EMT Cardiology Exam: Q&A for Emergency Cardiac Care, Exams of Training and Development

This resource features cardiology questions and answers for emergency medical technicians (EMTs), focusing on cardiac arrest management. It covers CPR, defibrillation, and the recognition/treatment of conditions like cardiogenic shock, pericardial effusion, and cardiac tamponade. Topics include nitroglycerin administration, early CPR importance, and dysrhythmia management. It tests EMTs' understanding of critical cardiology concepts, ensuring preparedness for emergencies. Questions address heart anatomy, electrical impulses, and the sympathetic/parasympathetic nervous systems' effects. Angina, acute myocardial infarction (AMI), hypertensive emergencies, and aortic aneurysms are also covered.

Typology: Exams

2024/2025

Available from 08/16/2025

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EMT FISDAP Cardiology Exam Questions
and Answers
1. Which intervention or interventions would have the MOST
positive impact on the cardiac arrest patient's outcome? >>>
Early CPR and defibrillation
2. The AED gives "no shock" message to a patient who is in
cardiac arrest.You should >>> Resume chest compressions
3. What is the maximum amount of time that should be
spent checking for spontaneous breathing in an
unresponsive child? >>> 10 seconds
4. When performing CPR on an adult, you should
compress the chest to a depth of at a rate of . >>> 2.0-2.4
in, 100-150BPM
5. What is the appropriate compression to ventilation ratio for
adult two-res- cuer CPR? >>> 30 >>>2
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EMT FISDAP Cardiology Exam Questions

and Answers

  1. Which intervention or interventions would have the MOST positive impact on the cardiac arrest patient's outcome? >>> Early CPR and defibrillation
  2. The AED gives "no shock" message to a patient who is in cardiac arrest.You should >>> Resume chest compressions
  3. What is the maximum amount of time that should be spent checking for spontaneous breathing in an unresponsive child? >>> 10 seconds
  4. When performing CPR on an adult, you should compress the chest to a depth of at a rate of. >>> 2.0-2. in, 100-150BPM
  5. What is the appropriate compression to ventilation ratio for adult two-res- cuer CPR? >>> 30 >>> 2
  1. When checking for a pulse in an infant, which artery should you palpate? >>> - Brachial
  2. When performing CPR on an adult or child, you should reassess the patient for return of respirations/circulation every minutes. >>> 2
  3. What is the preferred method of removing a foreign body in an unresponsive child? >>> Chest compressions
  4. Cardiogenic shock is caused by >>> Inadequate function of the heart muscle
  5. Pericardial effusion >>> Collection of fluid between the pericardial sac and the myocardium
  6. Cardiac tamponade >>> Occurs when blood leaks into the space between the pericardium and the pericardial sac
  7. Signs and symptoms of cardiac tamponade >>> Beck triad

the presence of jugular vein distention, muffled heart sounds, and a narrowing pulse pressure where the systolic and diastolic blood pressures start to merge.

  1. Which chamber of the heart pumps oxygenated blood? >>> Ventricles
  2. Normal electrical impulses begin in the >>> Sinoatrial (SA) node
  3. What characteristic allows a cardiac muscle cells to contract spontaneous- ly without an external stimulus? >>> Automaticity
  4. The sympathetic nervous system acts on the body by >>> - increasing HR and RR -constricting blood vessels in the muscles
  5. The parasympathetic nervous system acts on the body by

(directly oppos- es the sympathetic NS) -decreases HR and RR -constricts blood vessels in muscles

  1. Incr eased oxygen demand in a normal heart is supplied by of the coronary arteries. >>> Dilation
  2. The heart itself is supplied by blood through what

vessels? >>> Coronary vessels

  1. The iliac arteries descend into the >>> femoral arteries
  2. Which veins bring blood back to the right atrium? >>> Venae cavae
  3. Systolic pressure is the >>> maximum pressure generated in the arteries during contraction of the left ventricle
  4. Pulses felt in the extremities are called >>> Peripheral pulses
  5. Pulses felt near the trunk of the body are called >>> Central pulses
  6. Decrease in blood flow to the heart is called >>> ischemia
  7. Disorder in which calcium an cholesterol build up and form a plaque inside the walls of the blood vessels is called >>> Athersclerosis

-Pain goes away after 3-8 min -Associated with SOB, nausea, vomiting

  1. Stable angina can be relieved with >>> rest, NTG, supplemental oxygen
  2. Unstable angina is characterized by >>> pain in the chest of coronary origin that stays regardless of rest/NTG/O
  3. Signs and symptoms of AMI >>> -sudden onset of weakness, nausea, sweating -chest pain, discomfort, or pressure that is either crushing or squeezing and doesn't change with each breath -Pain, discomfort, pressure in lower jaw, arms, back, abdomen, neck -irregular HR -Syncope
  4. Dysrythmia >>> Abnormal heart rhythm
  5. Tachycardia >>> HR of greater than 100 BPM
  6. Bradycardia >>> HR of less than 60 BPM
  7. Rapid heart rhythm, usually at a rate of 150-200BPM. >>> Ventricular tachycardia
  8. Disorganized, ineffective quivering of the ventricles. >>> Ventricular defibrilla- tion
  9. If a defibrillator is not immediately available for a patient in ventricular fibrillation, you should >>> Initiate CPR until an AED arrives
  10. If uncorrected, unstable VT or VF will lead to >>> Asystole
  1. A disorder in which the heart loses part of its ability to effectively pump blood, usually as a result of damage to the heart muscle and usually resulting in a backup of fluid in the lungs/body. >>> Congestive heart failure
  2. Signs and symptoms of CHF >>> -JVD (right side) -Dependent edema (right side) -Use of accessory muscles (left side) High BP, rapid HR, rapid RR -Fluid in the lungs (crackles) (left side)
  3. One of the most common signs of a hypertensive emergency >>> Sudden, severe headache
  4. Signs and symptoms of a hypertensive emergency >>> - strong, bounding pulse -ringing in the ears -nausea/vomiting -dizziness
  5. Untreated hypertensive emergencies can lead to >>> stroke or dissecting aortic aneurysm
  6. A weakness in the wall of the aorta >>> Aortic aneurysm
  7. Occurs when the inner layers of the aorta become separated, allowing blood to flow between the layers. >>> Dissecting aortic aneurysm
  1. Stop the vehicle
  1. If the AED is not available, perform CPR
  2. Call ALS
  3. Analyze rhythm
  4. Deliver one shock (if indicated) and resume CPR
  5. Continue resuscitation according to protocol.
  6. If you are en route with a conscious adult patient who is having chest pain and becomes unconscious >>> 1. Check for a pulse
  7. Stop the vehicle
  8. Perform CPR until the AED is ready
  9. Analyze the rhythm
  10. Deliver one shock (if indicated) and resume CPR
  11. Begin compressions and continue resuscitation according to protocol
  12. You are dispatched to a 60YOM with chest pain and SOB. The patient has angina and is taking NTG, furosemide, and atorvastatin. You hear crackles when listening to his breath sounds. The patient's difficulty breathing and crackles are due to blood backing up in which part of the body? >>> The lungs
  13. What is the most effective way to assist a person with CHF to breathe effec- tively and avoid the use of an invasive airway management technique? >>> CPAP
  1. You are treating a 50 YOF who has just finished a 10K run. She is com- plaining of crushing pain in the chest radiating down her left arm and nausea, which came on suddenly. She is sweating profusely. What condition should you suspect? >>> Angina pectoris
  2. Which dysrhythmia is the most common cause of sudden death? >>> Vfib
  3. You are treating a 63YOM male with the following vital signs

P 140BPM and irregular, RR 28, BP 90/50mmHg. He is complaining of chest pain. Given this information, why would NTG be contraindicated? >>> His blood pressure is too low

  1. You are tr>>>porting a patient with angina, and he loses consciousness on the way to the hospital. When you check, you cannot feel a pulse. What should you do? >>> Have your partner pull over the ambulance
  2. Cardiogenic shock following AMI is caused by >>> Decreased pumping force of the heart muscle
  3. Most patients are instructed to take up to doses of NTG before calling EMS. >>> Three
  4. A 60YOM is found to be unresponsive, pulseless, and apneic. You should >>>-

Begin CPR until an AED is available

  1. Why would an EMT give aspirin to a patient? >>> Aspirin reduces the blood's ability to clot and works to prevent further clot formation in patients with chest pain