Fisdap Cardiology questions with verified\detailed answers
A+ Grade
Where are the first electrical impulses stimulating the heart located?
- correct answer Right atrium
What is the best position to optimally hear heart sounds?
- correct answer Sitting up leaning forward
In what leads does ST elevation suggest an anterior wall MI?
- correct answer V3, V4
What does S-T segment elevation greater than 0.1 mV in at least two contiguous leads indicate?
- correct answer A myocardial infarction
What can rough handling of a patient with severe hypothermia cause?
- correct answer Ventricular fibrillation
Your ALS unit responds to a 55 year-old male complaining of chest pain and shortness of breath. Upon
assessment, you find the patient has a rapid and regular narrow complex rhythm at a rate of 188 beats
per minute. What is the correct treatment for this patient.
- correct answer Synchronized Cardioversion at 50-100 Joules
A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Lung
sounds are present with crackles in the bases. Vital signs are BP 80/56, P 128, R 24, SpO2 87%. What
should you do?
- correct answer Administer Aspirin
A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Vital
signs are BP 80/56, P 118, R 24 with crackles, SpO2 87%. What is the most likely cause?
- correct answer Cardiogenic shock
, What is the most effective way to terminate ventricular fibrillation?
- correct answer Defibrillation
A patient has been struck by lightning. You should be most concerned that the electrical current caused
him to do which of the following?
- correct answer Become apneic
A patient was ejected from an automobile and is apneic and pulseless. ECG reveals a regular rhythm
with an R-R interval of 1.24 seconds and a QRS width of 110 milliseconds. You should consider
- correct answer epinephrine 1 mg IV.
What pacemaker in the heart has an intrinsic rate of 60-100 beats per minute?
- correct answer SA Node
What should treatment for cardiogenic shock with associated pulmonary edema include?
- correct answer Elevating the patient's head and shoulders.
A 50 year old male complains of light headedness and chest discomfort. Vital signs are BP 100/86, P 40,
R 16. An ECG reveals a second degree type I AV block. What should you do?
- correct answer Administer atropine
A lethargic 78 year old female has chest pain. She is dyspneic and nauseated. An ECG shows widened
polymorphic complex and a ventricular rate of 130. What should you do?
- correct answer Synchronized cardioversion
A 78 year old male complains of 10/10 chest pain with palpitations. He is short of breath. His skin is pale,
cool and clammy. An ECG shows an narrow complex at a rate of 200. What should you do?
- correct answer Administer adenosine
What neurotransmitter is responsible for stimulation of the postganglionic fibers in the parasympathetic
nervous system?
- correct answer Acetylcholine
A+ Grade
Where are the first electrical impulses stimulating the heart located?
- correct answer Right atrium
What is the best position to optimally hear heart sounds?
- correct answer Sitting up leaning forward
In what leads does ST elevation suggest an anterior wall MI?
- correct answer V3, V4
What does S-T segment elevation greater than 0.1 mV in at least two contiguous leads indicate?
- correct answer A myocardial infarction
What can rough handling of a patient with severe hypothermia cause?
- correct answer Ventricular fibrillation
Your ALS unit responds to a 55 year-old male complaining of chest pain and shortness of breath. Upon
assessment, you find the patient has a rapid and regular narrow complex rhythm at a rate of 188 beats
per minute. What is the correct treatment for this patient.
- correct answer Synchronized Cardioversion at 50-100 Joules
A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Lung
sounds are present with crackles in the bases. Vital signs are BP 80/56, P 128, R 24, SpO2 87%. What
should you do?
- correct answer Administer Aspirin
A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Vital
signs are BP 80/56, P 118, R 24 with crackles, SpO2 87%. What is the most likely cause?
- correct answer Cardiogenic shock
, What is the most effective way to terminate ventricular fibrillation?
- correct answer Defibrillation
A patient has been struck by lightning. You should be most concerned that the electrical current caused
him to do which of the following?
- correct answer Become apneic
A patient was ejected from an automobile and is apneic and pulseless. ECG reveals a regular rhythm
with an R-R interval of 1.24 seconds and a QRS width of 110 milliseconds. You should consider
- correct answer epinephrine 1 mg IV.
What pacemaker in the heart has an intrinsic rate of 60-100 beats per minute?
- correct answer SA Node
What should treatment for cardiogenic shock with associated pulmonary edema include?
- correct answer Elevating the patient's head and shoulders.
A 50 year old male complains of light headedness and chest discomfort. Vital signs are BP 100/86, P 40,
R 16. An ECG reveals a second degree type I AV block. What should you do?
- correct answer Administer atropine
A lethargic 78 year old female has chest pain. She is dyspneic and nauseated. An ECG shows widened
polymorphic complex and a ventricular rate of 130. What should you do?
- correct answer Synchronized cardioversion
A 78 year old male complains of 10/10 chest pain with palpitations. He is short of breath. His skin is pale,
cool and clammy. An ECG shows an narrow complex at a rate of 200. What should you do?
- correct answer Administer adenosine
What neurotransmitter is responsible for stimulation of the postganglionic fibers in the parasympathetic
nervous system?
- correct answer Acetylcholine
