EMT Final Exam
1155 - a malfunction of the heart's electrical system may result in
A. Atherosclerosis
B. Pericarditis
C. Aneurysm
D. Arrhythmia - ANS D. Arrhythmia
1156 - All of the following are indications for the use of nitro EXCEPT
A. Patient has a history of cardiac problems
B. The patient's physician has prescribed nitro
C. Pt complains of CP
D. The pt's systolic BP is less than 90 - ANS D. The pt's systolic BP is less than 90
*1157 - A 60 y/o female has chest pain. She has not taken her prescribed nitro you should
A> Determine what type of cardiac problem the pt has, and assist her with taking the nitro
B> Immediately attached the AED and begin transport to hospital
C> Administer aspirin only and withhold the nitro
D> Consult medical direction with regard to assisting the pt in taking the nitro - ANS A> Determine
what type of cardiac problem the pt has, and assist her with taking the nitro
1268 - You have assisted a 56 y/o pt in taking 1 nitro he continues to complain of CP. Vital signs are:
BP 94/64, P 120, R 14, SaO2 98%. You should
A. Reassess his BP
B. Assist him with a 2nd nitro
C. Transport
D. Assess lung sounds and have pt self-administer their inhaler - ANS C. Transport
1269 - You are transporting a pt with CP, when suddenly she becomes unresponsive you should
A. Start CPR and transport more rapidly
B. Stop the ambulance and confirm absence of pulse
,C. Immediately apply an AED and analyze
D. Insert an OPA and ventilate twice - ANS B. Stop the ambulance and confirm absence of pulse
1271 - __________________ is a cardiac arrhythmia characterized by a complete disorganization of
electrical activity
A. Ventricular tachycardia
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Atrial fibrillation - ANS C. Ventricular fibrillation
1273 - One of the most problematic side effects of nitro is
A. Hypotension
B. Bradycardia
C. Angina
D. Dyspnea - ANS A. Hypotension
1278 - The strongest portion of the heart that is responsible for circulating blood to the entire body
is the
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle - ANS C. Left ventricle
1279 - You are dispatched to a 68 y/o female complaining of discomfort in her upper back. She is
nauseous and appears to be sweaty. Based on these symptoms, which of the possible causes is most
life-threatening.
A. Stroke
B. Diabetic reaction
C. Cardiac compromise
D. Indigestion - ANS C. Cardiac compromise
1281 - A 62 y/o female who has been drinking alcoholic beverages is feeling dizzy. She cannot walk
and she complains of severe headache. You should suspect
,A. Delirium tremens
B. Severe migraine
C. Hemorrhagic stroke
D. Acute alcohol intoxication - ANS C. Hemorrhagic stroke
1282 - When you assess a pulse you are feeling the
A. Contraction of the left atrium
B. Relaxation of both ventricles
C. Relaxation of the atria
1282 - When you assess a pulse you are feeling the
A. Contraction of the left atrium
B. Relaxation of both ventricles
C. Relaxation of the atria
D. Contraction of the left ventricle - ANS D. Contraction of the left ventricle
1283 - A common symptom of cardiac compromise is CP or discomfort known as
A. Fibrillation
B. Ischemia
C. Myocardial infarction
D. Angina - ANS D. Angina
1284 - Your pt is a 65 y/o male CC CP, which of the following would be a contraindication for
assisting with the administration of sublingual nitro?
A. Heart rate <100
B. SBP >100
C. SBP <100
D. HR >100 - ANS C. SBP <100
1286 - You are alone when you witness a 57 y/o woman suddenly collapse and become
unresponsive. She is not breathing. After calling for help you find that she has no pulse. You should
A. Begin chest compressions
B. Leave the pt and obtain an AED
, C. Continue rescue breathing
D. Perform blind finger sweep. - ANS A. Begin chest compressions
1285 - Which of the following is the build-up of fatty deposits on the inner walls of an artery?
A. Coronary artery disease
B. Thrombus
C. Aneurysm
D. Atherosclerosis - ANS D. Atherosclerosis
*1287 - Your pt is a 56 y/o male who collapses while mowing the lawn. He is apneic and pulseless
immediately following collapse. What is the patient most likely experiencing?
A. Heart attack
B. Cardiac Arrest
C. Angina
D. Stroke - ANS B. Cardiac Arrest
1288 - A 62 y/o female is complaining of crushing CP that radiates to between her shoulder blades.
She is very pale, diaphoretic, and feels nauseous. You should suspect a/an
A. Cardiac event
B. Cerebrovascular event
C. Hypoglycemic reactions
D. Asthma attack - ANS A. Cardiac event
1440 - A 67 y/o female just had a syncopal episode while using the toilet. Vitals are BP 100/6-. P 110
irregular, R 12. She is weak and dizzy. You should suspect a
A. gastrointestinal obstruction
B. vertebral vascular accident
C. cardiac rhythm disturbance
D. acute myocardial infarction - ANS C. cardiac rhythm disturbance
1763 - A pulseless and apneic 68 y/o male has an implanted pacemaker in his right shoulder.
Without delaying defibrillation where should you apply the AED pads.
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