Cardiology FISDAP practice question and answer

Cardiology FISDAP practice question and
answer
 Course
 Cardiology FISDAP
1. A patient presents with crushing substernal chest pain radiating to the left arm. He is
diaphoretic and nauseated. What is the most appropriate immediate treatment?

 A. Administer aspirin, nitroglycerin, oxygen, and morphine if needed ✅ (MONA
protocol: Morphine, Oxygen, Nitroglycerin, Aspirin.)

 B. Give IV fluids and transport without intervention

 C. Perform immediate defibrillation

 D. Obtain a blood glucose reading first



2. Which ECG finding is most indicative of a myocardial infarction (MI)?

 A. Peaked T waves

 B. ST-segment elevation in two or more contiguous leads ✅ (STEMI criteria: ST
elevation in 2+ leads.)

 C. Widened QRS complex

 D. Sinus bradycardia



3. A 62-year-old male is experiencing palpitations and a heart rate of 180 bpm. His blood
pressure is 88/56 mmHg. What is the best immediate intervention?

 A. Administer adenosine 6 mg IV push

 B. Perform synchronized cardioversion ✅ (Unstable tachycardia requires
cardioversion.)

 C. Attempt vagal maneuvers

 D. Administer epinephrine 1 mg IV push



4. Which heart rhythm is most commonly associated with sudden cardiac arrest?

 A. Atrial fibrillation

,  B. Ventricular fibrillation ✅ (V-fib is the most common rhythm in cardiac arrest.)

 C. Sinus tachycardia

 D. First-degree heart block



5. A 58-year-old male presents with severe dyspnea, crackles in both lungs, and pink frothy
sputum. What is the most likely diagnosis?

 A. Asthma exacerbation

 B. Pulmonary embolism

 C. Congestive heart failure (CHF) with pulmonary edema ✅ (Classic CHF symptoms:
crackles, dyspnea, pink sputum.)

 D. COPD exacerbation



6. What is the first-line medication for symptomatic bradycardia?

 A. Epinephrine

 B. Atropine 0.5 mg IV ✅ (Atropine increases heart rate in bradycardia.)

 C. Amiodarone

 D. Nitroglycerin



7. A 45-year-old male has a blood pressure of 220/120 mmHg with a severe headache and
altered mental status. What is the primary concern?

 A. Hypertensive emergency with end-organ damage ✅ (Severe hypertension +
symptoms = emergency.)

 B. Simple hypertension

 C. Dehydration

 D. Benign intracranial hypertension



8. What is the most common cause of left-sided heart failure?

,  A. Chronic lung disease

 B. Myocardial infarction (MI) ✅ (MI damages the left ventricle, leading to failure.)

 C. Atrial fibrillation

 D. Pulmonary embolism



9. What is the priority treatment for a patient in ventricular fibrillation?

 A. Synchronized cardioversion

 B. Defibrillation and CPR ✅ (V-fib is a shockable rhythm—defibrillate ASAP.)

 C. Administer adenosine

 D. Give atropine 1 mg IV push



10. A patient with stable supraventricular tachycardia (SVT) should receive which initial
intervention?

 A. Immediate defibrillation

 B. Vagal maneuvers ✅ (Vagal maneuvers can slow SVT before drugs.)

 C. Epinephrine 1 mg IV push

 D. Synchronized cardioversion

11. What is the first-line medication for a stable patient with narrow-complex
supraventricular tachycardia (SVT)?
 A. Epinephrine
 B. Adenosine 6 mg rapid IV push ✅ (Adenosine is the first-line drug for SVT.)

 C. Atropine
 D. Amiodarone



12. Which of the following ECG findings is associated with hyperkalemia?
 A. Prolonged QT interval
 B. Peaked T waves ✅ (Peaked T waves are a classic sign of hyperkalemia.)

,  C. ST-segment elevation
 D. Delta waves



13. A patient presents with bradycardia at 36 bpm, hypotension, and altered mental status.
What is the best initial treatment?
 A. Synchronized cardioversion
 B. Atropine 0.5 mg IV every 3–5 minutes ✅ (Atropine is first-line for symptomatic
bradycardia.)
 C. Administer a beta-blocker
 D. Give adenosine



14. What is the most effective treatment for a patient in asystole?
 A. Defibrillation
 B. CPR and epinephrine ✅ (Asystole is non-shockable—focus on CPR and meds.)

 C. Synchronized cardioversion
 D. Atropine 1 mg IV



15. What is the primary cause of cardiogenic shock?
 A. Severe infection
 B. Myocardial infarction ✅ (MI leads to pump failure, causing cardiogenic shock.)

 C. Hypovolemia
 D. Pulmonary embolism



16. A patient in ventricular tachycardia (VT) with a pulse and a BP of 110/70 mmHg should
receive which first-line treatment?
 A. Immediate defibrillation
 B. Synchronized cardioversion
 C. Amiodarone 150 mg IV over 10 minutes ✅ (Stable VT is treated with amiodarone.)