Cardiology FISDAP practice quiz
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 - 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 - 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 - 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. -
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. - 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 - 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 - 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 - 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?
A) Does the pain move to your arms?
B) Were you at rest when the pain began?
C) Is the pain crushing or dull in nature?
D) Can you describe the quality of the pain? - ANSWER-D) can you describe the quality
of the pain?
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
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 - 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 - 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 - 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. -
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. - 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 - 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 - 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 - 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?
A) Does the pain move to your arms?
B) Were you at rest when the pain began?
C) Is the pain crushing or dull in nature?
D) Can you describe the quality of the pain? - ANSWER-D) can you describe the quality
of the pain?
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
