NEW EMT CARDIOLOGY EXAM WITH Q&A
TESTED AND APPROVED!!
After restoring a pulse in a cardiac arrest patient, you begin immediate transport. While en
route to the hospital, the patient goes back into cardiac arrest. You should:
A) advise your partner to stop the ambulance.
B) begin CPR and proceed to the hospital.
C) begin rescue breathing with a bag-mask device.
D) analyze the patient's rhythm with the AED. -- ANSWER--A) advise your partner to
stop the ambulance.
A 57-year-old man presents with flu-like symptoms. He is conscious and alert; his skin is
pink, warm, and dry; and he denies chest pain or respiratory distress. During your assessment,
you cannot feel radial or carotid pulses, and are unable to obtain a blood pressure. Which of
the following would MOST likely explain this?
A) He is in the advanced stages of shock
B) He has a left ventricular assist device
C) He has a dissecting aortic aneurysm
D) He recently had a coronary artery bypass -- ANSWER--B) He has a left ventricular
assist device
Which of the following would clearly be detrimental to a patient in cardiac arrest?
A) Ventilating just until the chest rises
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,B) Performing CPR before defibrillation
C) Interrupting CPR for more than 10 seconds 4
D) Ventilating without supplemental oxygen -- ANSWER--C) Interrupting CPR for more
than 10 seconds
Following return of spontaneous circulation, the patient remains apneic. The EMT should:
A) ventilate at 10 breaths/min and maintain an oxygen saturation of 92% to 98%.
B) ventilate at 15 to 18 breaths/min and maintain an oxygen saturation of 100%.
C) elevate the patient's lower extremities and ventilate at a rate of 20 breaths/min.
D) remove the AED pads and ventilate the patient at a rate of 24 breaths/min. --
ANSWER--
A) ventilate at 10 breaths/min and maintain an oxygen saturation of 92% to 98%.
In which of the following patients is nitroglycerin contraindicated?
A) 41-year-old man with crushing substernal chest pressure, a blood pressure of 160/90
mm Hg, and severe nausea
B) 53-year-old man with chest discomfort, diaphoresis, a blood pressure of 146/66 mm
Hg, and regular use of Levitra
C) 58-year-old man with chest pain radiating to the left arm, a blood pressure of 130/64
mm Hg, and prescribed Tegretol
D) 66-year-old woman with chest pressure of 6 hours' duration, lightheadedness, and a
blood pressure of 110/58 mm Hg -- ANSWER--B) 53-year-old man with chest discomfort,
diaphoresis, a blood pressure of 146/66 mm Hg, and regular use of Levitra
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,When the vital organs of an 85-year-old patient need additional blood flow, the heart may not
be able to meet the increased need because:
A) stroke volume increases as a person ages.
5
B) blood pressure decreases as a person ages.
C) the reserve capacity of the heart is reduced as a person ages.
D) the blood vessels become more elastic as a person ages. -- ANSWER--C) the reserve
capacity of the heart is reduced as a person ages.
The AED analyzes your pulseless and apneic patient's cardiac rhythm and advises that a
shock is NOT indicated. You should:
A) assess for a pulse for no more than 10 seconds. B) resume CPR, starting with chest
compressions.
C) open the patient's airway and check for breathing.
D) reanalyze the cardiac rhythm for positive confirmation. -- ANSWER--B) resume
CPR, starting with chest compressions.
Which of the following assessment findings is LEAST suggestive of a cardiac problem?
A) Rapid, irregular heart rate
B) Anxiety and pale, cool skin
C) Palpable pain to the chest
D) Nausea and epigastric pain -- ANSWER--C) Palpable pain to the chest
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, The middle, muscular layer of the heart is called the: A) epicardium.
B) pericardium.
C) myocardium.
D) endocardium. -- ANSWER--C) myocardium.
The pain associated with acute aortic dissection:
A) typically comes on gradually and progressively worsens.
B) is typically described as a stabbing or tearing sensation.
C) is usually preceded by nausea, sweating, and weakness.
D) originates in the epigastrium and radiates down both legs. -- ANSWER--B) is
typically described as a stabbing or tearing sensation.
1
When an error occurs while using the AED, it is MOST often the result of: A) battery failure
secondary to operator error.
B) malfunction of the microchip inside the AED.
C) misinterpretation of the patient's cardiac rhythm.
D) excess patient movement during the analyze phase. -- ANSWER--A) battery failure
secondary to operator error.
Switching compressors during two-rescuer CPR:
A) should take no more than 15 seconds to accomplish.
B) should occur every 2 minutes throughout the arrest.
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TESTED AND APPROVED!!
After restoring a pulse in a cardiac arrest patient, you begin immediate transport. While en
route to the hospital, the patient goes back into cardiac arrest. You should:
A) advise your partner to stop the ambulance.
B) begin CPR and proceed to the hospital.
C) begin rescue breathing with a bag-mask device.
D) analyze the patient's rhythm with the AED. -- ANSWER--A) advise your partner to
stop the ambulance.
A 57-year-old man presents with flu-like symptoms. He is conscious and alert; his skin is
pink, warm, and dry; and he denies chest pain or respiratory distress. During your assessment,
you cannot feel radial or carotid pulses, and are unable to obtain a blood pressure. Which of
the following would MOST likely explain this?
A) He is in the advanced stages of shock
B) He has a left ventricular assist device
C) He has a dissecting aortic aneurysm
D) He recently had a coronary artery bypass -- ANSWER--B) He has a left ventricular
assist device
Which of the following would clearly be detrimental to a patient in cardiac arrest?
A) Ventilating just until the chest rises
Page 1 of 95
,B) Performing CPR before defibrillation
C) Interrupting CPR for more than 10 seconds 4
D) Ventilating without supplemental oxygen -- ANSWER--C) Interrupting CPR for more
than 10 seconds
Following return of spontaneous circulation, the patient remains apneic. The EMT should:
A) ventilate at 10 breaths/min and maintain an oxygen saturation of 92% to 98%.
B) ventilate at 15 to 18 breaths/min and maintain an oxygen saturation of 100%.
C) elevate the patient's lower extremities and ventilate at a rate of 20 breaths/min.
D) remove the AED pads and ventilate the patient at a rate of 24 breaths/min. --
ANSWER--
A) ventilate at 10 breaths/min and maintain an oxygen saturation of 92% to 98%.
In which of the following patients is nitroglycerin contraindicated?
A) 41-year-old man with crushing substernal chest pressure, a blood pressure of 160/90
mm Hg, and severe nausea
B) 53-year-old man with chest discomfort, diaphoresis, a blood pressure of 146/66 mm
Hg, and regular use of Levitra
C) 58-year-old man with chest pain radiating to the left arm, a blood pressure of 130/64
mm Hg, and prescribed Tegretol
D) 66-year-old woman with chest pressure of 6 hours' duration, lightheadedness, and a
blood pressure of 110/58 mm Hg -- ANSWER--B) 53-year-old man with chest discomfort,
diaphoresis, a blood pressure of 146/66 mm Hg, and regular use of Levitra
Page 2 of 95
,When the vital organs of an 85-year-old patient need additional blood flow, the heart may not
be able to meet the increased need because:
A) stroke volume increases as a person ages.
5
B) blood pressure decreases as a person ages.
C) the reserve capacity of the heart is reduced as a person ages.
D) the blood vessels become more elastic as a person ages. -- ANSWER--C) the reserve
capacity of the heart is reduced as a person ages.
The AED analyzes your pulseless and apneic patient's cardiac rhythm and advises that a
shock is NOT indicated. You should:
A) assess for a pulse for no more than 10 seconds. B) resume CPR, starting with chest
compressions.
C) open the patient's airway and check for breathing.
D) reanalyze the cardiac rhythm for positive confirmation. -- ANSWER--B) resume
CPR, starting with chest compressions.
Which of the following assessment findings is LEAST suggestive of a cardiac problem?
A) Rapid, irregular heart rate
B) Anxiety and pale, cool skin
C) Palpable pain to the chest
D) Nausea and epigastric pain -- ANSWER--C) Palpable pain to the chest
Page 3 of 95
, The middle, muscular layer of the heart is called the: A) epicardium.
B) pericardium.
C) myocardium.
D) endocardium. -- ANSWER--C) myocardium.
The pain associated with acute aortic dissection:
A) typically comes on gradually and progressively worsens.
B) is typically described as a stabbing or tearing sensation.
C) is usually preceded by nausea, sweating, and weakness.
D) originates in the epigastrium and radiates down both legs. -- ANSWER--B) is
typically described as a stabbing or tearing sensation.
1
When an error occurs while using the AED, it is MOST often the result of: A) battery failure
secondary to operator error.
B) malfunction of the microchip inside the AED.
C) misinterpretation of the patient's cardiac rhythm.
D) excess patient movement during the analyze phase. -- ANSWER--A) battery failure
secondary to operator error.
Switching compressors during two-rescuer CPR:
A) should take no more than 15 seconds to accomplish.
B) should occur every 2 minutes throughout the arrest.
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