FISDAP Cardiology. 75 Questions and Answers plus the Reason

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FISDAP Cardiology. 75 Questions and Answers. A 54 year old complains of chest tightness after raking leaves for an hour. The pain subsided after rest and two nitroglycerin. He has had very similar ... episodes in the past. He is most likely experiencing? · Angina Pectoris/ Unstable Angina/ Myocardial Infarction/ Esophageal spasm Reason for answer: Angina occurs when the heart's need for oxygen exceeds it's supply, usually during periods of physical or emotional stress when the heart is working hard. (Page 637) 2. At what rate should single rescuer CPR be performed for a 17 year old female? · 120 per min/ 90/ 80 Reason for answer: 100-120 Beats per minute. (Page 514) 3. A 40 year old patient with a history of coronary artery disease and recent mastectomy is complaining of chest discomfort. Vitals are P 120, R 22, and BP 80/54. You should suspect? · CHF/ Cardiogenic Shock/ septic shock Reason for answer: BP 80/54 is low BP(shock may occur) 4. Nitroglycerin is a medication that is typically administered? · Sublingually/ intraosseously/ subcutaneously Reason for answer: Beneath the tongue is very vascular, so the medication can be absorbed quicker 5. A patient was struck by lightning. You should suspect? · An irregular heartbeat/ peripheral nerve damage Reason for answer: Your heart functions on electricity, the shock changes the rhythm. 6. During CPR which of the following is most important? · Minimal interruptions during compressions Reason for answer: providing circulation supports the bodies tissues to stay alive 7. A buildup of calcium and cholesterol form plaque inside a blood vessel which would most likely be the cause? · Pulmonary embolism/ CHF/ ACS/ hemorrhagic stroke Reason for answer: Plaque, build up. (key words) (Atherosclerosis-The build-up of fats, cholesterol, and other substances in and on the artery walls.) 8. During the Primary Assessment a 57 year old female says she has chest pain and points to her epigastric area. What should you do? · Obtain vital signs/ Admin Nitro/ Assess breathing/ Admin oxygen Reason for answer: The book mentions assessing patient, if they worsen administer oxygen 9. What is the cause of heart failure? · Inadequate ejection of blood from the ventricles/ fluid in lungs/ poor gas exchange in alveoli/ backup of fluid in lower extremities 10. A cardiac arrest patient has been down for 6 minutes without care. What should you do? · Start compressions/ attach AED/ Insert opa and ventilate Reason for answer: Immediately begin CPR. Get oxygen circulated. 11. An adult patient is in cardiac arrest with bystander CPR in progress. What should you do? · Continue CPR while partner does AED Reason for answer: Never interrupt CPR( 10 seconds max). Uncertain how long bystander has been doing CPR. 12. If the heart lacks the power to pump blood through the circulatory system, it is known as? · Cardiogenic shock/ Distributive/ hypovolemic shock Reason for answer: circulatory system( key word); Pump failure 13. 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, and R 34. You should? · Place supine position/ place in position of comfort/ admin Nitro/ admin albuterol Reason for answer: Place in Supine Position. Patient is borderline shock with BP of 90/60 and Respiratory rate is 34. 14. A child is in cardiac arrest with unknown down time. What should you do? · Perform CPR while attaching AED Reason for answer: key is unknown time. 15. When do coronary arteries fill with blood? · Diastolic/ systolic/ exhalation/ inhalation Reason for answer: “Die” means diastolic. retracts. 16. A 36 year old female with history of congenital heart defects is slow to respond. She is pale, cool, and clammy. Vitals are BP 68/30, P 128, and R 26. What should you suspect? · CHF/ Syncopal episode/ angina/ cardiogenic shock Reason for answer: 17. A 73 year old female has chest pain and shortness of breath with bilateral crackles. Vitals are 80/40, P 112, and R 22. What is the most likely cause? · Pneumonia/ cardiogenic shock/ hypovolemic shock/ unstable angina Reason for answer: Low blood pressure usually is cardiogenic shock. [Show More]

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