EMT - CHAPTER 17 -
CARDIOVASCULAR EMERGENCIES
QUESTIONS WITH CORRECT ANSWERS
17.12.1 vv
Which vvof vvthese vvstatements vvmade vvby vvthe vvpatient vvshould vvcause vvthe vvEMT
vvto vvsuspect vvan vvabdominal vvaortic vvaneurysm?
A.
"I vvseem vvto vvbe vvvomiting vvup vvsome vvblood."
B.
"I vvhave vvbelly vvpain vvthat vvI vvalso vvfeel vvin vvmy vvback."
C.
"The vvpain vvis vvsharp vvand vvspreads vvto vvboth vvarms."
D.
"My vvheart vvis vvbeating vvso vvhard, vvyou vvcan vvfeel vvit vvon vvmy vvchest." vv- vvAnswer
vvB.
"I vvhave vvbelly vvpain vvthat vvI vvalso vvfeel vvin vvmy vvback."
17.9.9 vv
Which vvsign vvor vvsymptom vvwould vvthe vvEMT vvtypically vvassociate vvwith vvcongestive
vvheart vvfailure?
A.
Edema vvto vvthe vvleft vvarm
B.
Feeling vvof vvpalpitations
C.
Crackles vvin vvboth vvlungs
D.
Rhonchi vvto vvboth vvlungs vvthat vvis vvcleared vvby vva vvcough vv- vvAnswer vvC.
Crackles vvin vvboth vvlungs
17.11.1 vv
If vva vvclot vvoccludes vvthe vvblood vvflow vvthrough vvthe vvcoronary vvartery, vvwhat vvwill
vvbe vvthe vvdetrimental vveffect?
A.
The vvflow vvof vvoxygen-rich vvblood vvthrough vvthe vvperipheral vvarteries vvwill vvcease
B.
,Blood vvwill vvnot vvbe vvable vvto vvflow vvbetween vvthe vvleft vvatrium vvand vvthe vvleft
vvventricle
C.
The vvflow vvof vvoxygen-rich vvblood vvto vvthe vvmuscle vvof vvthe vvventricle vvwill vvbe
vvdecreased
D.
Blood vvand vvfluid vvwill vvback vvup vvinto vvthe vvlung vvtissue, vvcausing vvpulmonary
vvedema vv- vvAnswer vvC.
The vvflow vvof vvoxygen-rich vvblood vvto vvthe vvmuscle vvof vvthe vvventricle vvwill vvbe
vvdecreased
17.17.3 vv
When vvassessing vvan vvelderly vvpatient vvwith vvupper vvback vvpain, vvwhich vvof vvthese
vvassessment vvfindings vvwould vvmake vvyou vvvery vvsuspicious vvof vva vvthoracic vvaortic
vvdissection?
A.
Dizziness vvwhen vvgoing vvfrom vva vvsupine vvto vvstanding vvposition vvsuddenly
B.
Different vvblood vvpressure vvreadings vvin vveach vvarm
C.
Lower vvback vvpain vvdescribed vvas vva vvconstant vvache
D.
History vvof vvhypertension vvand vvlower vvback vvinjury vv- vvAnswer vvB.
Different vvblood vvpressure vvreadings vvin vveach vvarm
17.18.4 vv
You vvhave vvjust vvarrived vvby vvthe vvside vvof vva vv68-year-old vvmale vvpatient vvwho
vvcomplains vvof vvchest vvpain. vvAfter vvdetermining vvhis vvairway vvis vvpatent vvand
vvbreathing vvadequate, vvit vvis vvimperative vvthat vvyou vvperform vvwhich vvaction vvnext?
A.
Determine vvwhether vvhe vvtakes vvnitroglycerin
B.
Auscultate vvhis vvbreath vvsounds
C.
Obtain vva vvfull vvset vvof vvvital vvsigns
D.
Check vvhis vvradial vvpulse vv- vvAnswer vvD.
Check vvhis vvradial vvpulse
17.9.10 vv
Which vvstructure vvof vvthe vvneck vvwould vvthe vvEMT vvexamine vvon vva vvpatient vvshe
vvbelieves vvto vvbe vvin vvcongestive vvheart vvfailure?
A.
Clavicles
B.
Lateral vvmuscles
,C.
Neck vvveins
D.
Trachea vv- vvAnswer vvC.
Neck vvveins
17.6.1 vv
A vvpatient vvhas vvpulmonary vvhypertension, vvwhich vvhas vvincreased vvthe vvresistance
vvin vvthe vvpulmonary vvblood vvvessels. vvIn vvresponse, vvwhat vvwill vvmost vvlikely vvoccur
vvover vva vvlong vvperiod vvof vvtime?
A.
The vvheart vvmuscle vvwill vvbecome vvstronger
B.
The vvright vvside vvof vvthe vvheart vvwill vvweaken
C.
The vvaorta vvwill vvweaken vvand vvpotentially vvrupture
D.
The vvleft vvside vvof vvthe vvheart vvwill vvweaken vvand vvfail vv- vvAnswer vvB.
The vvright vvside vvof vvthe vvheart vvwill vvweaken
17.2.7 vv
All vvarteries:
A.
Carry vvblood vvaway vvfrom vvthe vvheart
B.
Are vvlocated vvin vvthe vvtorso vvof vvthe vvbody
C.
Carry vvoxygen-rich vvblood
D.
Have vvlower vvpressure vvthan vvveins vv- vvAnswer vvA.
Carry vvblood vvaway vvfrom vvthe vvheart
17.8.1 vv
Which vvof vvthese vvstatements vvmade vvby vvanother vvEMT, vvregarding vvchest vvpain
vvand vvacute vvcoronary vvsyndrome, vvis vvcorrect?
A.
"If vvthe vvpatient's vvchest vvpain vvdoes vvnot vvgo vvaway vvwith vvnitroglycerin vvtreatment,
vvthe vvEMT vvshould vvassume vvthat vvthe vvmedication vvis vvexpired vvand vvineffective."
B.
"If vvthe vvpatient vvexperiences vvchest vvpain vvthat vvradiates vvinto vvthe vvleft vvarm, vvit vvis
vvmost vvlikely vva vvheart vvattack. vvIf vvthe vvpain vvradiates vvanywhere vvelse, vvit vvis
vvmost vvlikely vvnot vvcardiac vvin vvorigin."
C.
"If vvthe vvchest vvpain vvstarted vvduring vvactivity, vvit vvis vvmost vvlikely vvcardiac. vvIf vvthe
vvpain vvstarted vvwhile vvthe vvpatient vvwas vvat vvrest, vvit vvis vvmost vvlikely vvnot vvcardiac."
D.
, "Some vvpatients vvexperiencing vvacute vvcoronary vvsyndrome vvdo vvnot vvhave vvactual
vvchest vvpain; vvrather, vvthey vvexperience vva vvsensation vvof vvdiscomfort vvor
vvpressure." vv- vvAnswer vvD.
"Some vvpatients vvexperiencing vvacute vvcoronary vvsyndrome vvdo vvnot vvhave vvactual
vvchest vvpain; vvrather, vvthey vvexperience vva vvsensation vvof vvdiscomfort vvor
vvpressure."
17.12.5 vv
For vva vvpatient vvwith vva vvhistory vvof vvan vvunstable vvabdominal vvaortic vvaneurysm,
vvthe vvEMT vvshould vvrecognize vvand vvprepare vvfor:
A.
Decreased vvperfusion vvto vvthe vvupper vvextremities
B.
Vomiting vvand vvairway vvocclusion
C.
Massive vvinternal vvbleeding
D.
Hypoxia vvcaused vvby vvlung vvcompression vv- vvAnswer vvC.
Massive vvinternal vvbleeding
17.12.2 vv
A vvpatient vvhas vvcalled vv911 vvfor vvchest vvpain vvthat vvhe vvdescribes vvas vv"tearing"
vvand vvradiating vvbetween vvhis vvshoulders. vvHis vvairway vvis vvpatent, vvbreathing
vvaccelerated vvbut vvadequate, vvand vvradial vvpulse vvintact. vvYour vvpartner vvreports
vvthe vvfollowing vvvital vvsigns: vvpulse, vv120; vvrespirations, vv22 vvbreaths/min; vvblood
vvpressure, vv88/64 vvmmHg; vvand vvSpO2, vv96% vvon vvroom vvair. vvAt vvthis vvtime, vvyou
vvshould:
A.
Assist vvthe vvpatient vvwith vvhis vvnitroglycerin
B.
Encourage vvthe vvpatient vvto vvtake vvan vvantacid vvsuch vvas vvMaalox
C.
Provide vvthe vvpatient vvwith vv325 vvmg vvof vvaspirin
D.
Recheck vvthe vvblood vvpressure vvin vvthe vvother vvarm vv- vvAnswer vvD.
Recheck vvthe vvblood vvpressure vvin vvthe vvother vvarm
17.10.5 vv
You vvhave vvbeen vvcalled vvfor vva vvpatient vvwith vvangina. vvOn vvscene, vvthe vv67-year-
old vvman vvreports vvthat vvhe vvhas vva vvhistory vvof vvangina vvand vvthe vvpain vvstarted
vvwhen vvhe vvwas vvmoving vvfirewood vvfrom vvthe vvgarage vvinto vvhis vvhouse.
vvUnfortunately, vvthe vvpain vvhas vvyet vvto vvgo vvaway, vvdespite vvthree vvnitroglycerin
vvtablets vvand vv20 vvminutes vvof vvrest. vvYour vvnext vvaction vvshould vvbe vvto:
A.
Attach vvthe vvAED vvbut vvdo vvnot vvturn vvit vvon
B.
CARDIOVASCULAR EMERGENCIES
QUESTIONS WITH CORRECT ANSWERS
17.12.1 vv
Which vvof vvthese vvstatements vvmade vvby vvthe vvpatient vvshould vvcause vvthe vvEMT
vvto vvsuspect vvan vvabdominal vvaortic vvaneurysm?
A.
"I vvseem vvto vvbe vvvomiting vvup vvsome vvblood."
B.
"I vvhave vvbelly vvpain vvthat vvI vvalso vvfeel vvin vvmy vvback."
C.
"The vvpain vvis vvsharp vvand vvspreads vvto vvboth vvarms."
D.
"My vvheart vvis vvbeating vvso vvhard, vvyou vvcan vvfeel vvit vvon vvmy vvchest." vv- vvAnswer
vvB.
"I vvhave vvbelly vvpain vvthat vvI vvalso vvfeel vvin vvmy vvback."
17.9.9 vv
Which vvsign vvor vvsymptom vvwould vvthe vvEMT vvtypically vvassociate vvwith vvcongestive
vvheart vvfailure?
A.
Edema vvto vvthe vvleft vvarm
B.
Feeling vvof vvpalpitations
C.
Crackles vvin vvboth vvlungs
D.
Rhonchi vvto vvboth vvlungs vvthat vvis vvcleared vvby vva vvcough vv- vvAnswer vvC.
Crackles vvin vvboth vvlungs
17.11.1 vv
If vva vvclot vvoccludes vvthe vvblood vvflow vvthrough vvthe vvcoronary vvartery, vvwhat vvwill
vvbe vvthe vvdetrimental vveffect?
A.
The vvflow vvof vvoxygen-rich vvblood vvthrough vvthe vvperipheral vvarteries vvwill vvcease
B.
,Blood vvwill vvnot vvbe vvable vvto vvflow vvbetween vvthe vvleft vvatrium vvand vvthe vvleft
vvventricle
C.
The vvflow vvof vvoxygen-rich vvblood vvto vvthe vvmuscle vvof vvthe vvventricle vvwill vvbe
vvdecreased
D.
Blood vvand vvfluid vvwill vvback vvup vvinto vvthe vvlung vvtissue, vvcausing vvpulmonary
vvedema vv- vvAnswer vvC.
The vvflow vvof vvoxygen-rich vvblood vvto vvthe vvmuscle vvof vvthe vvventricle vvwill vvbe
vvdecreased
17.17.3 vv
When vvassessing vvan vvelderly vvpatient vvwith vvupper vvback vvpain, vvwhich vvof vvthese
vvassessment vvfindings vvwould vvmake vvyou vvvery vvsuspicious vvof vva vvthoracic vvaortic
vvdissection?
A.
Dizziness vvwhen vvgoing vvfrom vva vvsupine vvto vvstanding vvposition vvsuddenly
B.
Different vvblood vvpressure vvreadings vvin vveach vvarm
C.
Lower vvback vvpain vvdescribed vvas vva vvconstant vvache
D.
History vvof vvhypertension vvand vvlower vvback vvinjury vv- vvAnswer vvB.
Different vvblood vvpressure vvreadings vvin vveach vvarm
17.18.4 vv
You vvhave vvjust vvarrived vvby vvthe vvside vvof vva vv68-year-old vvmale vvpatient vvwho
vvcomplains vvof vvchest vvpain. vvAfter vvdetermining vvhis vvairway vvis vvpatent vvand
vvbreathing vvadequate, vvit vvis vvimperative vvthat vvyou vvperform vvwhich vvaction vvnext?
A.
Determine vvwhether vvhe vvtakes vvnitroglycerin
B.
Auscultate vvhis vvbreath vvsounds
C.
Obtain vva vvfull vvset vvof vvvital vvsigns
D.
Check vvhis vvradial vvpulse vv- vvAnswer vvD.
Check vvhis vvradial vvpulse
17.9.10 vv
Which vvstructure vvof vvthe vvneck vvwould vvthe vvEMT vvexamine vvon vva vvpatient vvshe
vvbelieves vvto vvbe vvin vvcongestive vvheart vvfailure?
A.
Clavicles
B.
Lateral vvmuscles
,C.
Neck vvveins
D.
Trachea vv- vvAnswer vvC.
Neck vvveins
17.6.1 vv
A vvpatient vvhas vvpulmonary vvhypertension, vvwhich vvhas vvincreased vvthe vvresistance
vvin vvthe vvpulmonary vvblood vvvessels. vvIn vvresponse, vvwhat vvwill vvmost vvlikely vvoccur
vvover vva vvlong vvperiod vvof vvtime?
A.
The vvheart vvmuscle vvwill vvbecome vvstronger
B.
The vvright vvside vvof vvthe vvheart vvwill vvweaken
C.
The vvaorta vvwill vvweaken vvand vvpotentially vvrupture
D.
The vvleft vvside vvof vvthe vvheart vvwill vvweaken vvand vvfail vv- vvAnswer vvB.
The vvright vvside vvof vvthe vvheart vvwill vvweaken
17.2.7 vv
All vvarteries:
A.
Carry vvblood vvaway vvfrom vvthe vvheart
B.
Are vvlocated vvin vvthe vvtorso vvof vvthe vvbody
C.
Carry vvoxygen-rich vvblood
D.
Have vvlower vvpressure vvthan vvveins vv- vvAnswer vvA.
Carry vvblood vvaway vvfrom vvthe vvheart
17.8.1 vv
Which vvof vvthese vvstatements vvmade vvby vvanother vvEMT, vvregarding vvchest vvpain
vvand vvacute vvcoronary vvsyndrome, vvis vvcorrect?
A.
"If vvthe vvpatient's vvchest vvpain vvdoes vvnot vvgo vvaway vvwith vvnitroglycerin vvtreatment,
vvthe vvEMT vvshould vvassume vvthat vvthe vvmedication vvis vvexpired vvand vvineffective."
B.
"If vvthe vvpatient vvexperiences vvchest vvpain vvthat vvradiates vvinto vvthe vvleft vvarm, vvit vvis
vvmost vvlikely vva vvheart vvattack. vvIf vvthe vvpain vvradiates vvanywhere vvelse, vvit vvis
vvmost vvlikely vvnot vvcardiac vvin vvorigin."
C.
"If vvthe vvchest vvpain vvstarted vvduring vvactivity, vvit vvis vvmost vvlikely vvcardiac. vvIf vvthe
vvpain vvstarted vvwhile vvthe vvpatient vvwas vvat vvrest, vvit vvis vvmost vvlikely vvnot vvcardiac."
D.
, "Some vvpatients vvexperiencing vvacute vvcoronary vvsyndrome vvdo vvnot vvhave vvactual
vvchest vvpain; vvrather, vvthey vvexperience vva vvsensation vvof vvdiscomfort vvor
vvpressure." vv- vvAnswer vvD.
"Some vvpatients vvexperiencing vvacute vvcoronary vvsyndrome vvdo vvnot vvhave vvactual
vvchest vvpain; vvrather, vvthey vvexperience vva vvsensation vvof vvdiscomfort vvor
vvpressure."
17.12.5 vv
For vva vvpatient vvwith vva vvhistory vvof vvan vvunstable vvabdominal vvaortic vvaneurysm,
vvthe vvEMT vvshould vvrecognize vvand vvprepare vvfor:
A.
Decreased vvperfusion vvto vvthe vvupper vvextremities
B.
Vomiting vvand vvairway vvocclusion
C.
Massive vvinternal vvbleeding
D.
Hypoxia vvcaused vvby vvlung vvcompression vv- vvAnswer vvC.
Massive vvinternal vvbleeding
17.12.2 vv
A vvpatient vvhas vvcalled vv911 vvfor vvchest vvpain vvthat vvhe vvdescribes vvas vv"tearing"
vvand vvradiating vvbetween vvhis vvshoulders. vvHis vvairway vvis vvpatent, vvbreathing
vvaccelerated vvbut vvadequate, vvand vvradial vvpulse vvintact. vvYour vvpartner vvreports
vvthe vvfollowing vvvital vvsigns: vvpulse, vv120; vvrespirations, vv22 vvbreaths/min; vvblood
vvpressure, vv88/64 vvmmHg; vvand vvSpO2, vv96% vvon vvroom vvair. vvAt vvthis vvtime, vvyou
vvshould:
A.
Assist vvthe vvpatient vvwith vvhis vvnitroglycerin
B.
Encourage vvthe vvpatient vvto vvtake vvan vvantacid vvsuch vvas vvMaalox
C.
Provide vvthe vvpatient vvwith vv325 vvmg vvof vvaspirin
D.
Recheck vvthe vvblood vvpressure vvin vvthe vvother vvarm vv- vvAnswer vvD.
Recheck vvthe vvblood vvpressure vvin vvthe vvother vvarm
17.10.5 vv
You vvhave vvbeen vvcalled vvfor vva vvpatient vvwith vvangina. vvOn vvscene, vvthe vv67-year-
old vvman vvreports vvthat vvhe vvhas vva vvhistory vvof vvangina vvand vvthe vvpain vvstarted
vvwhen vvhe vvwas vvmoving vvfirewood vvfrom vvthe vvgarage vvinto vvhis vvhouse.
vvUnfortunately, vvthe vvpain vvhas vvyet vvto vvgo vvaway, vvdespite vvthree vvnitroglycerin
vvtablets vvand vv20 vvminutes vvof vvrest. vvYour vvnext vvaction vvshould vvbe vvto:
A.
Attach vvthe vvAED vvbut vvdo vvnot vvturn vvit vvon
B.
