EMT FISDAP FINAL REVIEW 2022/2023 (REVISED FULL EXAM)

#16 1, A dissecting aortic aneurysm occurs when: Select one: A. the aorta ruptures, resulting in profound bleeding. B. all layers of the aorta suddenly contract. C. a weakened area develops in the aortic wall. D. the inner layers of the aorta become separated. 2, the electrical impulse generated by the heart originates in the: Select one: A. sinoatrial node. B. coronary sinus. C. atrioventricular node. D. bundle of His. 3, Deoxygenated blood from the body returns to the: Select one: A. left ventricle. B. right atrium. C. left atrium. D. right ventricle. 4, A patient tells you that he has a left ventricular assist device (LVAD). Which of the following conditions should you suspect that he has experienced? Select one: A. Thoracic aortic aneurysm B. Acute myocardial infarction C. Uncontrolled hypertension D. Obstructive lung disease 5, A 66-year-old female with a history of hypertension and diabetes presents with substernal chest pressure of 2 hours' duration. Her blood pressure is 140/90 mm Hg, her pulse is 100 beats/min and irregular, her respirations are 22 breaths/min, and her oxygen saturation is 92%. The patient does not have prescribed nitroglycerin, but her husband does. You should: Select one: A. give her one nitroglycerin and reassess her systolic blood pressure. B. give her high-flow oxygen, attach the AED, and transport at once. C. administer oxygen, give her 324 mg of aspirin, and assess her further. D. obtain a SAMPLE history and contact medical control for advice. 6, When preparing to obtain a 12-lead ECG, the “LL” and “RL” electrodes should be placed: Select one: A. on the thighs or ankles. B. anywhere on the arms. C. on either side of the chest. D. on the lower abdomen. 7, Signs and symptoms of a hypertensive emergency would MOST likely be delayed in patients who: Select one: A. have had a stroke in the past. B. have chronic hypertension. C. are older than 40 years of age. D. regularly take illegal drugs. 8, Which of the following signs is commonly observed in patients with right-sided heart failure? Select one: A. Labored breathing B. Flat jugular veins C. Dependent edema D. Pulmonary edema 9, Angina pectoris occurs when: Select one: A. myocardial oxygen supply exceeds the demand. B. one or more coronary arteries suddenly spasm. C. myocardial oxygen demand exceeds supply. D. a coronary artery is totally occluded by plaque. 10. You and your partner arrive at the scene of a middle-aged man who collapsed about 5 minutes ago. He is unresponsive, apneic, and pulseless. Bystanders are present, but have not provided any care. You should: Select one: A. immediately apply the AED pads and analyze his cardiac rhythm. B. have your partner perform CPR while you question the bystanders. C. perform two-rescuer CPR for 5 minutes and request ALS backup. D. begin high-quality CPR and apply the AED as soon as possible.