FISDAP PARAMEDIC FINAL practice exam|
Questions with 100% Correct Answers
Which vessel provides blood supply to the SA and AV nodes in most patients? -
✔️✔️RCA (Right coronary artery)
Impulses that originate in both the atria and ventricles simultaneously, meeting
somewhere in the heart, create a strange appearing complex. What is that
complex known as? - ✔️✔️Fusion beat
Most common causes of premature atrial contractions? - ✔️✔️stimulants such as
caffeine or tobacco
Your 66 yom patient is experiencing crushing chest pain, and has a BP of 80/64.
Your monitor shows him to be in VTACH at a rate of 176. How would you treat
this patient? - ✔️✔️synchronized cardioversion at 100J
A 20 yom presents to you complaining of diffuse chest pain that increases with
deep inhalation but decreases when he leans forward. His 12 lead EKG shows
changes in all leads. He recently had a viral infection. From this information, what
is his most probable diagnosis? - ✔️✔️pericarditis
What does Starling's Law state? - ✔️✔️The strength of a contraction of a muscle
fiber is proportional to how far it is stretched
Which of the following scenarios may best describe a patient experiencing an
acute mi - ✔️✔️79 yof gets in an argument with her sister. She begins feeling
substernal pressure that is unrelieved by rest and nitro.
,An elderly female is found unresponsive by a neighbor. Your crew has initiate
CPR. The cardiac monitor show VFib How would you treat this patient? -
✔️✔️continue CPR, then prepare to defibrillate at 360J
What is the electrical axis of the heart? - ✔️✔️the average of all depolarizations of
the heart
Under which conditions does a Type II AV block have a very serious prognosis? -
✔️✔️AV dissociation exists
What are the primary causes of symptoms in patients experiencing
tachydysrhythmias? - ✔️✔️decreased ventricular filling and stroke volume
Your patient is a 58 yom with a history of alcoholism and and cirrhosis of the liver.
The patient is vomiting copious amounts of blood. Which is most likely the cause?
- ✔️✔️Esophageal Varices
Correct bolus amount for a 44 lb child in hemorrhagic shock? - ✔️✔️400 mL
You are treating a 80 yom who complains of headache, blurred vision, and left
sided weakness. He has a history of heart problems and takes digoxin. Which of
these is the most likely cause of his symptoms? - ✔️✔️embolic stroke caused by
afib
You are caring for a patient with a heart rate of 50. He is alert and oriented. His
BP is 126/72 and he denies chest pain or respiratory distress. How would you
, initially treat this patient? - ✔️✔️gather a complete history and physical
assessment
Which is the ion responsible for determining the resting membrane potential of a
cardiac cell? - ✔️✔️Potassium
A 55 yom complains of sudden onset of acute shortness of breath. He denies
chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool,
and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally.
He has a hx of heart attack 5 years ago. The patient is most likely suffering from? -
✔️✔️Left sided heart failure
A 55 yom complains of sudden onset of acute shortness of breath. He denies
chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool,
and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally.
He has a hx of heart attack 5 years ago. Besides increasing oxygen levels, what is
the next step for this patient? - ✔️✔️Decrease preload
A 55 yom complains of sudden onset of acute shortness of breath. He denies
chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool,
and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally.
He has a hx of heart attack 5 years ago. What medication and dosage would you
use? - ✔️✔️Nitro 0.4mg SL
Sally, a 72 yof, called EMS because of severe lower back pain that will not go
away. She states that she has arthritis, but this is much worse. She has a hx of
hypertension and takes medication for it. She is extremely pale and diaphoretic.
BP- 90 by palpation, P- 104, R-24. After oxygen, how would you initially treat. -
✔️✔️Rapid transport to ER
Questions with 100% Correct Answers
Which vessel provides blood supply to the SA and AV nodes in most patients? -
✔️✔️RCA (Right coronary artery)
Impulses that originate in both the atria and ventricles simultaneously, meeting
somewhere in the heart, create a strange appearing complex. What is that
complex known as? - ✔️✔️Fusion beat
Most common causes of premature atrial contractions? - ✔️✔️stimulants such as
caffeine or tobacco
Your 66 yom patient is experiencing crushing chest pain, and has a BP of 80/64.
Your monitor shows him to be in VTACH at a rate of 176. How would you treat
this patient? - ✔️✔️synchronized cardioversion at 100J
A 20 yom presents to you complaining of diffuse chest pain that increases with
deep inhalation but decreases when he leans forward. His 12 lead EKG shows
changes in all leads. He recently had a viral infection. From this information, what
is his most probable diagnosis? - ✔️✔️pericarditis
What does Starling's Law state? - ✔️✔️The strength of a contraction of a muscle
fiber is proportional to how far it is stretched
Which of the following scenarios may best describe a patient experiencing an
acute mi - ✔️✔️79 yof gets in an argument with her sister. She begins feeling
substernal pressure that is unrelieved by rest and nitro.
,An elderly female is found unresponsive by a neighbor. Your crew has initiate
CPR. The cardiac monitor show VFib How would you treat this patient? -
✔️✔️continue CPR, then prepare to defibrillate at 360J
What is the electrical axis of the heart? - ✔️✔️the average of all depolarizations of
the heart
Under which conditions does a Type II AV block have a very serious prognosis? -
✔️✔️AV dissociation exists
What are the primary causes of symptoms in patients experiencing
tachydysrhythmias? - ✔️✔️decreased ventricular filling and stroke volume
Your patient is a 58 yom with a history of alcoholism and and cirrhosis of the liver.
The patient is vomiting copious amounts of blood. Which is most likely the cause?
- ✔️✔️Esophageal Varices
Correct bolus amount for a 44 lb child in hemorrhagic shock? - ✔️✔️400 mL
You are treating a 80 yom who complains of headache, blurred vision, and left
sided weakness. He has a history of heart problems and takes digoxin. Which of
these is the most likely cause of his symptoms? - ✔️✔️embolic stroke caused by
afib
You are caring for a patient with a heart rate of 50. He is alert and oriented. His
BP is 126/72 and he denies chest pain or respiratory distress. How would you
, initially treat this patient? - ✔️✔️gather a complete history and physical
assessment
Which is the ion responsible for determining the resting membrane potential of a
cardiac cell? - ✔️✔️Potassium
A 55 yom complains of sudden onset of acute shortness of breath. He denies
chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool,
and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally.
He has a hx of heart attack 5 years ago. The patient is most likely suffering from? -
✔️✔️Left sided heart failure
A 55 yom complains of sudden onset of acute shortness of breath. He denies
chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool,
and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally.
He has a hx of heart attack 5 years ago. Besides increasing oxygen levels, what is
the next step for this patient? - ✔️✔️Decrease preload
A 55 yom complains of sudden onset of acute shortness of breath. He denies
chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool,
and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally.
He has a hx of heart attack 5 years ago. What medication and dosage would you
use? - ✔️✔️Nitro 0.4mg SL
Sally, a 72 yof, called EMS because of severe lower back pain that will not go
away. She states that she has arthritis, but this is much worse. She has a hx of
hypertension and takes medication for it. She is extremely pale and diaphoretic.
BP- 90 by palpation, P- 104, R-24. After oxygen, how would you initially treat. -
✔️✔️Rapid transport to ER
