FISDAP READINESS Exam Prep 2023
Questions and Answers 100% Verified
Where are Beta 1 receptors found? - CORRECT ANS Heart and Kidneys
Stimulation of Beta 1 receptors result in an increase of what? - CORRECT ANS
Heart: Inotropy, Chronotropy, Dromotropy
Kidneys: Renin-Angiotensin-Aldosterone System = Vasoconstriction = Increase
blood pressure
Which node is located at the junction of the superior vena cava and the right atrium,
is typically supplied by the Right Coronary artery, and fires at a rate of 60-100 bpm. -
CORRECT ANS SA Node
Atrial depolarization characterized by smooth, round, upright deflection less than
0.11 secs long and less than 2.5mm tall is referred to as what on the ECG? -
CORRECT ANS P wave
Carvedilol (Coreg)
Metropolol (Lopressor)
Atenolol (Tenormin)
Propranolol (Inderal)
Bisoprolol (Zebeta)
Acebutolol (Sectral)
Comolol (Brevibloc) - CORRECT ANS Beta Blockers - used for blood pressure
and cardiac problems
Epinephrine
Norepinephrine
Vasopressin
Dopamine
Phenylephrine
Dobutamine - CORRECT ANS Vasopressors
The middle of phase 3 to beginning of phase 4 in the cardiac cycle where cardiac
cells are partially refractory and partially repolarized and certain cells can be
depolarized in response to electrical stimulus. - CORRECT ANS Relative
Refractory Period
(Partial flush of the toilet)
Treatment for Beta Blocker Overdose - CORRECT ANS Glucagon: 1-5mg IV/IO
(1st Line Drug)
Calcium Chloride: 500mg - 1g IV/IO
Swelling of affected limb, pain and tenderness, inflammation/redness, warm to touch
on affected limb, pain on dorsiflexion (Homan Sign) are all signs of? - CORRECT
ANS DVT
Treatment of DVT - CORRECT ANS Supportive Care, Position of Comfort,
Establish IV, Cardiac Monitor, Pulse Ox, O2, Monitor vitals for embolism.
Do not massage affected limb.
The pressure gradient that drives coronary blood pressure.
The difference between aortic diastolic pressure and left ventricular end diastolic
pressure that perfuses the coronary arteries. - CORRECT ANS Coronary
Perfusion
,FISDAP READINESS Exam Prep 2023
Questions and Answers 100% Verified
Tachycardia, Difficulty Breathing, Diminished Lung Sound, Pulse Quality Changes,
and unequal chest rise are early signs and symptoms of? - CORRECT ANS
Tension Pneumothorax
Air is entering the pleural space but cannot escape. Positive pressure ventilation can
make it worse.
Criteria for Unstable Dysrhythmia - CORRECT ANS Ischemic Chest Pain
ALOC
Hypotension/Hypovolemia
Signs of Shock
Acute Heart Failure
Restriction of of cardiac contraction, falling cardiac output, and shock as a result of
pericardial fluid accumulation are characteristics of? - CORRECT ANS Cardiac
Tamponade
Hypotension, SOB, Lightheadedness, Chest Pain, Syncope, Palpitations, Extremity
Swelling, and Muffled heart sounds are signs and symptoms of? - CORRECT ANS
Cardiac Tamponade
Indications for Dopamine - CORRECT ANS Cardiogenic Shock
Distributive Shock after fluids
Hemodynamically significant Hypotension
Symptomatic Brady (2nd Line drug)
AHA Guidlines for Terminating CPR efforts in field(4) - CORRECT ANS Arrest
was not witnessed
No bystander CPR was administered
ROSC was not achieved after complete
ALS care in the field
No shocks were administered
Time frame that starts at the patient contact by EMS and ends with definitive therapy
of catheter passing through lesion of coronary vessel. - CORRECT ANS EMS-to-
Balloon-Time
Time from patient entering ED to catheter passing through lesion of coronary vessel.
- CORRECT ANS Door-to-balloon-time
Time from patient entering ED to fibrinolytic therapy administration. - CORRECT
ANS Door-to-needle-time
Time frame for door-to-balloon - CORRECT ANS <90mins
Time frame for door-to-needle - CORRECT ANS <30mins
Principle symptom of Coronary Artery Disease or Acute Coronary Syndrome that
occurs when supply of O2 is to the myocardium is insufficient to meet demand and
cells become ischemic? - CORRECT ANS Angina Pectoris
Chest pain that occurs at rest and is caused by coronary artery vasospasm? Risk for
Dysrhythmia, MI, Heart Block and Death - CORRECT ANS Prinzmetal Angina
(PA)
Which electrolyte flows into cardiac cells to initiate depolarization? - CORRECT
ANS Sodium (Na+)
,FISDAP READINESS Exam Prep 2023
Questions and Answers 100% Verified
Which electrolyte flows out of cardiac cells to to initiate repolarization? -
CORRECT ANS Potassium (K+)
Which electrolyte plays a major role in depolarization of pacemaker cells to maintain
depolarization and myocardial contractility? - CORRECT ANS Calcium (Ca++)
Which electrolyte stabilizes cell membrane and acts in concert with K+ and opposes
actions of Ca++? - CORRECT ANS Magnesium (Mg++)
Hypokalemia results in? - CORRECT ANS increased myocardial irritability
Hyperkalemia results in? - CORRECT ANS decreased automaticity/conduction
Hypocalcemia results in? - CORRECT ANS decreased contractility and increased
irritability
Hypercalcemia results in? - CORRECT ANS Increased contractility
Hypomagnesemia results in? - CORRECT ANS decreased conduction
Hypermagnesemia results in? - CORRECT ANS increased myocardial irritability
Four properties of the Cardiac Conduction System - CORRECT ANS Excitability -
cells respond to electrical impulse
Conductivity - cells pass impulse to one another
Automaticity - hearts ability to generate its own electrical impulse
Contractility - hearts ability to contract when stimulated
Affects of RCA occlusion in terms of the SA node ischemia? - CORRECT ANS
SA node becomes ischemic = slower firing rate (<60-100) or cease fire completely
causing another automaticity foci to take over such as AV (40-60) or Purkinje (20-
40).
Which electrolytes are responsible for depolarization? - CORRECT ANS Sodium
and Calcium influx
Which electrolyte is responsible for repolarization? - CORRECT ANS Potassium
outflow
Indications for CPAP (5) - CORRECT ANS Alert and able to follow commands
Moderate to Severe Respiratory Distress
Hyperventilation
SpO2 <90%
Systolic >90mmHg
Contraindications for CPAP (8) - CORRECT ANS Respiratory Arrest
Hypoventilation
ALOC
Chest Trauma/Pneumo
Tracheostomy
GI bleed or Vomiting
Inability to fit CPAP
Excessive Facial Hair/Dysmorphic features
During what phase of circulation do coronary arteries receive blood? - CORRECT
ANS Diastolic
Coronary circulation begins from aorta at the? - CORRECT ANS Right and Left
Coronary Arteries
The right coronary artery has how many branches and supplies blood to where? -
CORRECT ANS 9
, FISDAP READINESS Exam Prep 2023
Questions and Answers 100% Verified
Right Atrium, SA/AV node, and Right Ventricle
Inferior Left Ventricle
Left Coronary Artery is the largest and shortest coronary vessel. It divides into what
and supplies blood to where? - CORRECT ANS Left Anterior Descending and
Circumflex Coronary arteries.
Left Ventricle, Septum, and at times the AV node and atria.
Epinephrine MOA (4) and Dose - CORRECT ANS Beta 1 = Inotropy,
Chronotropy, Dromotropy
Alpha 1 = Vasoconstriction = Increased aortic diastolic pressure
Beta 2 = Bronchial smooth muscle relaxation = Bronchodilation
Adequately perfused kidneys produce how many mLs of urine per hour? -
CORRECT ANS 30-50mL
Tachycardia with irregular pulse, labored breathing with diffuse crackles/rales in all
lung fields, pale/cool/diaphoretic skins, and low blood pressure are signs of what
type of shock? - CORRECT ANS Cardiogenic
What is one of the most helpful steps to formulating a field diagnosis? - CORRECT
ANS Considering and ruling out various conditions
A sudden nervous system reaction that causes temporary generalized vasodilation
leading to syncope describes what type of shock? - CORRECT ANS Psychogenic
Allowing full recoil of the chest in CPR enhances blood return to the heart by what
mechanism? - CORRECT ANS Negative intrathoracic pressure
If someone has a syncopal episode and then complains of headache and inability to
walk without feeling dizzy, you should suspect? - CORRECT ANS Head Injury
Treatment for neurogenic shock includes IV fluids, temperature management, and
possibly? - CORRECT ANS Atropine 0.5mg up to 3mg
Suppress vagus nerve to increase cardiac output.
What is the most important criteria for bystander CPR to meet prior to EMS arrival? -
CORRECT ANS Compressions
Which system is primarily responsible for tissue perfusion? - CORRECT ANS
Cardiovascular
The recommended fluid resuscitation for a patient in shock with no suspected TBI is?
- CORRECT ANS 250mL up to 4x, maintain systolic of 80-90mmHg
What type of metabolism takes over when inefficient cellular metabolism produces
lactic acid? - CORRECT ANS Anaerobic
Accumulation of lactic acid and other waste products in the blood inhibits what
interaction? - CORRECT ANS hemoglobin from binding with and carrying oxygen
What should you do if you are working a cardiac arrest patient and the capnography
spikes from <20mmHg to >40mmHg? - CORRECT ANS Assess pulse for up to
10 seconds
Tendency to gather or rely on information that confirms your existing views and
downplays/avoids info that does not confirm your hypothesis or field differential is
what kind of bias? - CORRECT ANS Confirmation Bias
The primary focus of running a megacode should be on? - CORRECT ANS
teamwork and minimal interruptions of CPR
