2026 FALL-SPRING QUESTIONS AND ANSWERS
GRADED A+NEWEST !!
You arrive on scene to find a conscious 58YOF sitting up and reporting severe
chest pain and SOB. She is anxious and "feels like she's going to die." Her skin is
pale, cool, and clammy and her pulse is rapid, weak, and irregular. Her breathing is
labored, with a RR of 28 breaths/min. Her SpO2 is 90%. Lung sounds show
crackles in all fields, and BP is 92/60 mmHg. What is your differential diagnosis of
the patient?
Cardiogenic shock
The heart is divided down the middle into left and right sides by the:
Septum
Which chamber of the heart receives incoming unoxygenated blood?
Atrium
Which chamber of the heart pumps oxygenated blood?
Ventricles
,Normal electrical impulses begin in the:
Sinoatrial (SA) node
What is the preferred method of removing a foreign body in an unresponsive child?
Chest compressions
Cardiogenic shock is caused by:
Inadequate function of the heart muscle
Pericardial effusion
Collection of fluid between the pericardial sac and the myocardium
Cardiac tamponade
Occurs when blood leaks into the space between the pericardium and the
pericardial sac
, Signs and symptoms of cardiac tamponade:
Beck triad: the presence of jugular vein distention, muffled heart sounds, and a
narrowing pulse pressure where the systolic and diastolic blood pressures start to
merge.
Signs of cardiogenic shock:
-Skin may be cool, clammy, and ashen
-High BP
-Rapid, shallow breathing
-Weak, irregular pulse
-Anxiety, nausea
What characteristic allows a cardiac muscle cells to contract spontaneously without
an external stimulus?
Automaticity
Which intervention or interventions would have the MOST positive impact on the
cardiac arrest patient's outcome?
Early CPR and defibrillation