EMT FISDAP Cardiology Exam Question & Answers ( Latest 2025), Exams of Nursing

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Answers ( Latest 2025)

Which intervention or interventions would have the MOST positive impact on the cardiac arrest patient's outcome? - Correct Answers ✅Early CPR and defibrillation The AED gives "no shock" message to a patient who is in cardiac arrest. You should: - Correct Answers ✅Resume chest compressions What is the maximum amount of time that should be spent checking for spontaneous breathing in an unresponsive child? - Correct Answers ✅10 seconds When performing CPR on an adult, you should compress the chest to a depth of ___ at a rate of ___. - Correct Answers ✅2.0-2.4 in, 100- 150BPM What is the appropriate compression to ventilation ratio for adult two- rescuer CPR? - Correct Answers ✅30: When checking for a pulse in an infant, which artery should you palpate? - Correct Answers ✅Brachial When performing CPR on an adult or child, you should reassess the patient for return of respirations/circulation every ____ minutes. - Correct Answers ✅ 2

Answers ( Latest 2025)

What is the preferred method of removing a foreign body in an unresponsive child? - Correct Answers ✅Chest compressions Cardiogenic shock is caused by: - Correct Answers ✅Inadequate function of the heart muscle Pericardial effusion - Correct Answers ✅Collection of fluid between the pericardial sac and the myocardium Cardiac tamponade - Correct Answers ✅Occurs when blood leaks into the space between the pericardium and the pericardial sac Signs and symptoms of cardiac tamponade: - Correct Answers ✅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. Signs of cardiogenic shock: - Correct Answers ✅-Skin may be cool, clammy, and ashen -High BP -Rapid, shallow breathing -Weak, irregular pulse

Answers ( Latest 2025)

What characteristic allows a cardiac muscle cells to contract spontaneously without an external stimulus? - Correct Answers ✅Automaticity The sympathetic nervous system acts on the body by: - Correct Answers ✅-increasing HR and RR -constricting blood vessels in the muscles The parasympathetic nervous system acts on the body by: - Correct Answers ✅(directly opposes the sympathetic NS) -decreases HR and RR -constricts blood vessels in muscles Increased oxygen demand in a normal heart is supplied by ______ of the coronary arteries. - Correct Answers ✅Dilation The heart itself is supplied by blood through what vessels? - Correct Answers ✅Coronary vessels The iliac arteries descend into the: - Correct Answers ✅femoral arteries

Answers ( Latest 2025)

Which veins bring blood back to the right atrium? - Correct Answers ✅Venae cavae Systolic pressure is the: - Correct Answers ✅maximum pressure generated in the arteries during contraction of the left ventricle Pulses felt in the extremities are called: - Correct Answers ✅Peripheral pulses Pulses felt near the trunk of the body are called: - Correct Answers ✅Central pulses Decrease in blood flow to the heart is called: - Correct Answers ✅ischemia Disorder in which calcium an cholesterol build up and form a plaque inside the walls of the blood vessels is called: - Correct Answers ✅Athersclerosis Occlusion: - Correct Answers ✅Complete blockage of an artery

Answers ( Latest 2025)

-Pain goes away after 3-8 min -Associated with SOB, nausea, vomiting Stable angina can be relieved with: - Correct Answers ✅rest, NTG, supplemental oxygen Unstable angina is characterized by: - Correct Answers ✅pain in the chest of coronary origin that stays regardless of rest/NTG/O Signs and symptoms of AMI: - Correct Answers ✅-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 Dysrythmia: - Correct Answers ✅Abnormal heart rhythm Tachycardia: - Correct Answers ✅HR of greater than 100 BPM Bradycardia: - Correct Answers ✅HR of less than 60 BPM

Answers ( Latest 2025)

Rapid heart rhythm, usually at a rate of 150-200BPM. - Correct Answers ✅Ventricular tachycardia Disorganized, ineffective quivering of the ventricles. - Correct Answers ✅Ventricular defibrillation If a defibrillator is not immediately available for a patient in ventricular fibrillation, you should: - Correct Answers ✅Initiate CPR until an AED arrives If uncorrected, unstable VT or VF will lead to: - Correct Answers ✅Asystole 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. - Correct Answers ✅Congestive heart failure Signs and symptoms of CHF: - Correct Answers ✅-JVD (right side) -Dependent edema (right side) -Use of accessory muscles (left side) High BP, rapid HR, rapid RR

Answers ( Latest 2025)

Signs and symptoms of a dissecting aortic aneurysm: - Correct Answers ✅Very sudden chest pain located in the anterior part of the chest or in the back between the shoulder blades Nitroglycerin action: - Correct Answers ✅Activates the sympathetic NS, relaxes the muscles of blood vessel walls, dilating coronary arteries, increasing blood flow and the supply of oxygen to the heart Contraindications of NTG: - Correct Answers ✅Use of ED drugs within the past 24-48 hours, maximum dose has already been given, BP is below 100 Non-shockable rhythms: - Correct Answers ✅Asystole, pulseless electrical activity Only apply the AED to: - Correct Answers ✅Pulseless, unresponsive patients After the shock is delivered to a cardiac arrest patient, you should: - Correct Answers ✅Continue CPR for 5 cycles (2 minutes) and analyze rhythm again.

Answers ( Latest 2025)

If ALS is not responding to the scene and your local protocols agree, you should begin transport when: - Correct Answers ✅1. The patient regains a pulse

2. 6-9 shocks have been delivered
3. the machine gives 3 separate messages that no shock is advised If you are traveling to the hospital and a pulse is not present: - Correct Answers ✅1. Stop the vehicle
4. If the AED is not available, perform CPR
5. Call ALS
6. Analyze rhythm
7. Deliver one shock (if indicated) and resume CPR
8. Continue resuscitation according to protocol. If you are en route with a conscious adult patient who is having chest pain and becomes unconscious: - Correct Answers ✅1. Check for a pulse
9. Stop the vehicle
10. Perform CPR until the AED is ready
11. Analyze the rhythm
12. Deliver one shock (if indicated) and resume CPR
13. Begin compressions and continue resuscitation according to protocol

Answers ( Latest 2025)

You are transporting 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? - Correct Answers ✅Have your partner pull over the ambulance Cardiogenic shock following AMI is caused by: - Correct Answers ✅Decreased pumping force of the heart muscle Most patients are instructed to take up to ____ doses of NTG before calling EMS. - Correct Answers ✅Three A 60YOM is found to be unresponsive, pulseless, and apneic. You should: - Correct Answers ✅Begin CPR until an AED is available Why would an EMT give aspirin to a patient? - Correct Answers ✅Aspirin reduces the blood's ability to clot and works to prevent further clot formation in patients with chest pain What is the first medication that should be administered to a patient who's experiencing chest pain with difficulty breathing? - Correct Answers ✅Oxygen You are on the scene with a 60YOM who calls 911 for chest pains. He states he was about to go to bed when his chest pains wouldn't go

Answers ( Latest 2025)

away. He rates his pain as a 7/10 and is diaphoretic, but otherwise stable. He takes medications for hypertension, high cholesterol, and erectile dysfunction. After placing the patient on oxygen, you should call medical control and request: - Correct Answers ✅To administer aspirin to the patient A 76YOF complains of SOB and lower leg swelling. You see that she has JVD and crackles in her lungs. Her SpO2 is 90%. What is the cause of her heart failure? - Correct Answers ✅Poor ejection of blood from the heart