CARDIOLOGY_ FISDAP Questions and Answers with
Rationale
. A 54 year old complains of chest tightness after raking leaves for an hour.
The pain subsided after rest and two nitroglycerin. He has had very similar
episodes in the past. He is most likely experiencing?
· Angina Pectoris/ Unstable Angina/ Myocardial Infarction/
Esophageal spasm
Reason for answer: Angina occurs when the heart's need for oxygen exceeds it's
supply, usually during periods of physical or emotional stress when the heart is
working hard. (Page 637)
1) At what rate should single rescuer CPR be performed for a 17 year old
female?
· 120 per min/ 90/ 80
Reason for answer: 100-120 Beats per minute. (Page 514)
2) A 40 year old patient with a history of coronary artery disease and
recent mastectomy is complaining of chest discomfort. Vitals are P 120, R
22, and BP 80/54. You should suspect?
· CHF/ Cardiogenic Shock/ septic
shock Reason for answer: BP 80/54 is low BP(shock
may occur)
3) Nitroglycerin is a medication that is typically administered?
· Sublingually/ intraosseously/ subcutaneously
Reason for answer: Beneath the tongue is very vascular, so the medication can be
absorbed quicker
4) A patient was struck by lightning. You should suspect?
· An irregular heartbeat/ peripheral nerve damage
Reason for answer: Your heart functions on electricity, the shock changes
the rhythm.
5) During CPR which of the following is most important?
· Minimal interruptions during compressions
Reason for answer: providing circulation supports the bodies tissues to stay alive
6) A buildup of calcium and cholesterol form plaque inside a blood vessel
which would most likely be the cause?
· Pulmonary embolism/ CHF/ ACS/ hemorrhagic stroke
Reason for answer: Plaque, build up. (key words) (Atherosclerosis-The build-up of
fats, cholesterol, and other substances in and on the artery walls.)
7) During the Primary Assessment a 57 year old female says she has
chest pain and points to her epigastric area. What should you do?
· Obtain vital signs/ Admin Nitro/ Assess breathing/ Admin
oxygen Reason for answer: The book mentions assessing patient, if they worsen
,administer oxygen
8) What is the cause of heart failure?
· Inadequate ejection of blood from the ventricles/ fluid in
lungs/ poor gas exchange in alveoli/ backup of fluid in lower
extremities
, Reason for answer:
9) A cardiac arrest patient has been down for 6 minutes without care. What
should you do?
· Start compressions/ attach AED/ Insert opa and
ventilate Reason for answer: Immediately begin CPR. Get oxygen
circulated.
10)An adult patient is in cardiac arrest with bystander CPR in progress.
What should you do?
· Continue CPR while partner does AED
Reason for answer: Never interrupt CPR( 10 seconds max). Uncertain how long
bystander has been doing CPR.
11) If the heart lacks the power to pump blood through the circulatory
system, it is known as?
· Cardiogenic shock/ Distributive/ hypovolemic
shock Reason for answer: circulatory system( key word); Pump
failure
12) A 67 year old male has significant shortness of breath, chest pain, and
nausea. He is ashen and clammy. Vitals are BP 90/60, P 148, and R 34. You
should?
· Place supine position/ place in position of comfort/ admin Nitro/
admin albuterol
Reason for answer:
Place in Supine Position. Patient is borderline shock with BP of 90/60 and
Respiratory rate is 34.
A child is in cardiac arrest with unknown down time. What should you do?
13)
· Perform CPR while attaching
AED Reason for answer: key is unknown time.
14) When do coronary arteries fill with blood?
· Diastolic/ systolic/ exhalation/
inhalation Reason for answer: “Die” means diastolic.
retracts.
15)A 36 year old female with history of congenital heart defects is slow to
respond. She is pale, cool, and clammy. Vitals are BP 68/30, P 128, and R
26. What should you suspect?
· CHF/ Syncopal episode/ angina/ cardiogenic
shock Reason for answer:
16) A 73 year old female has chest pain and shortness of breath with
bilateral crackles. Vitals are 80/40, P 112, and R 22. What is the most likely
Rationale
. A 54 year old complains of chest tightness after raking leaves for an hour.
The pain subsided after rest and two nitroglycerin. He has had very similar
episodes in the past. He is most likely experiencing?
· Angina Pectoris/ Unstable Angina/ Myocardial Infarction/
Esophageal spasm
Reason for answer: Angina occurs when the heart's need for oxygen exceeds it's
supply, usually during periods of physical or emotional stress when the heart is
working hard. (Page 637)
1) At what rate should single rescuer CPR be performed for a 17 year old
female?
· 120 per min/ 90/ 80
Reason for answer: 100-120 Beats per minute. (Page 514)
2) A 40 year old patient with a history of coronary artery disease and
recent mastectomy is complaining of chest discomfort. Vitals are P 120, R
22, and BP 80/54. You should suspect?
· CHF/ Cardiogenic Shock/ septic
shock Reason for answer: BP 80/54 is low BP(shock
may occur)
3) Nitroglycerin is a medication that is typically administered?
· Sublingually/ intraosseously/ subcutaneously
Reason for answer: Beneath the tongue is very vascular, so the medication can be
absorbed quicker
4) A patient was struck by lightning. You should suspect?
· An irregular heartbeat/ peripheral nerve damage
Reason for answer: Your heart functions on electricity, the shock changes
the rhythm.
5) During CPR which of the following is most important?
· Minimal interruptions during compressions
Reason for answer: providing circulation supports the bodies tissues to stay alive
6) A buildup of calcium and cholesterol form plaque inside a blood vessel
which would most likely be the cause?
· Pulmonary embolism/ CHF/ ACS/ hemorrhagic stroke
Reason for answer: Plaque, build up. (key words) (Atherosclerosis-The build-up of
fats, cholesterol, and other substances in and on the artery walls.)
7) During the Primary Assessment a 57 year old female says she has
chest pain and points to her epigastric area. What should you do?
· Obtain vital signs/ Admin Nitro/ Assess breathing/ Admin
oxygen Reason for answer: The book mentions assessing patient, if they worsen
,administer oxygen
8) What is the cause of heart failure?
· Inadequate ejection of blood from the ventricles/ fluid in
lungs/ poor gas exchange in alveoli/ backup of fluid in lower
extremities
, Reason for answer:
9) A cardiac arrest patient has been down for 6 minutes without care. What
should you do?
· Start compressions/ attach AED/ Insert opa and
ventilate Reason for answer: Immediately begin CPR. Get oxygen
circulated.
10)An adult patient is in cardiac arrest with bystander CPR in progress.
What should you do?
· Continue CPR while partner does AED
Reason for answer: Never interrupt CPR( 10 seconds max). Uncertain how long
bystander has been doing CPR.
11) If the heart lacks the power to pump blood through the circulatory
system, it is known as?
· Cardiogenic shock/ Distributive/ hypovolemic
shock Reason for answer: circulatory system( key word); Pump
failure
12) A 67 year old male has significant shortness of breath, chest pain, and
nausea. He is ashen and clammy. Vitals are BP 90/60, P 148, and R 34. You
should?
· Place supine position/ place in position of comfort/ admin Nitro/
admin albuterol
Reason for answer:
Place in Supine Position. Patient is borderline shock with BP of 90/60 and
Respiratory rate is 34.
A child is in cardiac arrest with unknown down time. What should you do?
13)
· Perform CPR while attaching
AED Reason for answer: key is unknown time.
14) When do coronary arteries fill with blood?
· Diastolic/ systolic/ exhalation/
inhalation Reason for answer: “Die” means diastolic.
retracts.
15)A 36 year old female with history of congenital heart defects is slow to
respond. She is pale, cool, and clammy. Vitals are BP 68/30, P 128, and R
26. What should you suspect?
· CHF/ Syncopal episode/ angina/ cardiogenic
shock Reason for answer:
16) A 73 year old female has chest pain and shortness of breath with
bilateral crackles. Vitals are 80/40, P 112, and R 22. What is the most likely
