Cardiology FISDAP/ 42 Practice Questions And
Answers/100% Correct
when obtaining a 12 - lead ECG, lead V1 should be placed:
A) upper right shoulder just above the clavicle
B) approximately 1 inch to the right of the angle of Louis
C) In the sec intercostal space just inferior to the sec rib.
D) in the fourth intercostal space just to the right of the sternum - Correct
Answer -D) in the fourth intercostal space just to the right of the sternum
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 - Correct Answer -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
D) Pulse rate of 120 beats/min - Correct Answer -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. - Correct Answer -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. - Correct Answer -B) Begin an infusion of
dopamine.
Which of the following is an absolute contraindication for fibrinolytic therapy?
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 - Correct Answer -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 - Correct Answer -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
D) Greater than 3-mm ST elevation in leads V2 and V3 - Correct Answer -B)
The pain decreases when the patient sits forward
When assessing a patient with suspected cardiac-related chest pain, which of
the following questions would be MOST appropriate to ask?
Answers/100% Correct
when obtaining a 12 - lead ECG, lead V1 should be placed:
A) upper right shoulder just above the clavicle
B) approximately 1 inch to the right of the angle of Louis
C) In the sec intercostal space just inferior to the sec rib.
D) in the fourth intercostal space just to the right of the sternum - Correct
Answer -D) in the fourth intercostal space just to the right of the sternum
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 - Correct Answer -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
D) Pulse rate of 120 beats/min - Correct Answer -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. - Correct Answer -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. - Correct Answer -B) Begin an infusion of
dopamine.
Which of the following is an absolute contraindication for fibrinolytic therapy?
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 - Correct Answer -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 - Correct Answer -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
D) Greater than 3-mm ST elevation in leads V2 and V3 - Correct Answer -B)
The pain decreases when the patient sits forward
When assessing a patient with suspected cardiac-related chest pain, which of
the following questions would be MOST appropriate to ask?
