FISDAP CARDIOLOGY STUDY PRACTICE EXAM RECENT
ACTUAL QUESTIONS AND ANSWERS WITH RATIONALE
(A+ PASS SOLUTION)
Terms In This Set (115)
With regard to the C) Electrical interference that can make diagnosis difficult
electrocardiogram (ECG), what
is artifact? Artifact refers to an ECG tracing that is the result of
A) significant abnormality interference, such as patient movement, deep
discovered by the breathing, or muscle tremors, rather than the heart's electrical
paramedic activity. Artifact can make diagnosis of the ECG difficult or
impossible. To minimize artifact on the ECG, make sure the
B) The complete absence of
patient is lying supine; if the patient is experiencing
electrical activity on the
respiratory distress, place him or her in a semi-Fowler's
ECG
position. Ensure that the patient's arms are relaxed by his or
C) Electrical interference
her side or her feet are uncrossed.
that can make diagnosis
difficult
D) Improper lead
placement, resulting in
misdiagnosis
,The AED analyzes your B) resume CPR, starting with chest compressions.
pulseless and apneic
patient's cardiac rhythm and
If the AED advises "no shock;' you should
advises that a shock is NOT
indicated. You immediately resume CPR, starting with chest
should: compressions. Unless the patient starts to move or has other
A) assess for a pulse for no signs of
more than 10 seconds. life (ie, coughing), stopping CPR to assess for a
B) resume CPR, starting pulse should be avoided because it just causes an
with chest compressions. unnecessary delay in performing chest
C) open the patient's compressions. The AED is a highly reliable device; if it advises
airway and check for that a shock is or is not indicated, take its word for it! There is
breathing. no need to reanalyze the
D) reanalyze the cardiac patient's cardiac rhythm;
rhythm for positive this merely causes an unnecessary delay in
confirmation.
defibrillation (if indicated) and chest compressions.
B) Resume CPR, starting with chest compressions.
A 60-year-old man is in
cardiac arrest. You begin CPR If the AED gives a no shock advised message, you
while your partner applies
should immediately resume CPR, starting with chest
the AED. What
compressions. After 2 minutes of CPR, reanalyze the patient's
should you do if you receive a
cardiac rhythm and follow the AED voice
no shock message?
prompts. You should not assess for a pulse if the AED gives
A) Assess for a carotid
a no shock message; this will simply cause an
pulse for up to 10
unnecessary delay in pe1iorming chest
seconds.
B) Resume CPR, starting compressions. Rarely, if ever, does CPR alone restore a
with chest compressions. normal cardiac rhythm and pulse. If the AED electrodes
C) Ensure that the AED are improperly applied, it will not analyze the patient's
electrodes are properly cardiac rhythm; instead, you will receive a "check
applied. patient" or "check electrodes" message. Continue CPR,
D) Reanalyze his cardiac rhythm analysis every 2 minutes, and defibrillation (if
rhythm after 30 seconds of indicated) untilALS personnel arrive or the patient starts to
CPR. move.
,Which of the following D) Any organized cardiac rhythm, slow or fast, that does not
describes pulseless produce a palpable pulse
electrical activity (PEA)? HIDE
THIS MENU Pulseless electrical activity (PEA) is a condition in which the
A) disorganized, chaotic heart produces organized electrical activity (slow or fast),
quivering of the heart despite the absence of a palpable
muscle that does not generate a pulse. A disorganized, chaotic quivering of the heart muscle
pulse that does not generate a pulse is called
B) The presence of a ventricular fibrillation (V- Fib), and is treated with
palpable pulse in the defibrillation. Defibrillation is not indicated for patients
absence of any electrical with PEA; it is indicated only for patients with V-Fib or
activity in the heart pulseless ventricular tachycardia (V-
C) A rapid cardiac rhythm Tach). If
that does not produce a
the AED gives a no shock message and the patient is still
pulse, but responds to
pulseless, he or she is either in asystole or PEA, neither of
defibrillation
which is a shockable rhythm.
D) Any organized cardiac
rhythm, slow or fast, that
does not produce a
palpable pulse
Which of the following B) Does the pain radiate to your arm?
questions would be
MOST appropriate to ask
When questioning any patient about any type of pain, you
when assessing a patient
should avoid asking leading questions that can simply be
with chest pain?
answered yes or no. To obtain the most
A) What does the pain
reliable assessment, open-ended questions should be asked
feel like?
to allow the patient to describe the quality of the pain in his
B) Does the pain radiate to
or her own words.
your arm?
C) Would you describe
the pain as sharp?
D) Is the pain worse
when you take a deep
breath?
, What occurs during B) A vacuum is created and blood returns to the heart
recoil of the chest in
between compressions? During CPR, it is critical to allow the chest to fully recoil
A) Positive pressure before providing the next compression.
accumulates in the Recoil of the chest produces a vacuum, which pulls air into
thoracic cavity the lungs and draws more blood back to the heart. If only
B) A vacuum is created partial recoil occurs, positive pressure can accumulate in the
chest, which would impair blood return to the heart.
and blood returns to the heart
Forward blood flow and
C) Excessive amounts of air
expulsion of air from the lungs occurs during the downstroke
are expelled from the lungs
of the compression, not the recoil phase.
D) Forward flow of blood
moves to the body's vital
organs
C) assess his airway and ventilatory status.
You are treating a 60- year-
old man in cardiac arrest. If return of spontaneous circulation (ROSC) occurs (eg, a
After delivering a shock with palpable pulse is restored), your first action should be to
the AED and performing reassess the patient's airway and
CPR for 2 ventilatory status. If the patient remains apneic, continue
minutes, you achieve return of rescue breathing at a rate of 10
spontaneous circulation. Your breaths/min (one breath every 6 seconds). If the patient is
next action should be to: breathing adequately, administer
A) provide rapid supplemental oxygen in a concentration that is
transport to the hospital. sufficient to maintain an oxygen saturation that is between
B) reanalyze his rhythm for 92% and 98%. After reassessing the airway and breathing, and
confirmation. treating the patient accordingly, you should prepare for
C) assess his airway and immediate transport.
ventilatory status. Because of the high risk that cardiac arrest can recur following
D) remove the AED and resuscitation, you should not remove the AED pads; simply
apply 100% oxygen. turn the AED off instead. Analysis of the patient's cardiac
rhythm is not indicated because he now has a pulse.
ACTUAL QUESTIONS AND ANSWERS WITH RATIONALE
(A+ PASS SOLUTION)
Terms In This Set (115)
With regard to the C) Electrical interference that can make diagnosis difficult
electrocardiogram (ECG), what
is artifact? Artifact refers to an ECG tracing that is the result of
A) significant abnormality interference, such as patient movement, deep
discovered by the breathing, or muscle tremors, rather than the heart's electrical
paramedic activity. Artifact can make diagnosis of the ECG difficult or
impossible. To minimize artifact on the ECG, make sure the
B) The complete absence of
patient is lying supine; if the patient is experiencing
electrical activity on the
respiratory distress, place him or her in a semi-Fowler's
ECG
position. Ensure that the patient's arms are relaxed by his or
C) Electrical interference
her side or her feet are uncrossed.
that can make diagnosis
difficult
D) Improper lead
placement, resulting in
misdiagnosis
,The AED analyzes your B) resume CPR, starting with chest compressions.
pulseless and apneic
patient's cardiac rhythm and
If the AED advises "no shock;' you should
advises that a shock is NOT
indicated. You immediately resume CPR, starting with chest
should: compressions. Unless the patient starts to move or has other
A) assess for a pulse for no signs of
more than 10 seconds. life (ie, coughing), stopping CPR to assess for a
B) resume CPR, starting pulse should be avoided because it just causes an
with chest compressions. unnecessary delay in performing chest
C) open the patient's compressions. The AED is a highly reliable device; if it advises
airway and check for that a shock is or is not indicated, take its word for it! There is
breathing. no need to reanalyze the
D) reanalyze the cardiac patient's cardiac rhythm;
rhythm for positive this merely causes an unnecessary delay in
confirmation.
defibrillation (if indicated) and chest compressions.
B) Resume CPR, starting with chest compressions.
A 60-year-old man is in
cardiac arrest. You begin CPR If the AED gives a no shock advised message, you
while your partner applies
should immediately resume CPR, starting with chest
the AED. What
compressions. After 2 minutes of CPR, reanalyze the patient's
should you do if you receive a
cardiac rhythm and follow the AED voice
no shock message?
prompts. You should not assess for a pulse if the AED gives
A) Assess for a carotid
a no shock message; this will simply cause an
pulse for up to 10
unnecessary delay in pe1iorming chest
seconds.
B) Resume CPR, starting compressions. Rarely, if ever, does CPR alone restore a
with chest compressions. normal cardiac rhythm and pulse. If the AED electrodes
C) Ensure that the AED are improperly applied, it will not analyze the patient's
electrodes are properly cardiac rhythm; instead, you will receive a "check
applied. patient" or "check electrodes" message. Continue CPR,
D) Reanalyze his cardiac rhythm analysis every 2 minutes, and defibrillation (if
rhythm after 30 seconds of indicated) untilALS personnel arrive or the patient starts to
CPR. move.
,Which of the following D) Any organized cardiac rhythm, slow or fast, that does not
describes pulseless produce a palpable pulse
electrical activity (PEA)? HIDE
THIS MENU Pulseless electrical activity (PEA) is a condition in which the
A) disorganized, chaotic heart produces organized electrical activity (slow or fast),
quivering of the heart despite the absence of a palpable
muscle that does not generate a pulse. A disorganized, chaotic quivering of the heart muscle
pulse that does not generate a pulse is called
B) The presence of a ventricular fibrillation (V- Fib), and is treated with
palpable pulse in the defibrillation. Defibrillation is not indicated for patients
absence of any electrical with PEA; it is indicated only for patients with V-Fib or
activity in the heart pulseless ventricular tachycardia (V-
C) A rapid cardiac rhythm Tach). If
that does not produce a
the AED gives a no shock message and the patient is still
pulse, but responds to
pulseless, he or she is either in asystole or PEA, neither of
defibrillation
which is a shockable rhythm.
D) Any organized cardiac
rhythm, slow or fast, that
does not produce a
palpable pulse
Which of the following B) Does the pain radiate to your arm?
questions would be
MOST appropriate to ask
When questioning any patient about any type of pain, you
when assessing a patient
should avoid asking leading questions that can simply be
with chest pain?
answered yes or no. To obtain the most
A) What does the pain
reliable assessment, open-ended questions should be asked
feel like?
to allow the patient to describe the quality of the pain in his
B) Does the pain radiate to
or her own words.
your arm?
C) Would you describe
the pain as sharp?
D) Is the pain worse
when you take a deep
breath?
, What occurs during B) A vacuum is created and blood returns to the heart
recoil of the chest in
between compressions? During CPR, it is critical to allow the chest to fully recoil
A) Positive pressure before providing the next compression.
accumulates in the Recoil of the chest produces a vacuum, which pulls air into
thoracic cavity the lungs and draws more blood back to the heart. If only
B) A vacuum is created partial recoil occurs, positive pressure can accumulate in the
chest, which would impair blood return to the heart.
and blood returns to the heart
Forward blood flow and
C) Excessive amounts of air
expulsion of air from the lungs occurs during the downstroke
are expelled from the lungs
of the compression, not the recoil phase.
D) Forward flow of blood
moves to the body's vital
organs
C) assess his airway and ventilatory status.
You are treating a 60- year-
old man in cardiac arrest. If return of spontaneous circulation (ROSC) occurs (eg, a
After delivering a shock with palpable pulse is restored), your first action should be to
the AED and performing reassess the patient's airway and
CPR for 2 ventilatory status. If the patient remains apneic, continue
minutes, you achieve return of rescue breathing at a rate of 10
spontaneous circulation. Your breaths/min (one breath every 6 seconds). If the patient is
next action should be to: breathing adequately, administer
A) provide rapid supplemental oxygen in a concentration that is
transport to the hospital. sufficient to maintain an oxygen saturation that is between
B) reanalyze his rhythm for 92% and 98%. After reassessing the airway and breathing, and
confirmation. treating the patient accordingly, you should prepare for
C) assess his airway and immediate transport.
ventilatory status. Because of the high risk that cardiac arrest can recur following
D) remove the AED and resuscitation, you should not remove the AED pads; simply
apply 100% oxygen. turn the AED off instead. Analysis of the patient's cardiac
rhythm is not indicated because he now has a pulse.
