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1. What is the initial emergency treatment for chest pain?
A) Oxygen, Epinephrine, Amiodarone, Aspirin
B) Oxygen, Morphine, Atropine, Nitroglycerin
C) MONA – Morphine, Oxygen, Nitroglycerin, and Aspirin
D) Metoprolol, Oxygen, Nitrates, Atropine
2. What key EKG change is indicative of an acute myocardial infarction (MI)?
A) PR interval shortening
B) T wave inversion
C) ST-segment elevation
D) QT prolongation
3. In which conditions are cardiac enzymes (e.g., troponin) elevated?
A) Pneumonia, Pulmonary embolism
B) Myocardial infarction, cardiac surgery, trauma, pericarditis, and cardiac
tamponade
C) COPD, Asthma
D) Dehydration, Anemia
,4. In which condition would troponin not typically be elevated?
A) Myocardial infarction
B) Pericarditis
C) Congestive heart failure
D) Cardiac tamponade
5. What is the major risk to monitor for when administering thrombolytic therapy
(rTPA)?
A) Hypoglycemia
B) Intracranial or cerebral hemorrhage
C) Pulmonary embolism
D) Hypothermia
6. Why do we hear heart murmurs?
A) Due to increased blood viscosity
B) Because of turbulent blood flow from valve thickening or mechanical
dysfunction (e.g., aortic stenosis)
C) Due to increased cardiac output
D) Because of heart muscle fatigue
7. Stenosis of the aortic or pulmonic valves typically produces which type of
murmur?
A) Continuous murmur
B) Systolic murmur (heard during ventricular ejection)
C) Diastolic murmur
D) None of the above
8. Regurgitation of the aortic or pulmonic valves results in which type of murmur?
A) Systolic
, B) Diastolic murmur (blood flows backward during relaxation)
C) Continuous
D) Late systolic click
9. Where is aortic stenosis best auscultated?
A) 4th intercostal space, left sternal border
B) Apex of the heart
C) 2nd intercostal space, right sternal border — rough and high-pitched
murmur
D) Midclavicular line, 3rd intercostal space
10. On an arterial waveform, what feature indicates closure of the aortic valve?
A) The peak systolic upstroke
B) The dicrotic notch
C) The end-diastolic dip
D) The plateau phase
11. When removing an arterial line, how long should manual pressure be held?
A) 3–5 minutes
B) 8–10 minutes (longer if patient on anticoagulants)
C) 1–2 minutes
D) 15–20 seconds
12. What are classic signs of cardiac tamponade?
A) Wide pulse pressure and bounding pulses
B) Narrow pulse pressure, pulsus paradoxus, elevated JVD, hypotension,
muffled heart tones
C) Tachypnea with increased breath sounds
D) Bradycardia with bounding pulse