AIR METHODS CRITICAL CARE ASSESSMENTS
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
◉ ST depressions is associated with. Answer: Ischemia, old
infarction, digitalis toxicity
◉ Q wave with ST elevation. Answer: Acute injury
◉ Q wave with ST depression. Answer: Indeterminate
◉ Q wave without ST changes. Answer: Old infarction
◉ Coronary Artery Occlusion: Anterior. Answer: LAD
◉ Coronary Artery Occlusion: Inferior. Answer: RCA
◉ Coronary Artery Occlusion: Posterior. Answer: LCX or RCA
◉ Coronary Artery Occlusion: Lateral. Answer: LCX
◉ Coronary Artery Occlusion: Septal. Answer: LAD
,◉ Inferior MI: Elevation leads? Reciprocal leads?. Answer: Elevation:
II, III, aVF
Reciprocal: I, aVL, V1-V4
◉ Anterior-septal MI: Elevation leads? Reciprocal leads?. Answer:
Elevation: V1-v4
Reciprocal: II, III, aVF, aVL
◉ Lateral MI: Elevation leads? Reciprocal leads?. Answer: Elevation:
I, aVL, V5, V5
Reciprocal: II, III, aVF
◉ Posterior MI: Elevation leads? Reciprocal leads?. Answer:
Elevation: V6
Reciprocal: V1-V4
◉ Junction (J) Point. Answer: end of QRS & beginning of ST segment
where QRS stops and makes a sudden SHARP change of direction
◉ Delta wave is associated with. Answer: Wolff-Parkinson White
Syndrome
,◉ Where is the Delta wave on EKG. Answer: Bump in the beginning
of the QRS wave
◉ Osborne wave is associated with. Answer: Hypothermia
◉ Peaked/tented T waves indicate. Answer: Hyperkalemia
◉ Peaked P waves/ Flattened T waves/U waves indicate. Answer:
Hypokalemia
◉ Wide QRS could indicate x2. Answer: BBB present, TCA overdose
◉ Prolonged QT interval could indicate. Answer: TCA overdose
◉ history of tricyclic antidepressant overdose can exhibit what ECG
tracing. Answer: Prolonged QT interval
◉ What is the amount of blood in the ventricles at end-diastole.
Answer: Preload (Right = CVP , Left = PAOP)
◉ What is the resistance the ventricles must overcome to eject blood
into the pulmonary and systemic circulation. Answer: Afterload
(SVR)
, ◉ Stroke volume is dependent on. Answer: contractility, preload,
afterload
◉ Sequence blood flows throughout the heart valves (Think toilet
paper). Answer: Tricuspid
Pulmonic
Mitral
Aortic
◉ Common site affected for balloon dislodgment when treating your
IABP patient. Answer: Left radial
◉ CONTRAINDICATION for IABP. Answer: Aortic aneurysm
Aortic insufficiency
Aortic stents
AAA
◉ "rust-colored flakes" in IABP tubing indicates. Answer: Balloon
rupture
◉ How to determine early or late inflation in IABP. Answer: Draw
line from dicrotic notch to inflation point
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
◉ ST depressions is associated with. Answer: Ischemia, old
infarction, digitalis toxicity
◉ Q wave with ST elevation. Answer: Acute injury
◉ Q wave with ST depression. Answer: Indeterminate
◉ Q wave without ST changes. Answer: Old infarction
◉ Coronary Artery Occlusion: Anterior. Answer: LAD
◉ Coronary Artery Occlusion: Inferior. Answer: RCA
◉ Coronary Artery Occlusion: Posterior. Answer: LCX or RCA
◉ Coronary Artery Occlusion: Lateral. Answer: LCX
◉ Coronary Artery Occlusion: Septal. Answer: LAD
,◉ Inferior MI: Elevation leads? Reciprocal leads?. Answer: Elevation:
II, III, aVF
Reciprocal: I, aVL, V1-V4
◉ Anterior-septal MI: Elevation leads? Reciprocal leads?. Answer:
Elevation: V1-v4
Reciprocal: II, III, aVF, aVL
◉ Lateral MI: Elevation leads? Reciprocal leads?. Answer: Elevation:
I, aVL, V5, V5
Reciprocal: II, III, aVF
◉ Posterior MI: Elevation leads? Reciprocal leads?. Answer:
Elevation: V6
Reciprocal: V1-V4
◉ Junction (J) Point. Answer: end of QRS & beginning of ST segment
where QRS stops and makes a sudden SHARP change of direction
◉ Delta wave is associated with. Answer: Wolff-Parkinson White
Syndrome
,◉ Where is the Delta wave on EKG. Answer: Bump in the beginning
of the QRS wave
◉ Osborne wave is associated with. Answer: Hypothermia
◉ Peaked/tented T waves indicate. Answer: Hyperkalemia
◉ Peaked P waves/ Flattened T waves/U waves indicate. Answer:
Hypokalemia
◉ Wide QRS could indicate x2. Answer: BBB present, TCA overdose
◉ Prolonged QT interval could indicate. Answer: TCA overdose
◉ history of tricyclic antidepressant overdose can exhibit what ECG
tracing. Answer: Prolonged QT interval
◉ What is the amount of blood in the ventricles at end-diastole.
Answer: Preload (Right = CVP , Left = PAOP)
◉ What is the resistance the ventricles must overcome to eject blood
into the pulmonary and systemic circulation. Answer: Afterload
(SVR)
, ◉ Stroke volume is dependent on. Answer: contractility, preload,
afterload
◉ Sequence blood flows throughout the heart valves (Think toilet
paper). Answer: Tricuspid
Pulmonic
Mitral
Aortic
◉ Common site affected for balloon dislodgment when treating your
IABP patient. Answer: Left radial
◉ CONTRAINDICATION for IABP. Answer: Aortic aneurysm
Aortic insufficiency
Aortic stents
AAA
◉ "rust-colored flakes" in IABP tubing indicates. Answer: Balloon
rupture
◉ How to determine early or late inflation in IABP. Answer: Draw
line from dicrotic notch to inflation point