Jb Learning Test
Prep(Cardiology/Trauma)Questions
And Answers!!
Which of the following causes of pulseless electrical activity (PEA) would be the
MOST likely to respond to immediate treatment in the prehospital setting?
a. Hypokalemia
b. Hypovolemia
c. Lactic acidosis
d. Drug overdose - Answer b. Hypovolemia
A woman was struck by lightning while working in her garden. Her husband tells you
that when he first found her, she was unconscious and not breathing. Your
assessment reveals that she is conscious and alert, but has no recollection of the
event. Her airway is patent, and her breathing is adequate. Her blood pressure is
134/74mmHg, pulse is 88bpm, and respirations are 20. The cardiac monitor reveals
a sinus rhythm without ectopy. She is moving all of her extremities and has no
obvious burns or musculoskeletal injuries. She refuses to allow you to apply a
cervical collar and place her onto a backboard, but consents to other treatment and
transport. The MOST appropriate treatment for this patient includes:
a. High flow oxygen, continuous cardiac monitoring, two large-bore IV lines, a 500mL
saline bolus, and transport
b. Supplemental oxygen, an IV line of normal saline, 5mg diazepam to prevent
seizures, and prompt transport
c. 100% oxygen via nonrebreather mask, cardiac monitoring, an IV line set to keep
the vein open, 1 to 1.5mg/kg of lidocaine, and transport.
d. Oxygen via nasal cannula or nonrebreather mask, 12-lead ECG acquisition,
continuous cardiac monitoring, an IV line set to keep the vein open and transport. -
Answer d. Oxygen via nasal cannula or nonrebreathing mask, 12 lead ECG
acquisition, continuous cardiac monitoring, an IV line set to keep the vein open, and
transport
You are preparing to defibrillate a patient in cardiac arrest with a manual biphasic
defibrillator, but are unsure of the appropriate initial energy setting. What should you
do?
a. Contact medical control for further guidance
b. Deliver three sequential shocks with 120 joules
c. Deliver one shock with 200 joules and resume CPR
d. Continue CPR and shock with 360 joules in 2 minutes - Answer
A 70-year-old woman was suddenly awakened with the feeling that she was
suffocating. She is anxious, is laboring to breathe, and has dried blood on her lips.
The ECG shows the cardiac rhythm below. Which of the following pathophysiologies
BEST describes her clinical presentation?
a. Increased stroke volume with right heart failure
b. Increased preload with left heart failure
,Jb Learning Test
Prep(Cardiology/Trauma)Questions
And Answers!!
c. Decreased preload with right heart failure
d. Decreased stroke volume with left heart failure - Answer d. Decreased stroke
volume with left heart failure
You are assessing a 67-year-old female with chest discomfort when she becomes
unresponsive, apneic, and pulseless. The cardiac monitor reveals coarse ventricular
fibrillation. You achieve return of spontaneous circulation after 4 minutes and the
cardiac monitor now reveals a narrow complex rhythm. The patient is still
unresponsive, has occasional respirations, blood pressure of 70/40 and a weak
pulse of 70. The MOST appropriate post resuscitation care for this patient includes:
a. Insertion of an airway adjunct, assisted ventilation with a bag-valve-mask device,
vascular access, a 500-1000mL crystalloid fluid bolus, and an amiodarone infusion
at 1mg/min.
b. Preoxygenation with a bvm and high flow oxygen, endotracheal intubation,
vascular access, 300mg of amiodarone, and a dopamine infusion.
c. Insertion of a supraglottic airway device, ventilatory assistance, vascular access,
150mg of amiodarone over 10 minutes, and 0.5mg of atropine sulfate.
d. Oxygen via nonrebreather mask, vascular access, a lidocaine infusion, an
adequate volume of normal saline solution to increase her blood pressure. - Answer
a. Insertion of an airway adjunct, assisted ventilation with a bag-valve-mask device,
vascular access, a 500-1000mL crystalloid fluid bolus, and an amiodarone infusion
at 1mg/min
A middle aged man presents with Chest discomfort, shortness of breath, and
nausea. You give him supplemental o2 and continue your assessment. As your
partner is attaching the ECG leads, you should:
a. Establish vascular access
b. Administer 2 to 4mg morphine IV
c. Administer up to 325mg of aspirin
d. Administer 0.4mg of nitroglycerine - Answer c. Administer up to 325mg of aspirin
You have defibrillated a patient who presented with ventricular fibrillation. After 2
minutes of CPR, you reassess the patient's cardiac rhythm and see a wide-complex
tachycardia. You should:
a. Cardiovert with the energy you used to defibrilate
b. Administer 300mg of amiodarone via rapid IV or IO push
c. Defibrillate and then immediately resume chest compressions
d. Check for a carotid pulse and defibrillate if a pulse is absent - Answer d. Check for
a carotid pulse and defibrillate if a pulse is absent
Which of the following signs would indicate a severe pericardial tamponade?
a. Strengthening of the pulse during the inhalation phase
,Jb Learning Test
Prep(Cardiology/Trauma)Questions
And Answers!!
b. A rise in systolic blood pressure and a fall in the diastolic pressure
c. Collapsed jugular veins when the patient is placed at a 45-degree angle
d. A drop in the blood pressure of greater than 10mmHg during inhalation - Answer
When assessing a middle-aged man who complains of nausea and weakness, he
suddenly becomes unresponsive. The cardiac monitor shows that he is in ventricular
fibrillation. After determining that he is apneic and pulseless, you should:
a. Perform synchronized cardioversion
b. Start CPR and prepare to defibrillate
c. Perform CPR for 2 minutes and defibrillate
d. Start an IV and give 300mg of amiodarone - Answer b. Start CPR and prepare to
defibrillate
A 47-year-old male took two of his prescribed nitroglycerine tablets prior to calling
EMS. When you arrive at the scene, the patient tells you that he has a throbbing
headache and is still experiencing chest pain. Your MOST immediate suspicion
should be that:
a. His chest pain is probably not of a cardiac origin
b. He is experiencing continued myocardial ischemia
c. His nitroglycerine is outdated or has lost its potency
d. Permanent myocardial damage has already occurred - Answer
A clinically unstable patient presents with an irregular narrow-complex tachycardia at
a rate of 170 per minute. What is the recommended initial energy setting for
synchronized cardioversion?
a. 50-100 joules
b. 120-200 joules
c. 200-300 joules
d. 320-360 joules - Answer
You and your partner are standing by at a community softball tournament when you
witness the collapse of a 39-year-old male immediately after he was struck in the
chest by a softball. You quickly assess him and determine that he is apneic and
pulseless. This patients cardiac arrest was MOST likely caused by:
a. A cardiac dysrhythmia
b. A myocardial contusion
c. Shearing of the ascending aorta
d. An underlying cardiac disease - Answer a. A cardiac dysrhythmia
Which of the following is a criterion for transporting an adult patient to a trauma
center capable of providing the highest level of care?
, Jb Learning Test
Prep(Cardiology/Trauma)Questions
And Answers!!
a. Two proximal long bone fractures
b. GCS that is equal to or less than 14
c. Respiratory rate of 24 breaths per minute
d. Fall from a height of 10 to 15 feet - Answer a. Two proximal long bone fractures
A 56-year-old man presents with the cardiac rhythm. He complains of chest
discomfort, shortness of breath, and is profusely diaphoretic. His blood pressure is
84/64 and his radial pulses are barely palpable. You should:
a. Defibrillate with 200 biphasic joules
b. Prepare for immediate cardiac pacing
c. Give 150mg of amiodarone over 10 min
d. Consider sedation and perform cardioversion - Answer d. Consider sedation and
perform cardioversion
Which of the following injuries would MOST likely cause obstructive shock?
a. Pelvic fracture
b. Aortic shearing
c. Myocardial contusion
d. Tension pneumothorax - Answer d. Tension Pneumothorax
In the context of an acute coronary syndrome, the presence of dyspnea should make
you MOST suspicious for:
a. Severe anxiety
b. Cor Pulmonale
c. Diffuse Bronchospasm
d. Pulmonary congestion - Answer d. Pulmonary congestion
You and your team are attempting to resuscitate a 66-year-old man in cardiac arrest.
The cardiac monitor reveals a slow-wide complex rhythm. The patient has been
successfully intubated and an IV line has been established. As CPR is ongoing, you
should:
a. Administer 10mL of epinephrine 1:10,000 IV
b. Administer 300mg of amiodarone rapid IV push
c. Ventilate the patient at a rate of 24 breaths per minute
d. Attempt transcutaneous pacing to increase the heart rate - Answer a. Administer
10mL of epinephrine 1:10,000IV
A 49-year-old male complains of generalized weakness that began about a week
ago. He is conscious and alert and is breathing inadequately. His blood pressure is
138/78, pulse is 130 bpm, and irregular, and respirations are 14. You administer
supplemental o2 and apply the cardiac monitor, which reveals atrial fibrillation; a 12
Prep(Cardiology/Trauma)Questions
And Answers!!
Which of the following causes of pulseless electrical activity (PEA) would be the
MOST likely to respond to immediate treatment in the prehospital setting?
a. Hypokalemia
b. Hypovolemia
c. Lactic acidosis
d. Drug overdose - Answer b. Hypovolemia
A woman was struck by lightning while working in her garden. Her husband tells you
that when he first found her, she was unconscious and not breathing. Your
assessment reveals that she is conscious and alert, but has no recollection of the
event. Her airway is patent, and her breathing is adequate. Her blood pressure is
134/74mmHg, pulse is 88bpm, and respirations are 20. The cardiac monitor reveals
a sinus rhythm without ectopy. She is moving all of her extremities and has no
obvious burns or musculoskeletal injuries. She refuses to allow you to apply a
cervical collar and place her onto a backboard, but consents to other treatment and
transport. The MOST appropriate treatment for this patient includes:
a. High flow oxygen, continuous cardiac monitoring, two large-bore IV lines, a 500mL
saline bolus, and transport
b. Supplemental oxygen, an IV line of normal saline, 5mg diazepam to prevent
seizures, and prompt transport
c. 100% oxygen via nonrebreather mask, cardiac monitoring, an IV line set to keep
the vein open, 1 to 1.5mg/kg of lidocaine, and transport.
d. Oxygen via nasal cannula or nonrebreather mask, 12-lead ECG acquisition,
continuous cardiac monitoring, an IV line set to keep the vein open and transport. -
Answer d. Oxygen via nasal cannula or nonrebreathing mask, 12 lead ECG
acquisition, continuous cardiac monitoring, an IV line set to keep the vein open, and
transport
You are preparing to defibrillate a patient in cardiac arrest with a manual biphasic
defibrillator, but are unsure of the appropriate initial energy setting. What should you
do?
a. Contact medical control for further guidance
b. Deliver three sequential shocks with 120 joules
c. Deliver one shock with 200 joules and resume CPR
d. Continue CPR and shock with 360 joules in 2 minutes - Answer
A 70-year-old woman was suddenly awakened with the feeling that she was
suffocating. She is anxious, is laboring to breathe, and has dried blood on her lips.
The ECG shows the cardiac rhythm below. Which of the following pathophysiologies
BEST describes her clinical presentation?
a. Increased stroke volume with right heart failure
b. Increased preload with left heart failure
,Jb Learning Test
Prep(Cardiology/Trauma)Questions
And Answers!!
c. Decreased preload with right heart failure
d. Decreased stroke volume with left heart failure - Answer d. Decreased stroke
volume with left heart failure
You are assessing a 67-year-old female with chest discomfort when she becomes
unresponsive, apneic, and pulseless. The cardiac monitor reveals coarse ventricular
fibrillation. You achieve return of spontaneous circulation after 4 minutes and the
cardiac monitor now reveals a narrow complex rhythm. The patient is still
unresponsive, has occasional respirations, blood pressure of 70/40 and a weak
pulse of 70. The MOST appropriate post resuscitation care for this patient includes:
a. Insertion of an airway adjunct, assisted ventilation with a bag-valve-mask device,
vascular access, a 500-1000mL crystalloid fluid bolus, and an amiodarone infusion
at 1mg/min.
b. Preoxygenation with a bvm and high flow oxygen, endotracheal intubation,
vascular access, 300mg of amiodarone, and a dopamine infusion.
c. Insertion of a supraglottic airway device, ventilatory assistance, vascular access,
150mg of amiodarone over 10 minutes, and 0.5mg of atropine sulfate.
d. Oxygen via nonrebreather mask, vascular access, a lidocaine infusion, an
adequate volume of normal saline solution to increase her blood pressure. - Answer
a. Insertion of an airway adjunct, assisted ventilation with a bag-valve-mask device,
vascular access, a 500-1000mL crystalloid fluid bolus, and an amiodarone infusion
at 1mg/min
A middle aged man presents with Chest discomfort, shortness of breath, and
nausea. You give him supplemental o2 and continue your assessment. As your
partner is attaching the ECG leads, you should:
a. Establish vascular access
b. Administer 2 to 4mg morphine IV
c. Administer up to 325mg of aspirin
d. Administer 0.4mg of nitroglycerine - Answer c. Administer up to 325mg of aspirin
You have defibrillated a patient who presented with ventricular fibrillation. After 2
minutes of CPR, you reassess the patient's cardiac rhythm and see a wide-complex
tachycardia. You should:
a. Cardiovert with the energy you used to defibrilate
b. Administer 300mg of amiodarone via rapid IV or IO push
c. Defibrillate and then immediately resume chest compressions
d. Check for a carotid pulse and defibrillate if a pulse is absent - Answer d. Check for
a carotid pulse and defibrillate if a pulse is absent
Which of the following signs would indicate a severe pericardial tamponade?
a. Strengthening of the pulse during the inhalation phase
,Jb Learning Test
Prep(Cardiology/Trauma)Questions
And Answers!!
b. A rise in systolic blood pressure and a fall in the diastolic pressure
c. Collapsed jugular veins when the patient is placed at a 45-degree angle
d. A drop in the blood pressure of greater than 10mmHg during inhalation - Answer
When assessing a middle-aged man who complains of nausea and weakness, he
suddenly becomes unresponsive. The cardiac monitor shows that he is in ventricular
fibrillation. After determining that he is apneic and pulseless, you should:
a. Perform synchronized cardioversion
b. Start CPR and prepare to defibrillate
c. Perform CPR for 2 minutes and defibrillate
d. Start an IV and give 300mg of amiodarone - Answer b. Start CPR and prepare to
defibrillate
A 47-year-old male took two of his prescribed nitroglycerine tablets prior to calling
EMS. When you arrive at the scene, the patient tells you that he has a throbbing
headache and is still experiencing chest pain. Your MOST immediate suspicion
should be that:
a. His chest pain is probably not of a cardiac origin
b. He is experiencing continued myocardial ischemia
c. His nitroglycerine is outdated or has lost its potency
d. Permanent myocardial damage has already occurred - Answer
A clinically unstable patient presents with an irregular narrow-complex tachycardia at
a rate of 170 per minute. What is the recommended initial energy setting for
synchronized cardioversion?
a. 50-100 joules
b. 120-200 joules
c. 200-300 joules
d. 320-360 joules - Answer
You and your partner are standing by at a community softball tournament when you
witness the collapse of a 39-year-old male immediately after he was struck in the
chest by a softball. You quickly assess him and determine that he is apneic and
pulseless. This patients cardiac arrest was MOST likely caused by:
a. A cardiac dysrhythmia
b. A myocardial contusion
c. Shearing of the ascending aorta
d. An underlying cardiac disease - Answer a. A cardiac dysrhythmia
Which of the following is a criterion for transporting an adult patient to a trauma
center capable of providing the highest level of care?
, Jb Learning Test
Prep(Cardiology/Trauma)Questions
And Answers!!
a. Two proximal long bone fractures
b. GCS that is equal to or less than 14
c. Respiratory rate of 24 breaths per minute
d. Fall from a height of 10 to 15 feet - Answer a. Two proximal long bone fractures
A 56-year-old man presents with the cardiac rhythm. He complains of chest
discomfort, shortness of breath, and is profusely diaphoretic. His blood pressure is
84/64 and his radial pulses are barely palpable. You should:
a. Defibrillate with 200 biphasic joules
b. Prepare for immediate cardiac pacing
c. Give 150mg of amiodarone over 10 min
d. Consider sedation and perform cardioversion - Answer d. Consider sedation and
perform cardioversion
Which of the following injuries would MOST likely cause obstructive shock?
a. Pelvic fracture
b. Aortic shearing
c. Myocardial contusion
d. Tension pneumothorax - Answer d. Tension Pneumothorax
In the context of an acute coronary syndrome, the presence of dyspnea should make
you MOST suspicious for:
a. Severe anxiety
b. Cor Pulmonale
c. Diffuse Bronchospasm
d. Pulmonary congestion - Answer d. Pulmonary congestion
You and your team are attempting to resuscitate a 66-year-old man in cardiac arrest.
The cardiac monitor reveals a slow-wide complex rhythm. The patient has been
successfully intubated and an IV line has been established. As CPR is ongoing, you
should:
a. Administer 10mL of epinephrine 1:10,000 IV
b. Administer 300mg of amiodarone rapid IV push
c. Ventilate the patient at a rate of 24 breaths per minute
d. Attempt transcutaneous pacing to increase the heart rate - Answer a. Administer
10mL of epinephrine 1:10,000IV
A 49-year-old male complains of generalized weakness that began about a week
ago. He is conscious and alert and is breathing inadequately. His blood pressure is
138/78, pulse is 130 bpm, and irregular, and respirations are 14. You administer
supplemental o2 and apply the cardiac monitor, which reveals atrial fibrillation; a 12
