Cardiology Exam EMT chapter 18 Flashcards

A 48-year-old male complains of 8/10 crushing pain that radiates to his neck. Vitals are BP 112/78, P 60, R 18. The patient states he took his daily medications of metoprolol, Cialis, and aspirin. What should you do?

A patient has been in cardiac arrest for seven minutes after being struck by lightning. You should:

A 54 year-old male complains of chest tightness after raking leaves for an hour. The pain subsided after he rested and took two nitroglycerin tablets. He has had very similar episodes in the past. He is most likely experiencing:

A child is in cardiac arrest with an unknown downtime. What should you do?

Aspirin is administered to patients with chest pain because it:

A 60-year-old patient is short of breath and cyanotic. Lung sounds revealed crackles and you note accessory muscle use. You should suspect:

Emergency medical responders have been performing effective CPR on a patient in cardiac arrest. Upon your arrival, the AED "says shock advised" What should you do?

Which of the following is a sign or symptom of cardiogenic shock?

While performing chest compressions, you should:

During CPR, why is the upstroke of the compression critical?

What best describes PEA ( Pulseless Electrical Activity)?

Which valve controls blood flow between the left atrium and left ventricle?

Chronic hypertension in adults typically begins at pressure higher than:

A 54-year-old female suddenly became pulseless and apneic. What should you do?

If the heart lacks enough power to pump the proper volume of blood through the circulatory system, it is known as:

You observe an older male slump to the floor. He is pulseless. What should you do?

During adult CPR, you should compress the chest:

A 67-year-old male has significant shortness of breath, chest pain, and nausea. He is ashen and clammy. Vitals are BP 90/60, P 148, R 34. You should:

What is the primary action of nitroglycerin?

A 76 year old female is sitting in a tripod position, complaining of epigastric discomfort, nausea, dizziness, and fatigue. She has taken two nitroglycerin tablets without relief. You should suspect:

In an adult, a pulse rate of 50 is called

Which vessels carry blood to the capillary beds?

You are in an airport and see an adult collapse. As you get the AED from the wall, a bystander starts CPR. If indicated, you should deliver your first shock:

An 80-year-old male patient presents with shortness of breath, fatigue, peripheral edema, and jugular vein distention. Breath sounds reveal crackles and rhonchi. The most likely cause is:

A 69-year-old male is lying in his bed and complains of chest pain. During your assessment he becomes unresponsive and pulseless. What should you do?

A 66-year-old female called EMS for minor chest pain. Prior to calling she took three doses of her prescribed sublingual nitroglycerin with no relief. Her SpO2 is 95%. What should you do?

A 49-year-old male with a history of heart problems complains of shortness of breath. You can assist him in taking his prescribed nitroglycerin if he:

A patient complains of chest pain radiating to both shoulders after dinner. He is pale, diaphoretic, and slightly short of breath. The pain worsens with a deep breath. Vital signs are BP 150/90, P 120 irregular, R 20. You should suspect:

An 84-year-old patient states, "I feel like I'm about to die." Nitroglycerin and oxygen have not decreased her chest pain. Vitals are BP 90/66, P 60, R 24. You should:

You shock a patient back into a normal rhythm with an AED. During transport, the patient becomes cyanotic and pulseless. What should you do?

A 44-year-old female awakened with shortness of breath and complaining of indigestion, nausea, and epigastric pressure. Antacids didn't help. You should suspect:

You just arrived at the scene of a 75-year-old male with generalized weakness and chest pain. He has not taken his prescribed medications: nitroglycerin, aspirin, and atenolol. You should:

What action does aspirin have in the body that makes it beneficial for patients experiencing acute myocardial infarction?

A 67-year-old male with a history of asthma complains of chest tightness and shortness of breath. He took one nitroglycerin tablet without relief. He is pale and sweaty with SpO2 76%. What should you do?

An asthmatic 50-year-old female is sitting at her desk. She is anxious and complaining of tightness in her chest. You should:

At what rate should single rescuer CPR be performed for a 17-year-old female?

What is the cause of heart failure?

During CPR which of the following is most important?

A 40-year-old patient with a history of coronary artery disease and recent mastectomy is complaining of chest discomfort. Vital signs are P 120, R 22, BP 80/54. You should suspect:

Within two minutes of assisting your patient with his third nitroglycerin tablet, he complains of dizziness and becomes sweaty. Radial pulses are present, rapid and weak. You should suspect that the:

A patient who collapsed has been revived following one shock with an AED. She is now moaning and breathing on her own. What should you do?

A 46-year-old male was in cardiac arrest. You administered one shock. At the 2-minute pulse check you feel a strong pulse. What should you do?

A 73-year-old female has chest pain and shortness of breath with bilateral crackles. Vital signs are BP 80/40, P 112, R 22. What is the most likely cause?

The pulmonary artery carries:

An 84-year-old male with a history of heart problems complains of chest pain. The chest pain started 30 minutes ago while at rest. Vital signs are BP 110/70, P 92, R 20 and SpO2 95%. What should you do?

Which electrical cardiac disturbance will an Automated External Defibrillator (AED) shock?

Which patient is most likely to benefit from an AED?

A 65-year-old male complains of weakness and indigestion that began this morning. Vital signs are BP 150/90, P 116, R 24. You should suspect:

A patient is complaining of substernal chest pain with radiating pain to his back and jaw. The pain is not relieved with rest. You should suspect:

A buildup of calcium and cholesterol form plaque inside a blood vessel which would most likely cause:

After an AED has analyzed a patient, the machine states "shock advised." The most likely cause is:

A patient presents with a sudden onset of tearing chest pain, absent radial pulse on the right arm and a history of high blood pressure. You should suspect:

Which of the following is the largest artery in the body?

An oriented 78-year-old female with pale and moist skin is complaining of indigestion. Vital signs are BP 180/90, P 116, R 24 and regular. You should suspect:

An oriented 78-year-old female with pale and moist skin is complaining of indigestion. Vital signs are BP 180/90, P 116, R 24 and regular. You should suspect:

Blood enters the right atrium from the:

CPR has been ongoing for ten minutes on a patient in cardiac arrest. An AED has just been applied and is ready to analyze. You should:

An adult patient is in cardiac arrest with bystander CPR in progress. What should you do?

You have just defibrillated a patient and now has a pulse with effective respirations. In which position should you place the patient?

A 36-year-old female with a history of congenital heart defects is slow to respond. She has pale, cool, and clammy skin. Vital signs are BP 68/30, P 128, R 26. What should you suspect?

A 68-year-old female with cardiac history is complaining of shortness of breath. Chest auscultation reveals crackles bilaterally. You should suspect:

The systolic blood pressure measures pressure during which of the following?

A 36-year-old female complains of chest pain. She is conscious and alert with SpO2 93%. You should:

A sudden, severe increase in blood pressure is called:

During the primary assessment, a 57-year-old female says she has chest pain and points to her epigastric region. What should you do?

A 62-year-old female complains of chest pain and lightheadedness. Vital signs are BP 88/56, P 126, R 18. What is the best position for this patient?

A 48-year-old patient complains of difficulty breathing. Patient's history reveals an acute myocardial infarction eight months ago. Vital signs are BP 144/88, P 110, R 24. Chest auscultation reveals crackles in the lung bases. You should suspect:

What is the middle muscular layer of the heart?

A cardiac patient has been "down" for six minutes without any care. What should you do?

After blood has been oxygenated, it returns to the heart by entering the:

Nitroglycerin is a medication which is typically administered:

A 57-year-old female developed severe weakness and mild shortness of breath while shoveling snow. She is diaphoretic and complaining of nausea and jaw pain. You should suspect:

A 78-year-old diabetic patient with a syncopal episode now complains of anxiety, shortness of breath, and back pain. You should suspect:

When do the coronary arteries fill with blood?d