Cardiology FISDAP Practice Test Questions
and Answers
Question 1
When assessing a patient with suspected cardiac-related chest pain, which of the
following questions would be MOST appropriate to ask?
A) Does the pain move to your arms?
B) Were you at rest when the pain began?
C) Is the pain crushing or dull in nature?
D) Can you describe the quality of the pain?
Correct Answer
D) can you describe the quality of the pain?
Question 2
56-year-old man presents with the cardiac rhythm. He complains of chest discomfort,
shortness of breath, and is profusely diaphoretic. His blood pressure is 84/64 mm Hg
and his radial pulses are barely palpable. You should:
A) defibrillate with 200 biphasic joules.
B) prepare for immediate cardiac pacing.
C) give 150 mg of amiodarone over 10 minutes.
D) consider sedation and perform cardioversion.
Correct Answer
D) consider sedation and perform cardioversion.
Page 1 of 17
,Question 3
In contrast to unstable angina, stable angina occurs when a patient:
A) complains of chest pain at the same time of the day for more than 2 weeks.
B) needs more than two nitroglycerin treatments to relieve his or her chest pain.
C) experiences chest discomfort after a certain, predictable amount of exertion.
D) presents with chest pain or discomfort during periods of low oxygen demand.
Correct Answer
C) experiences chest discomfort after a certain, predictable amount of exertion.
Question 4
When assessing lead II in a patient with a heart rate of 70 beats/min, the Q-T interval
is considered prolonged if it is:
A) twice the width of the QRS complex.
B) consistently greater than 0.20 seconds.
C) greater than one half of the R-R interval.
D) three times the length of the P-R interval.
Correct Answer
C) greater than one half of the R-R interval.
Question 5
In which of the following situations is transcutaneous cardiac pacing (TCP) clearly
indicated?
A) Pulseless electrical activity at a rate of 50 beats/min.
B) Asystole, but only after 10 minutes of adequate CPR.
C) First-degree AV block in a patient with abdominal pain.
D) Third-degree AV block in a patient with pulmonary edema.
Correct Answer
D) Third-degree AV block in a patient with pulmonary edema.
Page 2 of 17
, Question 6
A 65-year-old man has had vomiting and diarrhea for the past 2 days and complains
of severe weakness. His cardiac rhythm is shown below. Treatment for him should
include:
A) crystalloid fluid boluses.
B) adenosine, 6 mg rapid IV.
C) synchronized cardioversion.
D) diltiazem, 0.25 mg/kg.
Correct Answer
A) crystalloid fluid boluses.
Question 7
A 78-year-old female experienced a syncopal episode. She is now conscious, but
complains of dizziness and generalized weakness, and her pulse is 150 beats/min and
irregular. The paramedic should recognize that this patient's syncope was MOST likely
the result of:
A) decreased sympathetic tone.
B) an acute cardiac dysrhythmia.
C) increased parasympathetic tone.
D) widespread systemic vasoconstrictio
Correct Answer
B) an acute cardiac dysrhythmia.
Page 3 of 17
and Answers
Question 1
When assessing a patient with suspected cardiac-related chest pain, which of the
following questions would be MOST appropriate to ask?
A) Does the pain move to your arms?
B) Were you at rest when the pain began?
C) Is the pain crushing or dull in nature?
D) Can you describe the quality of the pain?
Correct Answer
D) can you describe the quality of the pain?
Question 2
56-year-old man presents with the cardiac rhythm. He complains of chest discomfort,
shortness of breath, and is profusely diaphoretic. His blood pressure is 84/64 mm Hg
and his radial pulses are barely palpable. You should:
A) defibrillate with 200 biphasic joules.
B) prepare for immediate cardiac pacing.
C) give 150 mg of amiodarone over 10 minutes.
D) consider sedation and perform cardioversion.
Correct Answer
D) consider sedation and perform cardioversion.
Page 1 of 17
,Question 3
In contrast to unstable angina, stable angina occurs when a patient:
A) complains of chest pain at the same time of the day for more than 2 weeks.
B) needs more than two nitroglycerin treatments to relieve his or her chest pain.
C) experiences chest discomfort after a certain, predictable amount of exertion.
D) presents with chest pain or discomfort during periods of low oxygen demand.
Correct Answer
C) experiences chest discomfort after a certain, predictable amount of exertion.
Question 4
When assessing lead II in a patient with a heart rate of 70 beats/min, the Q-T interval
is considered prolonged if it is:
A) twice the width of the QRS complex.
B) consistently greater than 0.20 seconds.
C) greater than one half of the R-R interval.
D) three times the length of the P-R interval.
Correct Answer
C) greater than one half of the R-R interval.
Question 5
In which of the following situations is transcutaneous cardiac pacing (TCP) clearly
indicated?
A) Pulseless electrical activity at a rate of 50 beats/min.
B) Asystole, but only after 10 minutes of adequate CPR.
C) First-degree AV block in a patient with abdominal pain.
D) Third-degree AV block in a patient with pulmonary edema.
Correct Answer
D) Third-degree AV block in a patient with pulmonary edema.
Page 2 of 17
, Question 6
A 65-year-old man has had vomiting and diarrhea for the past 2 days and complains
of severe weakness. His cardiac rhythm is shown below. Treatment for him should
include:
A) crystalloid fluid boluses.
B) adenosine, 6 mg rapid IV.
C) synchronized cardioversion.
D) diltiazem, 0.25 mg/kg.
Correct Answer
A) crystalloid fluid boluses.
Question 7
A 78-year-old female experienced a syncopal episode. She is now conscious, but
complains of dizziness and generalized weakness, and her pulse is 150 beats/min and
irregular. The paramedic should recognize that this patient's syncope was MOST likely
the result of:
A) decreased sympathetic tone.
B) an acute cardiac dysrhythmia.
C) increased parasympathetic tone.
D) widespread systemic vasoconstrictio
Correct Answer
B) an acute cardiac dysrhythmia.
Page 3 of 17
