Cardiology FISDAP practice Question And Answers.

Cardiology FISDAP practice Question And Answers. When obtaining a 12 - lead ECG, lead V1 should be placed: A) Upper right shoulder just above the clavicle B) Approximately 1 inch to the right of the angle of Louis C) In the sec intercostal space just inferior to the sec rib. D) In the fourth intercostal space just to the right of the sternum Correct Answer: D) in the fourth intercostal space just to the right of the sternum A patient experiencing a right ventricular infarction would be expected to present with: A) hypertension and tachycardia B) ST elevation in lead II, III and aVF. C) greater than 2-mm ST depression in lead V1 D) sever pulmonary edema and hemoptysis Correct Answer: B) ST elevation in lead II, III and aVF. You are assessing a middle-aged female who complains of chest discomfort. She is conscious, alert, and oriented. Her skin is diaphoretic. Her blood pressure is 122/72 mm Hg, her pulse rate is 120 beats/min, and her respirations are 20 breaths/min. On the basis of her chief complaint, which of your assessment findings is the MOST significant? A) Diaphoresis B) Mental status C) Elevated Respiratory Rate D) Pulse rate of 120 beats/min Correct Answer: D) pulse rate of 120 beats/min In contrast to unstable angina, stable angina occurs when a patient: A) complains of chest pain at the same time of the day for more than 2 weeks. B) needs more than two nitroglycerin treatments to relieve his or her chest pain. C) experiences chest discomfort after a certain, predictable amount of exertion. D) presents with chest pain or discomfort during periods of low oxygen demand. Correct Answer: C) experiences chest discomfort after a certain, predictable amount of exertion. A 71-year-old male presents with chest pain and shortness of breath. He is conscious, but confused, and is profusely diaphoretic. He has weakly palpable radial pulses, a BP of 70/40 mm Hg, and diffuse crackles in all lung fields. You administer high-flow oxygen and apply the cardiac monitor, which reveals sinus tachycardia. The closest appropriate hospital is 40 miles away. Which of the following is the MOST appropriate next action? A) Obtain a 12-lead ECG tracing. B) Begin an infusion of dopamine. C) Perform a head-to-toe exam. D) Give 20 mL/kg fluid boluses. Correct Answer: B) Begin an infusion of dopamine.