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A common symptom of cardiac compromise is CP or discomfort known as
• Fibrillation
• Ischemia
• Myocardial infarction
• 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?
• Heart rate <100
• SBP >100
• SBP <100
• 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
• Begin chest compressions
• Leave the pt and obtain an AED
• Continue rescue breathing
• 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?
• Coronary artery disease
• Thrombus
• Aneurysm
• 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?
• Heart attack
• Cardiac Arrest
• Angina
• 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
• Cardiac event
• Cerebrovascular event
• Hypoglycemic reactions
• Asthma attack
A. Cardiac event
A malfunction of the heart's electrical system may result in
• Atherosclerosis
• Pericarditis
• Aneurysm
• Arrhythmia
D. Arrhythmia
All of the following are indications for the use of nitro EXCEPT
• Patient has a history of cardiac problems
• The patient's physician has prescribed nitro
• Pt complains of CP
• 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 nitroB>
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
• Reassess his BP
• Assist him with a 2nd nitro
,• Transport
• 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
• Start CPR and transport more rapidly
• Stop the ambulance and confirm absence of pulse
• Immediately apply an AED and analyze
• Insert an OPA and ventilate twice
B. Stop the ambulance and confirm absence of pulse
is a cardiac arrhythmia characterized by a complete disorganization ofelectrical activity
• Ventricular tachycardia
• Pulseless electrical activity
• Ventricular fibrillation
• Atrial fibrillation
C. Ventricular fibrillation
• One of the most problematic side effects of nitro is
• Hypotension
• Bradycardia
• Angina
• Dyspnea
A. Hypotension
• The strongest portion of the heart that is responsible for circulating blood to the entire
body isthe
• Left atrium
• Right atrium
• Left ventricle
• Right ventricle
C. Left ventricle
• 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 ismost life-threatening.
• Stroke
• Diabetic reaction
• Cardiac compromise
• 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
• Delirium tremens
• Severe migraine
• Hemorrhagic stroke
• Acute alcohol intoxication
C. Hemorrhagic stroke
When you assess a pulse you are feeling the
• Contraction of the left atrium
• Relaxation of both ventricles
• Relaxation of the atria
• When you assess a pulse you are feeling the
• Contraction of the left atrium
• Relaxation of both ventricles
• Relaxation of the atria
• Contraction of the left ventricle
D. Contraction of the left ventricle
• A 67 y/o female just had a syncopal episode while using the toilet. Vitals are BP
100/6-. P 110irregular, R 12. She is weak and dizzy. You should suspect a
• Gastrointestinal obstruction
• Vertebral vascular accident
• Cardiac rhythm disturbance
• Acute myocardial infarction
C. Cardiac rhythm disturbance
1763 - 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.
• Left shoulder (to avoid pacemaker) and right lower chest
• Nipple line under the left and right armpits
• Anterior chest and back (between shoulder blades)
• Right shoulder (directly over the pacemaker) and lower left chest.
C. Anterior chest and back (between shoulder blades)
1764 - A pt becomes unresponsive. You find she is apneic and pulseless. You should
• Start CPR and apply the AED
• Apply O2 via BVM and apply the AED
• Apply AED and analyze
• Request ALS and begin CPR
A. Start CPR and apply the AED