beats/min, and her respirations are 20 breaths/min. On the basis of her chief complaint,
which of your assessment findings is the MOST significant?
A) Diaphoresis
B) Mental status
C) Elevated Respiratory Rate
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,D) Pulse rate of 120 beats/min
D) pulse rate of 120 beats/min
In contrast to unstable angina, stable angina occurs when a patient:
A) complains of chest pain at the same time of the day for more than 2 weeks.
B) needs more than two nitroglycerin treatments to relieve his or her chest pain.
C) experiences chest discomfort after a certain, predictable amount of exertion.
D) presents with chest pain or discomfort during periods of low oxygen demand.
C) experiences chest discomfort after a certain, predictable amount of exertion.
A 71-year-old male presents with chest pain and shortness of breath. He is conscious, but
confused, and is profusely diaphoretic. He has weakly palpable radial pulses, a BP of 70/40 mm
Hg, and diffuse crackles in all lung fields. You administer high-flow oxygen and apply the cardiac
monitor, which reveals sinus tachycardia. The closest appropriate hospital is 40 miles away.
Which of the following is the MOST appropriate next action?
A) Obtain a 12-lead ECG tracing.
B) Begin an infusion of dopamine.
C) Perform a head-to-toe exam.
D) Give 20 mL/kg fluid boluses.
B) Begin an infusion of dopamine.
Which of the following is an absolute contraindication for fibrinolytic therapy?
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, A) Subdural hematoma 3 years ago
B) BP of 170/100 mm Hg on presentation
C) Current use of anticoagulant medication
D) Ischemic stroke within the last 12 months
A) Subdural hematoma 2 years ago
You are treating a 68-year-old woman with chest pressure and shortness of breath that started
2 days ago. Her BP is 76/52 mm Hg and her pulse is 130 beats/min and weak. The cardiac
monitor reveals sinus tachycardia with occasional PVCs and auscultation of her lungs reveals
diffuse coarse crackles. Which of the following treatment interventions is MOST appropriate for
this patient?
A) Dopamine, 2 to 20 mcg/kg/min
B) Normal saline, 20 mL/kg rapid bolus
C) Amiodarone, 150 mg over 10 min
D) Nitroglycerin, 10 to 20 mcg/min
A) Dopamine, 2 to 20 mcg/kg/min
Which of the following findings would lead the paramedic to suspect pericarditis when
assessing a 40-year-old male with chest pain and no cardiac history?
A) The patient's age and absence of a cardiac history
B) The pain decreases when the patient sits forward
C) Widespread ST depression of greater than 2 mm
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CARDIOLOGY MODULE EXAMINATION 2026| EMT PROGRAM –
COMPREHENSIVE EVALUATION
Department of Emergency Medical Services
FISDAP Cardiology Examination
EMT Certification Assessment – 2025/2026
A patient experiencing a right ventricular infarction would be expected to present with:
A) hypertension and tachycardia
B) ST elevation in lead II, III and aVF.
C) greater than 2-mm ST depression in lead V1
D) sever pulmonary edema and hemoptysis
B) ST elevation in lead II, III and aVF.
You are assessing a middle-aged female who complains of chest discomfort. She is conscious,
alert, and oriented. Her skin is diaphoretic. Her blood pressure is 122/72 mm Hg, her pulse rate
is 120 beats/min, and her respirations are 20 breaths/min. On the basis of her chief complaint,
which of your assessment findings is the MOST significant?
A) Diaphoresis
B) Mental status
C) Elevated Respiratory Rate
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,D) Pulse rate of 120 beats/min
D) pulse rate of 120 beats/min
In contrast to unstable angina, stable angina occurs when a patient:
A) complains of chest pain at the same time of the day for more than 2 weeks.
B) needs more than two nitroglycerin treatments to relieve his or her chest pain.
C) experiences chest discomfort after a certain, predictable amount of exertion.
D) presents with chest pain or discomfort during periods of low oxygen demand.
C) experiences chest discomfort after a certain, predictable amount of exertion.
A 71-year-old male presents with chest pain and shortness of breath. He is conscious, but
confused, and is profusely diaphoretic. He has weakly palpable radial pulses, a BP of 70/40 mm
Hg, and diffuse crackles in all lung fields. You administer high-flow oxygen and apply the cardiac
monitor, which reveals sinus tachycardia. The closest appropriate hospital is 40 miles away.
Which of the following is the MOST appropriate next action?
A) Obtain a 12-lead ECG tracing.
B) Begin an infusion of dopamine.
C) Perform a head-to-toe exam.
D) Give 20 mL/kg fluid boluses.
B) Begin an infusion of dopamine.
Which of the following is an absolute contraindication for fibrinolytic therapy?
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, A) Subdural hematoma 3 years ago
B) BP of 170/100 mm Hg on presentation
C) Current use of anticoagulant medication
D) Ischemic stroke within the last 12 months
A) Subdural hematoma 2 years ago
You are treating a 68-year-old woman with chest pressure and shortness of breath that started
2 days ago. Her BP is 76/52 mm Hg and her pulse is 130 beats/min and weak. The cardiac
monitor reveals sinus tachycardia with occasional PVCs and auscultation of her lungs reveals
diffuse coarse crackles. Which of the following treatment interventions is MOST appropriate for
this patient?
A) Dopamine, 2 to 20 mcg/kg/min
B) Normal saline, 20 mL/kg rapid bolus
C) Amiodarone, 150 mg over 10 min
D) Nitroglycerin, 10 to 20 mcg/min
A) Dopamine, 2 to 20 mcg/kg/min
Which of the following findings would lead the paramedic to suspect pericarditis when
assessing a 40-year-old male with chest pain and no cardiac history?
A) The patient's age and absence of a cardiac history
B) The pain decreases when the patient sits forward
C) Widespread ST depression of greater than 2 mm
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