EXAM REVIEW
CARDIOLOGY FISDAP PRACTICE QUIZ &
ANSWERS
, Document Title Page 2
CARDIOLOGY FISDAP PRACTICE QUIZ & ANSWERS
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.
A 27-year-old female complains of palpitations. The cardiac monitor reveals a narrow
-complex tachycardia at 180/min. She denies any other symptoms, and states that
this has happened to her before, but it typically resolves on its own. Her blood
pressure is 126/66 mm Hg, pulse is 180 beats/min, and respirations are 16 breaths/
min. After attempting vagal maneuvers and giving two doses of adenosine, her
cardiac rhythm and vital signs remain unchanged. You should:
A) administer 5 mg of midazolam and perform synchronized cardioversion starting
with 50 joules.
B) administer 0.35 mg/kg of diltiazem over 2 minutes and then reassess her
hemodynamic status.
C) transport at once, reassess her frequently, and perform synchronized
cardioversion if necessary.
D) infuse 150 mg of amiodarone over 10 minutes, reassess her, and repeat the
amiodarone if needed. - CORRECT ANSWER - C) transport at once, reassess
her frequently, and perform synchronized cardioversion if necessary.
A 39-year-old female presents with an acute onset of lightheadedness. The cardiac
monitor reveals a tachycardic rhythm at 185 beats/min with QRS complexes that
measure 0.08 seconds in duration. Despite vagal maneuvers and adenosine, her
cardiac rhythm remains unchanged. She is conscious and alert, has a blood