FISDAP Cardiology Exam 41 Practice Questions & Answer Key

Cardiology Exam Practice Questions 1. A 87 year old female has bilateral rales. What should you suspect? A. Abdominal edema B. Pulmonary edema C. Pedal edema D. Sacral edema 2. What is the most common complaint of ...

Cardiology Exam Practice Questions 1. A 87 year old female has bilateral rales. What should you suspect? A. Abdominal edema B. Pulmonary edema C. Pedal edema D. Sacral edema 2. What is the most common complaint of patients with cardiac compromise? A. Dyspnea B. Hypotension C. Hypertension D. Leg pain 3. A 14 year old male is recovered from a 30F pond after falling through the ice 10 minutes ago. How should he be moved to the ambulance? A. Fireman's carry B. Sliding him across the ice in a stokes basket C. Dragging slowly by his torso D. Gently on a backboard 4. A 56 year old male complains of "squeezing" chest pain after doing yard work. He states the pain has subsided slightly with rest. What should you do? A. Assist with his prescribed nitroglycerin B. Assess his vital signs C. Administer oxygen D. Administer aspirin 5. What are the names of the four valves in the heart? A. Left Atrial, Right Atrial, Septal, Ventricular B. Mitral, Tricuspid, Pulmonic, Aortic C. Mitre, Trigeminal, Pulmonary, Aorta D. Ventral, Caudal, Transverse, Lateral 6. A 75 year old male describes sharp, tearing pain in his abdomen and back. Blood pressures are 114/ in his left arm 60/0 in his right arm. He is cool, pale and diaphoretic. What should you suspect? A. Acute mycardial infarction B. Pulmonary embolism C. Aortic dissection D. Simple pneumothorax 7. A 76 year old female complains of chest pain on the right side directly above her 4th intercostal space. She states that she had a "hip replaced" a couple of weeks ago and that she is recovering well. What should you suspect? A. Myocardial infarction B. Pulmonary embolism C. Pnemothorax D. Acute coronary syndrome Scenario: 8. A 32 year old female attempted to commit suicide by taking sleeping pills and cutting her wrists. She has dark red blood oozing from the wrist lacerations. Vital signs are BP 90/52, P 130 and weak, R 18. What type of bleeding and shock is she experiencing? A. Venous bleeding with neurogenic shock. B. Capillary bleeding with cardiogenic shock. C. Venous bleeding with hypovolemic shock. D. Arterial bleeding with hypovolemic shock. 9. A 71 year old female is short of breath and has lower leg pain. She took 2 doses of her prescribed nitroglycerine and 324 mg aspirin 10 minutes ago. Vital signs are BP 160/90, P 88, R 24, SpO2 88%. What should you do? A. Apply oxygen by non-rebreather mask. B. Obtain a second set of vital signs. C. Administer an additional dose of aspirin. D. Administer a third dose of nitroglycerin. 10. An 84 year old man is in cardiac arrest in the passenger seat of a vehicle following a single car crash. The driver tells you that his passenger had complained of chest pain prior to the car crash. What should you do? A. Contact the patient's personal physician. B. Treat the other patients while attempting to contact medical control. C. Establish an incident command post. D. Start CPR and call for additional ambulances. Scenario: 11. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Vital signs are BP 80/56, P 118, R 24 with crackles, SpO2 87%. What is the most likely cause? A. Cardiogenic shock B. Right-sided heart failure C. Hypovolemic shock D. Pulmonary embolus 12. Which of the following is a contraindication for Nitroglycerin? A. MAO Inhibitors. B. Renal failure. C. Hypotension. D. Pulmonary hypertension. 13. A 64 year old male is unresponsive. Bystanders tell you he has been down for 10-15 minutes and resuscitation efforts have not been attempted. What should you do? A. Ventilate him with a BVM. B. Assess a carotid pulse. C. Apply and AED. D. Request ALS intercept. 14. What does the "O" in the OPQRST mnemonic stand for? A. Occult injury B. Observe C. Oral intake D. Onset Scenario: 15. A 42 year old female is unconscious and apneic. What should you do? A. Assess the carotid pulse. B. Perform a jaw thrust maneuver. C. Insert oralpharyngeal airway. D. Open the airway with a head-tilt. 16. An unrestrained 47 year old female is in cardiac arrest after car crash on the freeway. She has been pulseless for 20 minutes and CPR was withheld. What should you do? A. Look for signs of occult bleeding. B. Start CPR and contact medical control to terminate efforts. C. Apply the AED and start CPR simultaneously. D. Provide chest compressions for 2 minutes then apply the AED. 17. A 84 year old female becomes unconscious while eating her breakfast. Her home-care nurse states that she was "fine one minute and then complained of a bad headache" before losing consciousness. Vital signs are 178/120, P 62, R 10 and irregular. What should you suspect? A. Myocardial infarction B. Hemorrhagic stroke C. Transient ischemic attack D. Hypoglycemia 18. What cardiac dysrhythmia will an AED defribrillate? A. Asystole B. Ventricular tachycardia C. Bradycardia D. Pulseless electrical activity 19. What statement is used to gain information about the "P" in OPQRST? A. Is there anything that worsens or relieves the pain? B. Did the pain begin suddenly or gradually? C. Do you have any past history of this complaint? D. What were you doing when the pain began? 20. A 45 year old male has chest pain. What should you determine before administering a dose of nitroglycerin? A. Recent use of blood thinners B. Recent use of an inhaler C. A pulse oximetry reading D. His blood pressure 21. Why do patients with cardiac compromise have chest pain? A. The heart rate increases too rapidly. B. Blood supply is diminished to the lung tissue. C. There is not enough oxygen to the heart. D. The patient is working too hard to breathe. 22. What should you do when the automated external defibrillator (AED) performs its rhythm analysis? A. Administer 2 rescue breaths. B. Check for carotid pulse. C. Remain clear of the patient. D. Perform chest compressions. 23. A 45 year old female had a return of spontaneous circulatoin (ROSC) after 10 minutes in cardiac arrest. She is unresponsive. Vital signs are BP 96/40, P 88, R 18, SpO2 74%. What should you do? A. Provide low-flow oxygen by non-rebreather mask. B. Continue to use the AED to analyze her pulse. C. Position her in a recovery position and apply high-flow oxygen. D. Assist her ventilations with a BVM. 24. A 55 year old female is unconscious, apneic and pulseless. What should you do? A. Determine the absence of a pulse and call ALS. B. Apply AED and deliver three consecutive shocks. C. Begin CPR, and apply the AED. D. Apply AED, and follow directions. 25. A 57 year old male complains of chest pain. He is slightly pale, but warm and dry. He has a 20 year cardiac history and is taking metoprolol. Vital signs are BP 86/64, P 84, R 22. What should you do? A. Administer 324 mg aspirin. B. Apply oxygen by non-rebreather mask. C. Place him in the Trendelenburg position. D. Assist him in taking nitroglycerin. 26. An elderly patient has left-sided heart failure. What lung sounds should you suspect to hear? A. Stridor B. Wheezing C. Crackles D. Rhonchi 27. How should you treat asystole in a patient? A. Provide chest compressions. B. Administer high-flow oxygen. C. Provide positive pressure ventilation. D. Shock with an AED. 28. How does the blood flow through the heart? A. Left ventricle to left atrium to lungs to right ventricle to right atrium B. Right atrium to right ventricle to lungs to left atrium to left ventricle C. Left atrium to left ventricle to lungs to right atrium to right ventricle D. Right ventricle to right atrium to lungs to left ventricle to left atrium 29. A systolic blood pressure is less than 90. What should this indicate? A. Hypertension B. Hypotension C. Bradycardia D. Tachycardia 30. A 56 year old male complains of chest pain after shoveling the driveway. He states that his pain was a 9/10, but it is now a 5/10 after rest and taking 2 of his nitroglycerin. Vital signs are BP 100/66, P 87, R 16. What should you do? A. Obtain a second set of vital signs. B. Apply high-flow oxygen. C. Apply pulse oximetry. D. Administer aspirin. 31. What is a contraindication for the administration of nitroglycerin? A. Blood pressure greater than 100 systolic B. Pain that radiates down the left arm C. Diastolic blood pressure less than 90 D. Recent use of erectile dysfunction medication 32. Where are the first electrical impulses stimulating the heart located? A. Left atrium B. Right atrium C. Myocardium D. Aorta Valve 33. An unresponsive 32 year old female was pulled from a frozen lake after 3 minutes of submersion. Vital signs are BP 90/70, P 24, R 8. Why is it important to handle her gently while transporting? A. It prevents her from losing any limbs. B. Any lung damage due to submersion is greatly reduced. C. She could go into shock. D. She could convert into V-Fib or V-Tach rhythm. 34. A 58 year old unconscious male has a return of spontaneous circulation (ROSC) after 10 minutes of CPR and 3 shocks from an AED. Vital signs are BP 90/60, P 54, R 4. What should you do? A. Assist his ventilations with a BVM. B. Remove the oral airway. C. Discontinue interventions. D. Continue CPR. 35. What can rough handling of a patient with severe hypothermia cause? A. Decreased respirations B. Ventricular tachycardia C. Ventricular fibrillation D. Increased shivering 36. When administering nitroglycerin to a patient with angina, to which structures are you hoping to alleviate ischemia? A. Pulmonary veins B. Coronary arteries C. Carotid arteries D. Jugular veins 37. Which of the following is a common side effect of nitroglycerin? A. Hypotension B. Bleeding C. Heartburn D. Bronchospasm 38. An anxious 55 year old male is severely short of breath and is coughing up pink frothy sputum. He is sitting upright and tells you that his "feet are more swollen than normal." Vital signs are BP 202/112, P 110, R 36 with crackles. What should you do? A. Administer aspirin. B. Obtain a detailed medical history. C. Assist his ventilations with a BVM. D. Position him supine and apply high-flow oxygen. 39. What chamber of the heart pumps oxygenated blood to the peripheral body systems? A. Right atrium B. Left ventricle C. Right ventricle D. Left atrium 40. You are transporting a 44 year old male complaining of chest pain when he becomes unconscious, pulseless, and stops breathing. What should you do? A. Contact another unit for help. B. Ask your partner to go with lights and siren to the hospital. C. Contact medical control for direction. D. Begin CPR and attach the AED. 41. A 57 year old female complains of difficulty breathing. She has jugular vein distension (JVD), pedal edema and fatigue. What chamber of the heart should you suspect is weakened? A. Right atrium B. Left atrium C. Left ventricle D. Right ventricle