ECCO FINAL EXAM STUDY GUIDE 2025/2026
ACCURATE QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES || 100% GUARANTEED
PASS <BRAND NEW VERSION>
Why do we hear heart murmurs? ......ANSWER........we hear heart
murmurs because of the thickening of a valve like aortic stenosis
or d/t mechanical dysfunction of the valve
Regurgitation of the aortic or pulmonic valves will result in a
......ANSWER........diastolic murmur, as blood flows backward into
the diseased valve when ventricular pressures drop during
relaxation
,age 2 of 41
Stenosis of the aortic or pulmonic valves will result in a
......ANSWER........systolic murmur, as blood is ejected through the
narrowed valve
Where can you hear the aortic stenosis? ......ANSWER........2nd
intercostal space, R sternal boarder
-rough and high pitched murmur
Cardiac enzymes are elevated in what conditions?
......ANSWER........MI, cardiac tamponade, cardiac surgery, acute
injury - trauma to chest/chest injury, pericarditis
What is the initial treatment for chest pain?
......ANSWER........MONA
-Morphine
-Oxygen
,age 3 of 41
-Nitroglycerin
-Aspirin
For an acute MI/chest pain, what changes are we looking for on
the EKG? ......ANSWER........ST elevation
In what condition do we NOT see an elevation of troponin in?
......ANSWER........Congestive heart failure
What do we look for in an atrial waveform? (on an a-line)
......ANSWER........The dicrotic notch
-it indicates closure of the AV (aortic valve)
How long do you hold pressure for when you pull an art line?
......ANSWER........8-10 minutes
, age 4 of 41
What are we looking out for when using thrombolytics (rTPA)?
......ANSWER........Brain bleeds
What are signs of herniation (bleeding) from rTPA?
......ANSWER........1. decreased LOC/neuro changes
2. increased ICP
3. severe headaches
What conditions warrant for an external pacemaker?
......ANSWER........Symptomatic bradycardia, 3rd degree heart
block, recurrent tachy-brady syndromes,
Can we use atropine for a 3rd degree heart block?
......ANSWER........No.
What are the signs and symptoms of cardiac tamponade?
......ANSWER........Narrow pulse pressure, pulses paradox (BP