front 1 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? | back 1 Transport rapidly in a position of comfort to the nearest STEMI center |
front 2 A patient has been in cardiac arrest for seven minutes after being struck by lightning. You should: | back 2 Begin CPR |
front 3 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: | back 3 angina pectoris |
front 4 A child is in cardiac arrest with an unknown downtime. What should you do? | back 4 Perform CPR while attaching the AED |
front 5 Aspirin is administered to patients with chest pain because it: | back 5 Decreases the ability of platelets to coagulate |
front 6 A 60-year-old patient is short of breath and cyanotic. Lung sounds revealed crackles and you note accessory muscle use. You should suspect: | back 6 Left sided heart failure |
front 7 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? | back 7 Defibrillate the patient |
front 8 Which of the following is a sign or symptom of cardiogenic shock? | back 8 Progressive hypotension |
front 9 While performing chest compressions, you should: | back 9 Position your shoulders over your hands |
front 10 During CPR, why is the upstroke of the compression critical? | back 10 Allows blood to fill the heart chambers |
front 11 What best describes PEA ( Pulseless Electrical Activity)? | back 11 Disorganizedelectrical activity without a pulse |
front 12 Which valve controls blood flow between the left atrium and left ventricle? | back 12 mitral |
front 13 Chronic hypertension in adults typically begins at pressure higher than: | back 13 140/90 |
front 14 A 54-year-old female suddenly became pulseless and apneic. What should you do? | back 14 Immediately start chest compressions |
front 15 If the heart lacks enough power to pump the proper volume of blood through the circulatory system, it is known as: | back 15 cardiogenic shock |
front 16 You observe an older male slump to the floor. He is pulseless. What should you do? | back 16 Immediately start chest compressions |
front 17 During adult CPR, you should compress the chest: | back 17 At least 2 inches |
front 18 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: | back 18 Place the patient in a position of comfort |
front 19 What is the primary action of nitroglycerin? | back 19 It dilates the coronary arteries |
front 20 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: | back 20 Myocardial infraction |
front 21 In an adult, a pulse rate of 50 is called | back 21 Bradycardia |
front 22 Which vessels carry blood to the capillary beds? | back 22 Arterioles |
front 23 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: | back 23 As soon as possible on arrival |
front 24 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: | back 24 Congestive heart failure |
front 25 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? | back 25 Move him onto a hard surface and begin chest compressions |
front 26 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? | back 26 Assess her vital signs |
front 27 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: | back 27 Complains of chest pressure and has a BP of 110/62 |
front 28 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: | back 28 Myocardial infraction |
front 29 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: | back 29 Transport immediately |
front 30 You shock a patient back into a normal rhythm with an AED. During transport, the patient becomes cyanotic and pulseless. What should you do? | back 30 Start CPR and request the EMS unit to stop |
front 31 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: | back 31 Myorcardial infraction |
front 32 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: | back 32 Complete a focused history and physical examination |
front 33 What action does aspirin have in the body that makes it beneficial for patients experiencing acute myocardial infarction? | back 33 Preventing platelets from clotting |
front 34 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? | back 34 Administer oxygen by non-rebreather mask |
front 35 An asthmatic 50-year-old female is sitting at her desk. She is anxious and complaining of tightness in her chest. You should: | back 35 Perform a focused history and physical exam |
front 36 At what rate should single rescuer CPR be performed for a 17-year-old female? | back 36 120 compressions/minute |
front 37 What is the cause of heart failure? | back 37 Inadequate ejection of blood from the ventricles |
front 38 During CPR which of the following is most important? | back 38 Minimal interruptions to chest compressions |
front 39 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: | back 39 cardiogenic shock |
front 40 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: | back 40 Nitroglycerin caused vasodilation and created hypoperfusion |
front 41 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? | back 41 Turn her on her side and monitor her airway |
front 42 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? | back 42 Assess for breathing and manage his airway if necessary |
front 43 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? | back 43 cardiogenic shock |
front 44 The pulmonary artery carries: | back 44 deoxygenated blood away from the heart |
front 45 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? | back 45 Assist the patient with his prescribed nitroglycerin |
front 46 Which electrical cardiac disturbance will an Automated External Defibrillator (AED) shock? | back 46 Ventricular tachycardia |
front 47 Which patient is most likely to benefit from an AED? | back 47 A 54 year old choking patient who is unresponsive with no carotid pulse |
front 48 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: | back 48 Myocardial infraction |
front 49 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: | back 49 Acute myocardial infraction |
front 50 A buildup of calcium and cholesterol form plaque inside a blood vessel which would most likely cause: | back 50 acute coronary syndrome |
front 51 After an AED has analyzed a patient, the machine states "shock advised." The most likely cause is: | back 51 Ventricular tachycardia |
front 52 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: | back 52 aortic dissection |
front 53 Which of the following is the largest artery in the body? | back 53 aorta |
front 54 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: | back 54 Myocardial infraction |
front 55 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: | back 55 an irregular heartbeat |
front 56 Blood enters the right atrium from the: | back 56 vena cav |
front 57 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: | back 57 Stop CPR and clear the patient |
front 58 An adult patient is in cardiac arrest with bystander CPR in progress. What should you do? | back 58 Continue CPR while your partner attaches the AED |
front 59 You have just defibrillated a patient and now has a pulse with effective respirations. In which position should you place the patient? | back 59 Recovery |
front 60 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? | back 60 cardiogenic shock |
front 61 A 68-year-old female with cardiac history is complaining of shortness of breath. Chest auscultation reveals crackles bilaterally. You should suspect: | back 61 Congestive heart failure |
front 62 The systolic blood pressure measures pressure during which of the following? | back 62 venticular contraction |
front 63 A 36-year-old female complains of chest pain. She is conscious and alert with SpO2 93%. You should: | back 63 administer oxygen via nasal cannula at 4 l/min |
front 64 A sudden, severe increase in blood pressure is called: | back 64 hypertensive crisis |
front 65 During the primary assessment, a 57-year-old female says she has chest pain and points to her epigastric region. What should you do? | back 65 Assess breathing |
front 66 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? | back 66 Supine |
front 67 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: | back 67 pulmonary edema |
front 68 What is the middle muscular layer of the heart? | back 68 Myocardium |
front 69 A cardiac patient has been "down" for six minutes without any care. What should you do? | back 69 Start chest compressions |
front 70 After blood has been oxygenated, it returns to the heart by entering the: | back 70 left atrium |
front 71 Nitroglycerin is a medication which is typically administered: | back 71 sublingual |
front 72 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: | back 72 Acute myocardial infraction |
front 73 A 78-year-old diabetic patient with a syncopal episode now complains of anxiety, shortness of breath, and back pain. You should suspect: | back 73 acute coronary syndrome |
front 74 When do the coronary arteries fill with blood?d | back 74 diastole |