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FISDAP CARDIOLOGY FULL REVIEW (PARAMEDIC) EXPERT VERIFIED 550+ ACTUAL QUESTIONS & ANSWERS WITH RATIONALES FOR GUARANTEED PASS | NEWEST UPDATE, .

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FISDAP CARDIOLOGY FULL REVIEW (PARAMEDIC) EXPERT VERIFIED 550+ ACTUAL QUESTIONS & ANSWERS WITH RATIONALES FOR GUARANTEED PASS | NEWEST UPDATE, . Terms in this set (552) You respond to a residence for a 68-yearold male with nausea, vomiting, and blurred vision. As you are assessing him, he tells...

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  • February 26, 2025
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  • 2024/2025
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FISDAP CARDIOLOGY FULL REVIEW (PARAMEDIC)
EXPERT VERIFIED 550+ ACTUAL QUESTIONS &
ANSWERS WITH RATIONALES FOR GUARANTEED
PASS | NEWEST UPDATE, 2025-2026.


Terms in this set (552)

You respond to a residence Digoxin.
for a 68-yearold male with
nausea, vomiting, and This patient has classic signs of digitalis toxicity. Digoxin is
blurred vision. As you are commonly prescribed to patients with congestive heart
failure and atrial fibrillation (A-Fib) or atrial flutter (A-
assessing him, he tells you
Flutter). Its positive inotropic effects increase cardiac
that he has congestive heart contractility and maintain cardiac output, while its negative
failure and atrial fibrillation, chronotropic effects control the ventricular rate of the A-Fib
and takes numerous or A-Flutter. Digitalis preparations (ie, Lanoxin, Digoxin) have
a narrow therapeutic index—that is, there is a fine line
medications. The cardiac
between a therapeutic and toxic dose. You should suspect
monitor
digitalis toxicity in any patient who takes Digoxin or Lanoxin
reveals atrial fibrillation with and presents with complaints such as nausea, vomiting,
a ventricular rate of 50 abdominal pain, anorexia, or blurred/yellow vision.
beats/min. Which of the Additionally, virtually any cardiac dysrhythmia can be caused
following medications is by the toxic effects of digitalis. Treatment involves the
MOST likely responsible for administration of Digibind, which is given at the hospital.
this patient's clinical
presentation?

,Which of the following is an Subdural hematoma 3 years ago.
absolute contraindication for
fibrinolytic therapy?
According to current emergency cardiac care (ECC)
guidelines, absolute contraindications for fibrinolytic therapy
include ANY prior intracranial hemorrhage (ie, subdural,
epidural, intracerebral hematoma); known structural
cerebrovascular lesion (ie, arteriovenous malformation);
known malignant intracranial tumor (primary or metastatic);
ischemic stroke within the past 3 months, EXCEPT for acute
ischemic stroke within the past 3 hours; suspected aortic
dissection; active bleeding or bleeding disorders (except
menses); and significant closed head trauma or facial trauma
within the past 3 months. Relative contraindications (eg, the
physician may deem fibrinolytic therapy appropriate under
certain circumstances) include, a history of chronic, severe,
poorly-controlled hypertension; severe uncontrolled
hypertension on presentation (SBP > 180 mm Hg or DBP >
110 mm Hg); ischemic stroke greater than 3 months ago;
dementia; traumatic or prolonged (> 10 minutes) CPR or
major surgery within the past 3 weeks; recent (within 2 to 4
weeks) internal bleeding; noncompressible vascular
punctures; pregnancy; prior exposure (> 5 days ago) or prior
allergic reaction to streptokinase or anistreplase; active
peptic ulcer; and current use of anticoagulants (ie,
Coumadin).

,A middle-aged man presents Administer up to 325 mg of aspirin.
with chest discomfort,
shortness of breath, and Since oxygen has already been administered to this patient
nausea. You give him and your partner is attaching the ECG leads, you should
administer aspirin (160 to 325 mg, nonenteric-coated). Early
supplemental oxygen and
administration of aspirin has clearly been shown to reduce
continue your assessment. As mortality and morbidity in patients experiencing an acute
your partner is attaching the coronary syndrome (ACS). After establishing vascular access,
ECG leads, you should: you should assess his vital signs and then administer 0.4 mg
of nitroglycerin (up to 3 doses, 5 minutes apart), provided
that his systolic BP is greater than 90 mm Hg. If 3 doses of
nitroglycerin fail to completely relieve his chest discomfort,
consider administering 2 to 4 mg of morphine IV, provided
that his systolic BP remains above 90 mm Hg.




To assess lead II, place the negative lead on the right arm and
the positive lead on the left leg.


Which of the following ECG According to the Einthoven triangle, lead I is assessed by
lead configurations is placing the negative (white) lead on the right arm and the
correct? positive (red) lead on the left arm. Lead II is assessed by
placing the negative lead on the right arm and the positive
lead on the left leg. Lead III is assessed by placing the
negative lead on the left arm and the positive lead on the
left leg.

, A 61-year-old male presents Supplemental oxygen, vascular access, up to three 0.4 mg
with chest pressure that doses of nitroglycerin, and 2 to 4 mg of morphine sulfate if
woke him up from his nap 30
his systolic BP is greater than 90 mm Hg and he is still
minutes ago. He is
diaphoretic, anxious, and experiencing pain.
rates his pain as an an 8 over
10. His past medical history is The patient is experiencing an acute coronary syndrome
significant for hypertension,
(ACS). His 12-lead ECG indicates anteroseptal injury with
type II diabetes, and coronary
lateral extension (ST elevation in leads V1 through V5).
stent placement 2 months
ago. He takes lisinopril, Appropriate treatment includes oxygen (maintain an SpO2 of
Plavix, and Glucophage, and greater than 94%), vascular access, up to three 0.4 mg doses
is wearing a medical alert of nitroglycerin (NTG), and 2 to 4 mg of morphine if NTG fails
bracelet stating "allergic to
to relieve his pain and his systolic BP is above 90 mm Hg.
salicylates." His blood
pressure is 160/100 mm Hg, Some EMS systems may use fentanyl
pulse is 110 beats/min, and (Sublimaze) for analgesia. Aspirin, a salicylate, is also given
respirations are 22 to patients with ACS; however, this patient is allergic to
breaths/min. The 12-lead salicylates. Obtain a right-sided 12-lead ECG in patients with
ECG shows sinus tachycardia signs of inferior wall injury (ST elevation in leads II, III, aVF).
with 3-mm ST segment Inferior wall infarctions may involve the right ventricle; a
elevation in leads V1 through right-sided 12-lead ECG will help confirm this. Apply the
V5. Which of the following multi-pads to the patient, not because he is at risk for
treatment modalities is bradycardia (more common with inferior infarctions), but
MOST appropriate for this because he is at risk for cardiac arrest due to V-Fib or
patient? pulseless V-Tach.

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