a 57 year old female developed severe weakness and
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Fisdap Cardiology EMT initial exam
1. A 36 year old female complains of chest pain. She is conscious and alert with an
SpO2 of 93%. You should - ANS-administer oxygen via nasal cannula at 4 lpm
2. A 36 year old female with a history of congenital heart defects is slow to respond.
She has pale, cool, and clammy skin. Vital signs are BP 68/30, P 128, R 26. What
should you suspect? - ANS-Cardiogenic Shock
3. A 38 year old female with a history of congenital heart defects is slow to respond.
She has pale, cool, and clammy skin. Vital signs are BP 68/30, P 128, R 26. What
should you suspect? - ANS-Cardiogenic Shock
4. A 40 year old patient with a history of coronary artery disease recent mastectomy is
complaining of chest discomfort. Vitals are P 120, R 22 and BP 80/54. you should
suspect? - ANS-Cardiogenic shock
5. A 44year old female awakened with shortness of breath complaining of indigestion,
epigastric pressure. Antacids didn't help. You should suspect? -
ANS-Gastroesophangeal reflux disease
6. A 46 year old male is in cardiac arrest. You administer one shock, and at the 2
minute pulse check, you feel a strong carotid pulse. What should you do? -
ANS-Assess breathing and manage airway if necessary
7. A 48 year old male complains of 8/10 crushing chest pain that radiates to his neck.
Vital signs are BP 112/78, P 60, R 18. The patients daily medication include
Metoprolol, Cialis, and aspirin. What should you do? - ANS-Transport rapidly in a
postion of comfort to the closest facility.
8. A 48 year old patients complains of difficulty breathing, patient's history reveals an
acute myocardial infarction 8 months ago, vital signs are 144/86, 110, and 24,
auscultation reveals crackles in the lung bases. You should suspect? -
ANS-pulmonary edema
9. A 49 year old male with a history of heart problems complains of chest pressure and
shortness of breath. You should assist him in taking his prescribed nitro if he -
ANS-complains of a headache and has a BP of 132/90
10. A 54 year old complains of chest tightness after raking leaves for an hour. The pain
subsided after rest and two nitro. He has had very similiar episodes in the past. He is
most likely experiencing? - ANS-Angina Pectoris
11. A 57 year old female developed severe weakness and mild shortness of breath while
shoveling snow. She is diaphoretic and complaining of nausea and jaw pain. You
should suspect? - ANS-Acute myocardial infarction
12. A 60 year old patient is short of breath and cyanotic. Lung sounds reveal crackles
and you note accessory muscle use. You should suspect - ANS-Left Sided Heart
Failure
13. A 62 year old patient complains of chest pain and lightheadedness. Vitals are 88/56,
126, and 18. What is the best position for this patient? - ANS-Supine
14. A 64 year old patient states "I feel like I am about to die." Nitro and oxygen have not
decreased her chest pain. Vital signs are BP 90/60, P 60, R 24. You should -
ANS-transport immediately
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