OMSA CORE REVIEW QUESTIONS AND ANSWERS
SURE A+
✔✔Signs and symptoms of Myocardial infarction (MI)
(5) - ✔✔-Chest pain not relieved by nitroglycerin
-Pain radiate down the left arm or up the left jaw
-Blood pressure drop
-weak with thready pulse
-nausea or vomiting
✔✔What should you do if you suspect a patient is having a MI? - ✔✔Morphine
Oxygen
Nitrates
Aspirin
Place patient on monitors and start IV asap
✔✔What is congestive heart failure? - ✔✔The heart cannot pump blood in a forward
motion
✔✔What happens when there is CHF on the right side? - ✔✔Excess blood an fluid
backing up systemically; meaning in the rest of the body
✔✔What are the symptoms of right sided CHF? - ✔✔Swelling in the ankles and ascetics
(belly)
Distended neck veins
✔✔What happens when there is CHF on the left side? - ✔✔Fluid backing up into the
lungs causing pt to cough pink frothy sputum.
✔✔What are the symptoms of left sided CHF? - ✔✔Shortness of breath and wakes up
in the middle of the night gasping for air
, ✔✔What is the normal treatment for CHF? - ✔✔Diuretics; so the patient pees out the
excess fluid
✔✔How is the cardiovascular system monitored? - ✔✔By using tone pulse, blood
pressure and the EKG
✔✔What is the autonomic nervous system responsible for? - ✔✔for controlling the
bodily functions not consciously directed
✔✔Causing increased heart rate and blood pressure and bronchodilates the airways;
"Fight or flight" - ✔✔Sympathetic nervous system
✔✔Results in stimulation of salivary glands, and slows the heart rate; "couch potatoes
state" - ✔✔Parasympathetic nervous system
✔✔Another name for stroke - ✔✔Cerebral vascular accident
✔✔A type of Cerebral vascular accident where a blood clot occurs in the brain causing
the blood vessel to become occluded depriving the brain tissue of oxygen - ✔✔embolic
stroke
✔✔A type Cerebral vascular accident where a bold vessel ruptures and bleeds
depriving the brain tissue of oxygen - ✔✔Hemorrhagic stroke
✔✔Symptoms of a cerebral vascular accident include: - ✔✔Weakness of extremities
usually one side only
Facial palsy or slurred speech
headache
✔✔How is the cardiovascular system monitored? - ✔✔By the patients pulse rate, the
patients blood pressure and the EKG
✔✔What 3 areas are the most common to take a pulse? - ✔✔Radial, Branchial and
carotid
✔✔What is the ideal size for a blood pressure cuff to ensure an accurate BP reading? -
✔✔Greater that 1/3 the circumference of the arm
✔✔What does systolic pressure represent? - ✔✔The force of the ventricular contraction
✔✔The sound of the blood rushing through the veins after the BP cuff releases? -
✔✔Korotkoff sounds
SURE A+
✔✔Signs and symptoms of Myocardial infarction (MI)
(5) - ✔✔-Chest pain not relieved by nitroglycerin
-Pain radiate down the left arm or up the left jaw
-Blood pressure drop
-weak with thready pulse
-nausea or vomiting
✔✔What should you do if you suspect a patient is having a MI? - ✔✔Morphine
Oxygen
Nitrates
Aspirin
Place patient on monitors and start IV asap
✔✔What is congestive heart failure? - ✔✔The heart cannot pump blood in a forward
motion
✔✔What happens when there is CHF on the right side? - ✔✔Excess blood an fluid
backing up systemically; meaning in the rest of the body
✔✔What are the symptoms of right sided CHF? - ✔✔Swelling in the ankles and ascetics
(belly)
Distended neck veins
✔✔What happens when there is CHF on the left side? - ✔✔Fluid backing up into the
lungs causing pt to cough pink frothy sputum.
✔✔What are the symptoms of left sided CHF? - ✔✔Shortness of breath and wakes up
in the middle of the night gasping for air
, ✔✔What is the normal treatment for CHF? - ✔✔Diuretics; so the patient pees out the
excess fluid
✔✔How is the cardiovascular system monitored? - ✔✔By using tone pulse, blood
pressure and the EKG
✔✔What is the autonomic nervous system responsible for? - ✔✔for controlling the
bodily functions not consciously directed
✔✔Causing increased heart rate and blood pressure and bronchodilates the airways;
"Fight or flight" - ✔✔Sympathetic nervous system
✔✔Results in stimulation of salivary glands, and slows the heart rate; "couch potatoes
state" - ✔✔Parasympathetic nervous system
✔✔Another name for stroke - ✔✔Cerebral vascular accident
✔✔A type of Cerebral vascular accident where a blood clot occurs in the brain causing
the blood vessel to become occluded depriving the brain tissue of oxygen - ✔✔embolic
stroke
✔✔A type Cerebral vascular accident where a bold vessel ruptures and bleeds
depriving the brain tissue of oxygen - ✔✔Hemorrhagic stroke
✔✔Symptoms of a cerebral vascular accident include: - ✔✔Weakness of extremities
usually one side only
Facial palsy or slurred speech
headache
✔✔How is the cardiovascular system monitored? - ✔✔By the patients pulse rate, the
patients blood pressure and the EKG
✔✔What 3 areas are the most common to take a pulse? - ✔✔Radial, Branchial and
carotid
✔✔What is the ideal size for a blood pressure cuff to ensure an accurate BP reading? -
✔✔Greater that 1/3 the circumference of the arm
✔✔What does systolic pressure represent? - ✔✔The force of the ventricular contraction
✔✔The sound of the blood rushing through the veins after the BP cuff releases? -
✔✔Korotkoff sounds
