4/14/25, 9:05 NREMT- Cardiology Flashcards |
PM
NREMT- CARDIOLOGY EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
16 studiers today 5.0 (3 reviews)
Save
Terms in this set (100)
C; Chest pain, pressure, or discomfort is the most
common symptom of acute coronary syndrome,
or ACS (eg, unstable angina, acute
myocardial infarction); it occurs in
approximately 80% of cases. Patients with ACS
are usually anxious and may have a feeling of
In addition to chest pain or discomfort, a impending doom. Nausea and vomiting are
patient experiencing an acute coronary common complaints; however, projectile
syndrome would MOST likely present vomiting, which is typically associated with
with: increased intracranial pressure, is uncommon.
A: severe projectile vomiting and flushed The skin is often ashen gray and
skin. clammy (diaphoretic) because of poor cardiac
B: irregular breathing and low blood output and decreased perfusion. Less commonly,
pressure. the patient's skin is cyanotic. Respirations are
C: ashen skin color, diaphoresis, and usually unlabored unless the patient
anxiety. has congestive heart failure, in which
D: profound cyanosis, dry skin, and a case
headache. respirations are rapid and labored; irregular
breathing, however, is not common.
Blood
pressure may fall as a result of decreased
cardiac output; however, most patients will
have a
normal or elevated blood pressure. If the patient
complains of a headache, it is usually a side
effect of the nitroglycerin they took before your
arrival; ACS itself usually does not cause a
headache.
1/29
,4/14/25, 9:05 NREMT- Cardiology Flashcards |
PM
C; Not all patients experiencing acute
myocardial infarction (AMI) present with the
classic signs and symptoms one would
Which of the following patients would expect. Middle-aged men often minimize their
MOST likely present with vague or symptoms and attribute their chest pain or
unusual symptoms of an acute discomfort to indigestion. Some patients,
myocardial infarction? however, do not experience any pain. In
A: 55-year-old obese female particular, elderly women with diabetes may
B: 66-year-old male with angina present with vague,
C: 72-year-old female with diabetes unusual, or atypical symptoms of AMI; their only
D: 75-year-old male with hypertension presenting complaint may be fatigue or syncope.
Do not rule out a cardiac problem just because a
patient is not experiencing chest pain, pressure,
or discomfort; this is especially true in elderly
females with diabetes.
D; Patients with chest pain, pressure, or
discomfort with a systolic BP less than 100 mm
During your assessment of a 70-year-old Hg should be transported to the hospital without
man with crushing chest pain, you note delay. Hypotension in a patient with chest
that his blood pressure is 80/50 mm Hg. pain
Your MOST important action should be indicates cardiogenic shock due to severe
to: cardiac damage and requires treatment that can
A: assess his oxygen saturation. only be given at the hospital. Any delay in
B: keep the patient warm. transport delays definitive care and increases
C: give high-flow oxygen. the patient's chance of death. High-flow
D: transport without delay. oxygen,
thermal management, and assessment of oxygen
saturation are clearly important; however,
your
primary focus should be to get the patient to the
hospital as soon as possible.
A 65-year-old man has generalized A; Aspirin has clearly been shown to reduce
weakness and chest pressure. He has a mortality and morbitiy associated with acute
bottle of prescribed nitroglycerin, but coronary syndrome (ACS) and should be given
states that he has not taken any of his as early as possible; the dose is 160 to 325 mg.
medication. As your partner prepares to Even though this patient has chest pain and
administer oxygen, you should: prescribed nitroglycerin, you must first complete
A: administer up to 325 mg of aspirin if a secondary assessment and obtain baseline
the patient is not allergic to it. vital signs. Medical control will need this
B: perform a secondary assessment information— specifically the patient's blood
and obtain baseline vital signs. pressure—in order to determine whether you
C: apply the AED and prepare the patient should assist the
for immediate transport. patient with his nitroglycerin. The AED is not
D: assist the patient with his nitroglycerin indicated for this patient because he is not in
with medical control approval. cardiac arrest.
2/29
, 4/14/25, 9:05 NREMT- Cardiology Flashcards |
PM
B; If a patient is found unresponsive or becomes
unresponsive in your presence, your first action
should be to assess for breathing; this should be
While transporting an elderly woman who done by quickly (no more than 10 seconds)
was complaining of nausea, vomiting, looking at the chest for obvious movement. If
and weakness, she suddenly becomes the patient is not breathing or only has agonal
unresponsive. You should: gasps, you should check for a pulse for at
A: analyze her heart rhythm with the AED. least 5 seconds but no more than 10
B: quickly look at her chest for obvious seconds. If the
movement. patient has a pulse but is not breathing, open
C: feel for a carotid pulse for at least 5 the airway and provide rescue breathing. If
seconds. the
D: open her airway and ensure that it is patient does not have a pulse, begin CPR
clear. (starting with chest compressions), and apply the
AED as soon as possible. If you are transporting
a patient who becomes unresponsive, pulseless,
and apneic, you should begin CPR and
instruct your partner to stop the ambulance and
prepare the AED.
C; All of the interventions and assessments
listed in this question should be performed
on a
patient who presents with chest pain, pressure,
or discomfort. However, supplemental oxygen is
A 50-year-old man presents with crushing indicated for any patient with a potential cardiac
chest pain of sudden onset. He is problem and should be given as soon as
diaphoretic, apprehensive, possible; this is especially true when the
and tachypneic. You should: patient has potential respiratory involvement as
A: obtain baseline vital signs. well (ie, dyspnea, tachypnea). Administer
B: perform a complete physical oxygen in a
exam. C: apply supplemental concentration sufficient to maintain an
oxygen. oxygen saturation of 94% or greater. Aspirin (up
D: ask him if he takes nitroglycerin. to 325 mg) should also be administered as
soon as
possible, unless the patient is allergic to it. After
applying oxygen and administering aspirin, you
should perform a physical exam and obtain
baseline vital signs. You would inquire about any
prescription medications the patient is taking (eg,
NTG) during the SAMPLE history.
C; If return of spontaneous circulation (ROSC)
occurs (eg, a palpable pulse is restored), your
You are treating a 60-year-old man in
first action should be to reassess the patient's
cardiac arrest. After delivering a shock
airway and ventilatory status. If the patient
with the AED and performing CPR for 2
remains apneic, continue rescue breathing. If the
minutes, you achieve return of
patient is breathing adequately, administer high-
spontaneous circulation. Your next action
flow oxygen. After reassessing airway and
should be to:
breathing, and treating accordingly, you
A: provide rapid transport to the hospital.
should prepare for immediate transport.
B: remove the AED and apply 100%
Because of the high risk that cardiac arrest can
oxygen.
recur following resuscitation, you should not
C: assess his airway and ventilatory status.
remove the AED pads; simply turn the AED off
D: reanalyze his rhythm for confirmation.
instead. Analysis of the patient's cardiac
rhythm is not indicated because he now has
a pulse.
3/29
PM
NREMT- CARDIOLOGY EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS
VERIFIED
16 studiers today 5.0 (3 reviews)
Save
Terms in this set (100)
C; Chest pain, pressure, or discomfort is the most
common symptom of acute coronary syndrome,
or ACS (eg, unstable angina, acute
myocardial infarction); it occurs in
approximately 80% of cases. Patients with ACS
are usually anxious and may have a feeling of
In addition to chest pain or discomfort, a impending doom. Nausea and vomiting are
patient experiencing an acute coronary common complaints; however, projectile
syndrome would MOST likely present vomiting, which is typically associated with
with: increased intracranial pressure, is uncommon.
A: severe projectile vomiting and flushed The skin is often ashen gray and
skin. clammy (diaphoretic) because of poor cardiac
B: irregular breathing and low blood output and decreased perfusion. Less commonly,
pressure. the patient's skin is cyanotic. Respirations are
C: ashen skin color, diaphoresis, and usually unlabored unless the patient
anxiety. has congestive heart failure, in which
D: profound cyanosis, dry skin, and a case
headache. respirations are rapid and labored; irregular
breathing, however, is not common.
Blood
pressure may fall as a result of decreased
cardiac output; however, most patients will
have a
normal or elevated blood pressure. If the patient
complains of a headache, it is usually a side
effect of the nitroglycerin they took before your
arrival; ACS itself usually does not cause a
headache.
1/29
,4/14/25, 9:05 NREMT- Cardiology Flashcards |
PM
C; Not all patients experiencing acute
myocardial infarction (AMI) present with the
classic signs and symptoms one would
Which of the following patients would expect. Middle-aged men often minimize their
MOST likely present with vague or symptoms and attribute their chest pain or
unusual symptoms of an acute discomfort to indigestion. Some patients,
myocardial infarction? however, do not experience any pain. In
A: 55-year-old obese female particular, elderly women with diabetes may
B: 66-year-old male with angina present with vague,
C: 72-year-old female with diabetes unusual, or atypical symptoms of AMI; their only
D: 75-year-old male with hypertension presenting complaint may be fatigue or syncope.
Do not rule out a cardiac problem just because a
patient is not experiencing chest pain, pressure,
or discomfort; this is especially true in elderly
females with diabetes.
D; Patients with chest pain, pressure, or
discomfort with a systolic BP less than 100 mm
During your assessment of a 70-year-old Hg should be transported to the hospital without
man with crushing chest pain, you note delay. Hypotension in a patient with chest
that his blood pressure is 80/50 mm Hg. pain
Your MOST important action should be indicates cardiogenic shock due to severe
to: cardiac damage and requires treatment that can
A: assess his oxygen saturation. only be given at the hospital. Any delay in
B: keep the patient warm. transport delays definitive care and increases
C: give high-flow oxygen. the patient's chance of death. High-flow
D: transport without delay. oxygen,
thermal management, and assessment of oxygen
saturation are clearly important; however,
your
primary focus should be to get the patient to the
hospital as soon as possible.
A 65-year-old man has generalized A; Aspirin has clearly been shown to reduce
weakness and chest pressure. He has a mortality and morbitiy associated with acute
bottle of prescribed nitroglycerin, but coronary syndrome (ACS) and should be given
states that he has not taken any of his as early as possible; the dose is 160 to 325 mg.
medication. As your partner prepares to Even though this patient has chest pain and
administer oxygen, you should: prescribed nitroglycerin, you must first complete
A: administer up to 325 mg of aspirin if a secondary assessment and obtain baseline
the patient is not allergic to it. vital signs. Medical control will need this
B: perform a secondary assessment information— specifically the patient's blood
and obtain baseline vital signs. pressure—in order to determine whether you
C: apply the AED and prepare the patient should assist the
for immediate transport. patient with his nitroglycerin. The AED is not
D: assist the patient with his nitroglycerin indicated for this patient because he is not in
with medical control approval. cardiac arrest.
2/29
, 4/14/25, 9:05 NREMT- Cardiology Flashcards |
PM
B; If a patient is found unresponsive or becomes
unresponsive in your presence, your first action
should be to assess for breathing; this should be
While transporting an elderly woman who done by quickly (no more than 10 seconds)
was complaining of nausea, vomiting, looking at the chest for obvious movement. If
and weakness, she suddenly becomes the patient is not breathing or only has agonal
unresponsive. You should: gasps, you should check for a pulse for at
A: analyze her heart rhythm with the AED. least 5 seconds but no more than 10
B: quickly look at her chest for obvious seconds. If the
movement. patient has a pulse but is not breathing, open
C: feel for a carotid pulse for at least 5 the airway and provide rescue breathing. If
seconds. the
D: open her airway and ensure that it is patient does not have a pulse, begin CPR
clear. (starting with chest compressions), and apply the
AED as soon as possible. If you are transporting
a patient who becomes unresponsive, pulseless,
and apneic, you should begin CPR and
instruct your partner to stop the ambulance and
prepare the AED.
C; All of the interventions and assessments
listed in this question should be performed
on a
patient who presents with chest pain, pressure,
or discomfort. However, supplemental oxygen is
A 50-year-old man presents with crushing indicated for any patient with a potential cardiac
chest pain of sudden onset. He is problem and should be given as soon as
diaphoretic, apprehensive, possible; this is especially true when the
and tachypneic. You should: patient has potential respiratory involvement as
A: obtain baseline vital signs. well (ie, dyspnea, tachypnea). Administer
B: perform a complete physical oxygen in a
exam. C: apply supplemental concentration sufficient to maintain an
oxygen. oxygen saturation of 94% or greater. Aspirin (up
D: ask him if he takes nitroglycerin. to 325 mg) should also be administered as
soon as
possible, unless the patient is allergic to it. After
applying oxygen and administering aspirin, you
should perform a physical exam and obtain
baseline vital signs. You would inquire about any
prescription medications the patient is taking (eg,
NTG) during the SAMPLE history.
C; If return of spontaneous circulation (ROSC)
occurs (eg, a palpable pulse is restored), your
You are treating a 60-year-old man in
first action should be to reassess the patient's
cardiac arrest. After delivering a shock
airway and ventilatory status. If the patient
with the AED and performing CPR for 2
remains apneic, continue rescue breathing. If the
minutes, you achieve return of
patient is breathing adequately, administer high-
spontaneous circulation. Your next action
flow oxygen. After reassessing airway and
should be to:
breathing, and treating accordingly, you
A: provide rapid transport to the hospital.
should prepare for immediate transport.
B: remove the AED and apply 100%
Because of the high risk that cardiac arrest can
oxygen.
recur following resuscitation, you should not
C: assess his airway and ventilatory status.
remove the AED pads; simply turn the AED off
D: reanalyze his rhythm for confirmation.
instead. Analysis of the patient's cardiac
rhythm is not indicated because he now has
a pulse.
3/29
