Questions and Complete Solutions
Graded A+
What characteristic of chest pain is distinct to a myocardial infraction? - Answer: Unrelieved with rest
A 43 year old female complains of 8/10 chest pressure that started while play tennis. The pressure is
substernal, non-radiating, and decreases to 6/10 with rest. Vital signs are BP 150/88, P 96, R 18. She
reluctant to go to the hospital. What should you do? - Answer: Convince her to accept transport and
administer aspirin
An ECG shows a wide complex rhythm at a rate of 36 beats pre minute. What part of the heart's
conduction system is acting as the pacemaker for this patient? - Answer: Purkinje Fibers
When are coronary arteries perfused? - Answer: Ventricular diastole
What is the definitive treatment for ventricular fibrillation (v-fib) or pulseless ventricular tachycardia (v-
tach)? - Answer: Defibrillation
What type of p-waves should you expect to see with atrial flutter? - Answer: Sawtooth
A 23 year old male was exercising on a hot day and collapsed. He opens his eyes to verbal stimuli. Vital
signs are BP 70/24, pulse matches the ECG shown below, R 28. What should you do?
ECG: SVT at 21 beats on a 6 sec strip - Answer: Preform synchronized cardioversion
What does ST-elevation indicate? - Answer: Myocardial Ischemia
A 59 year old male complains of a severe headache and blurred vision. The symptoms have increased in
the last 3 hours. He tells you, "I ran out of my heart medication last month and couldn't buy any more."