AIR METHODS PRE-HIRE EXAM 2025
QUESTIONS AND ANSWERS
ST elevation is associated with - ANS myocardial injury
ST depressions is associated with - ANS ischemia, old infarction, digitalis toxicity
Q wave with ST elevation - ANS acute injury
Q wave with ST depression - ANS indeterminate
Q wave without ST changes - ANS old infarction
coronary artery occlusion: anterior - ANS LAD
coronary artery occlusion: inferior - ANS RCA
coronary artery occlusion: posterior - ANS LCX or RCA
Coronary Artery Occlusion: lateral - ANS LCX
coronary artery occlusion: septal - ANS LAD
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,Inferior MI: elevation leads? reciprocal leads? - ANS elevation: II, III, aVF. reciprocal: I, aVL,
V1-V4
anterior-septal MI: elevation leads? reciprocal leads? - ANS elevation: V1-V4. reciprocal: II,III,
aVF, aVL
Lateral MI: elevation leads? reciprocal leads? - ANS elevation: I, aVL, V5, V5. reciprocal: II, III,
aVF
Posterior MI: elevation leads? reciprocal leads? - ANS elevation: V6. reciprocal: V1-V4
Junction (J) Point - ANS end of QRS & beginning of ST segment where QRS stops and makes a
sudden SHARP change of direction
Delta wave is associated with - ANS Wolff-Parkinson White Syndrome
where is the delta wave on EKG - ANS Bump in the beginning of the QRS wave
Osborne wave is associated with - ANS Hypothermia
Peaked/tented T waves indicate - ANS hyperkalemia
Peaked P waves/ flattened T waves/ U waves indicate - ANS hypokalemia
Wide QRS could indicate x2 - ANS BBB present, TCA overdose
Prolonged QT interval could indicate - ANS TCA overdose
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,history of tricyclic antidepressant overdose can exhibit what ECG tracing - ANS prolonged QT
interval
what is the amount of blood in the ventricles at end-diastole - ANS Preload (right= CVP, left=
PAOP)
what is the resistance the ventricles must overcome to eject blood into the pulmonary and
systemic circulation - ANS afterload (SVR)
Stroke volume is dependent on - ANS contractility, preload, afterload
sequence blood flows throughout the heart valves - ANS Tricuspid, Pulmonic, Mitral, Aortic
common site affected for balloon dislodgment when treating your IABP patient - ANS left
radial
contraindication for IABP - ANS aortic aneurysm, aortic insufficiency, aortic stents, AAA
"rust-colored flakes" in IABP tubing indicated - ANS balloon rupture
how to determine early or late inflation in IABP - ANS draw line from dicrotic notch to
inflation point
if the inflation point (IP) is 2mm+ from the dicrotic notch (DN), it indicates - ANS early
inflation
primary trigger used from most IABP operations is the - ANS EKG
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, IABP balloon inflation on EKG starts at - ANS middle of T wave
IABP balloon deflation on EKG prior to - ANS end of QRS complex
IABP inflation mechanism occurs at - ANS onset of ventricular diastole
IABP deflation mechanism occurs at - ANS prior onset of ventricular systole
which patients are not affected with altitude temperature changes - ANS cardiac patients
therapy focus for left ventricular heart failure patients - ANS diuretics and relief of anxiety
characteristics of systolic failure - ANS <65 y/o , frequent/prior MI, S3 heart tone,
cardiomegaly present
characteristics of diastolic failure - ANS >70 y/o, common in women, frequent hx of HTN, S4
heart tone, no cardiomegaly
BP MAP formula - ANS -(2xDBP) + SBP / 3
coumadin overdose antidote - ANS vitamin K, FFP
Medication NOT to give cardiogenic shock and CHF patients - ANS Beta-blockers
medications for cardiogenic shock - ANS vasodilator and positive inotropes
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QUESTIONS AND ANSWERS
ST elevation is associated with - ANS myocardial injury
ST depressions is associated with - ANS ischemia, old infarction, digitalis toxicity
Q wave with ST elevation - ANS acute injury
Q wave with ST depression - ANS indeterminate
Q wave without ST changes - ANS old infarction
coronary artery occlusion: anterior - ANS LAD
coronary artery occlusion: inferior - ANS RCA
coronary artery occlusion: posterior - ANS LCX or RCA
Coronary Artery Occlusion: lateral - ANS LCX
coronary artery occlusion: septal - ANS LAD
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,Inferior MI: elevation leads? reciprocal leads? - ANS elevation: II, III, aVF. reciprocal: I, aVL,
V1-V4
anterior-septal MI: elevation leads? reciprocal leads? - ANS elevation: V1-V4. reciprocal: II,III,
aVF, aVL
Lateral MI: elevation leads? reciprocal leads? - ANS elevation: I, aVL, V5, V5. reciprocal: II, III,
aVF
Posterior MI: elevation leads? reciprocal leads? - ANS elevation: V6. reciprocal: V1-V4
Junction (J) Point - ANS end of QRS & beginning of ST segment where QRS stops and makes a
sudden SHARP change of direction
Delta wave is associated with - ANS Wolff-Parkinson White Syndrome
where is the delta wave on EKG - ANS Bump in the beginning of the QRS wave
Osborne wave is associated with - ANS Hypothermia
Peaked/tented T waves indicate - ANS hyperkalemia
Peaked P waves/ flattened T waves/ U waves indicate - ANS hypokalemia
Wide QRS could indicate x2 - ANS BBB present, TCA overdose
Prolonged QT interval could indicate - ANS TCA overdose
2 Copyright ©2025 THESTAR ALL RIGHTS RESERVED
,history of tricyclic antidepressant overdose can exhibit what ECG tracing - ANS prolonged QT
interval
what is the amount of blood in the ventricles at end-diastole - ANS Preload (right= CVP, left=
PAOP)
what is the resistance the ventricles must overcome to eject blood into the pulmonary and
systemic circulation - ANS afterload (SVR)
Stroke volume is dependent on - ANS contractility, preload, afterload
sequence blood flows throughout the heart valves - ANS Tricuspid, Pulmonic, Mitral, Aortic
common site affected for balloon dislodgment when treating your IABP patient - ANS left
radial
contraindication for IABP - ANS aortic aneurysm, aortic insufficiency, aortic stents, AAA
"rust-colored flakes" in IABP tubing indicated - ANS balloon rupture
how to determine early or late inflation in IABP - ANS draw line from dicrotic notch to
inflation point
if the inflation point (IP) is 2mm+ from the dicrotic notch (DN), it indicates - ANS early
inflation
primary trigger used from most IABP operations is the - ANS EKG
3 Copyright ©2025 THESTAR ALL RIGHTS RESERVED
, IABP balloon inflation on EKG starts at - ANS middle of T wave
IABP balloon deflation on EKG prior to - ANS end of QRS complex
IABP inflation mechanism occurs at - ANS onset of ventricular diastole
IABP deflation mechanism occurs at - ANS prior onset of ventricular systole
which patients are not affected with altitude temperature changes - ANS cardiac patients
therapy focus for left ventricular heart failure patients - ANS diuretics and relief of anxiety
characteristics of systolic failure - ANS <65 y/o , frequent/prior MI, S3 heart tone,
cardiomegaly present
characteristics of diastolic failure - ANS >70 y/o, common in women, frequent hx of HTN, S4
heart tone, no cardiomegaly
BP MAP formula - ANS -(2xDBP) + SBP / 3
coumadin overdose antidote - ANS vitamin K, FFP
Medication NOT to give cardiogenic shock and CHF patients - ANS Beta-blockers
medications for cardiogenic shock - ANS vasodilator and positive inotropes
4 Copyright ©2025 THESTAR ALL RIGHTS RESERVED
