EMT cardiology exam questions and answers correct (recommended by professors) fall 2024 download!!

EMT cardiology exam questions and answers correct (recommended by professors) fall 2024 download!!EMT cardiology exam questions and answers correct (recommended by professors) fall 2024 download!! how can you help maximize cardiac output during CPR? - compress the chest at a rate of no more than 100/min - ventilate the patient through an advanced airway device -deliver rescue breaths until the chest expands widely - allow the chest to fully recoil in between compressions - correct answers-allow the chest to fully recoil in between compressions when assessing a patient who complains of chest pain, which of the following questions would you ask to assess the "R" in OPQRST? - did the pain begin suddenly or gradually - whaat were you doing when the pain began - is there anything that makes the pain worse - is the pain in one place or does it move around - correct answers-s the pain in one place or does it move around A middle-aged female with a history of hypertension and high cholesterol complains of chest discomfort. She asks you to take her to the hospital where her personal physician practices, which is 15 miles away. Her blood pressure is 130/70 mm Hg, pulse is 84 beats/min and regular, and respirations are 18 breaths/min and unlabored. Which of the following actions is clearly NOT appropriate for this patient? - giving oxygen via nasal cannula - taking her to her choice hospital - contacting her physician via phone - allowing her to walk to the ambulance - correct answers-allowing her to walk to the ambulance The energy setting for a biphasic AED: - is typically 360 joules - is manufacturer specific - must be set by the EMT - increases by 50 joules with each shock - correct answers-- is manufacturer specific during your assessment of a 70 year old man with crushing chest pain, you note that his BP is 80/50 mm Hg. your MOST important action should be to - give high flow oxygen - transport without delay - keep the patient warm - assess his oxygen saturation - correct answers-transport without delay a 58 year old man is found unresponsive by his wife. according to his wife, he was complaining of a dull ache in his chest the day before, but refused to allow her to call 911. his blood pressure is 70/50 mm Hg, his pulse is 120 bpm and weak, and his respirations are 28 breaths/min and labored. further assessment reveals that his skin is cool, pale, and clammy. you suspect: - cardiogenic shock - hypovolemic shock - acute septic shock - pulmonary embolism - correct answers-- cardiogenic shock use of the AED is contraindicated in patients who are - between 1-8 years of age - experienced a witnessed cardiac arrest - apneic and have a weak carotid pulse - have a nitroglycerin patch applied to the skin - correct answers-apneic and have a weak carotid pulse a 56 year old man is found to be pulseless and apneic. his wife states that he collapsed about 5 minutes ago. as your partner gets the AED from the ambulance, you should - provide rescue breaths until the AED is ready - open the airway and give 2 rescue breaths - begin CPR, starting with chest compressions - ask the wife is the patient has a living will - correct answers-begin CPR, starting with chest compressions which of the following would clearly be detrimental to a patient in cardiac arrest? - ventilating until the chest rises - performing CPR before defibrillation - interrupting CPR for more than 10 seconds - ventilating without supplemental oxygen - correct answers-interrupting CPR for more than 10 seconds all of the following are components of the cincinnati stroke scale, except: - pupil size - facil droop - speech pattern - arm movement - correct answers-- pupil size when treating a patient with chest pain, pressure, or discomfort, you should first - administer supplemental oxygen - place the patient in a position of comfort - request an ALS ambulance response to the scene - assess the blood pressure and give nitroglycerin - correct answers-- place the patient in a position of comfort Which of the following types of stroke would MOST likely present with a sudden, severe headache? - ischemic - hemmorhagic - thrombotic - embolic - correct answers-- hemmorhagic Which of the following patients would MOST likely present with vague or unusual symptoms of an acute myocardial infarction? - 55 yo obese female - 66 yo male with angina - 72 yo female with diabetes - 75 yo male with hypertension - correct answers-- 72 yo female with diabetes Ischemic heart disease is a condition in which - a portion of the heart muscle dies because of a prolonged lack of oxygen - there is a decrease in blood flow to one or more portions of the heart muscle - the coronary arteries dilate, thus preventing effective blood flow to the heart - an acute event leads to a significant decrease in the pumping force of the heartAfter delivering one shock with the AED and performing 2 minutes of CPR on a woman in cardiac arrest, you reanalyze her cardiac rhythm and receive a no shock advised message. This means that: A) she is not in a shockable rhythm. B) she has electrical activity but no pulse. C) her rhythm has deteriorated to asystole. D) the first shock restored a rhythm and pulse. - correct answers-there is a decrease in blood flow to one or more portions of the heart muscle After restoring a pulse in a cardiac arrest patient, you begin immediate transport. While en route to the hospital, the patient goes back into cardiac arrest. You should: - tell your partner to stop the ambulance - begin CPR and proceed to the hospital - contact medical control for further advice - analyze the patient's rhythm with the AED - correct answers-- tell your partner to stop the ambulance Which of the following patients is the BEST candidate for the administration of nitroglycerin? - woman who has taken three doses of prescribed nitroglycerin without relief of chest pain - a woman with chest pain, prescribed nitroglycerin, and a BP of 104/76 - a man with chest pain, expired nitroglycerin spray, and a BP of 110/80 - an elderly man with crushing substernal chest pain and a BP of 80/60 - correct answers-- a woman with chest pain, prescribed nitroglycerin, and a BP of 104/76 Which of the following assessment findings is LEAST suggestive of a cardiac problem? - rapid, irregular heart rate - anxiety and pale, cool skin - palpable pain to the chest - nausea and epigastric pain - correct answers-- palpable pain to the chest Chest compression effectiveness is MOST effectively assessed by: - listening for a heartbeat with each compression - carefully measuring the depth of each compression - palpating for a carotid pulse with each compression - measuring the systolic blood pressure during compressions - correct answers-palpating for a carotid pulse with each compression A 45-year-old woman calls EMS because of severe chest pain. When you arrive, she advises you that she has taken two of her husband's nitroglycerin tablets without relief. Her BP is 110/60 mm Hg, her pulse is 100 beats/min, her respirations are 16 breaths/min, and her oxygen saturation is 95%. You should: - attach the AED ,administer 100% O2, and contact medical control for advice - transport the patient without delay and monitor her blood pressure en route - call medical control and request permission to assist the patient with one more NTG tablet - apply oxygen, assess the patient's blood pressure, and give a third and final NTG tablet - correct answers-- transport the patient without delay and monitor her blood pressure en route After administering nitroglycerin to a patient with chest discomfort, it is MOST important for you to: - ask the patient if the discomfort has improved - find out how long the discomfort has been present - position the patient supine and transport immediately - reassess the patient's blood pressure within 5 minutes - correct answers-- reassess the patient's blood pressure within 5 minutes Which of the following statements regarding one-rescuer CPR is correct? - you should assess the patient for a pulse after 3 cycles of CPR - a compression to ventilation ratio of 15:2 should be delivered - ventilations should be delivered over a period of 2-3 seconds - the chest should be allowed to fully recoil after each compression - correct answers-- the chest should be allowed to fully recoil after each compression Your assessment of a middle-aged female with chest pressure reveals that she is confused, is diaphoretic, and has a blood pressure of 70/50 mm Hg. In caring for this patient, it is MOST important for you to: - request an ALS unit to respond to scene - assist her with her nitroglycerin if she has any - reassess her vital signs at least every 5 mins - prepare for immediate transport to the hospital - correct answers-- prepare for immediate transport to the hospital Which of the following questions would be the MOST effective in determining if a patient's chest pain radiates away from his or her chest? - do you also have pain in your arm, jaw, or back?