Solved
1. Which of the following is the proper conduction sequence:
a. SA node -> AV node -> bundle of His -> Purkinje fibers
b. AV node -> SA node -> Purkinje fibers -> bundle of His
c. SA node -> bundle of His -> Purkinje fibers -> AV node
d. SA node -> AV node -> Purkinje fibers -> bundle of His a. SA node -> AV node->
Bundle of His-> Purkinje fibers
1. Which of the following statements is true regarding myocardial infarction?
a. Presenting symptoms may be different in women than in men
b. Individuals with chest pain should immediately drive themselves to the hospital rather than
waiting on an ambulance
c. Confusion and hallucinations are a common symptom
The test that is considered most reliable in diagnosing an MI is the ECG a. Presenting
symptoms may be different in women than in men
1. Which of the following statements is true regarding heart failure?
,a. The right ventricle is the part of the heart most effected
b. Those at greatest risk for developing heart failure include African Americans and the elderly
c. The most common symptoms include pain in the chest, jaw, and left arm
The most useful test for diagnosing heart failure is the ECG Those at greatest risk for
developing heart failure include African Americans and the elderly
1. All of the following statements are true regarding aneurysm EXCEPT:
a. It is an abnormal dilation of the wall of a blood vessel by more than 50% due to weakness in
the vessel
b. Brain aneurysms, which are usually congenital, are most common in adult women
c. A common examination finding in those with brain aneurysm is a murmur
d. Rupture of an abdominal aortic aneurysm causes pain in the abdomen or back, and is a
medical emergency c. A common examination finding in those with brain aneurysm is a
murmur
1. A 67-year-old man presents to the urgent care clinic complaining of a squeezing sensation in
his chest and difficulty breathing. The PCT should respond in all of the following ways
EXCEPT:
a. Escorting him to a treatment room, applying oxygen, and having him rest while waiting his
turn to be seen
,b. Taking him to a treatment room by a wheelchair and obtaining a set of vital signs
c. Preparing to obtain an immediate ECG
Preparing to administer aspiring and nitroglycerin Escorting him to a treatment room,
applying oxygen, and having him rest while waiting his turn to be seen
2. The PCT understands that the cardiologist evaluates patients for signs and symptoms of heart
disease such as:
a. Flat neck veins
b. Upper extremity edema
c. Lung congestion
d. Skin rashes c. Lung congestion
1. The PCT understands that all of the following are true regarding ECG except:
a. The paper used in ECG machines is pressure and heat sensitive
b. between bold vertical lines (five tiny boxes) represents 0.2 seconds of time
c. Electrodes that transmit data about cardiac electrical activity to the ECG machine are placed
on the patient's arms, legs and chest
, d. Most medical offices today use metal disks, rubber bands, and suction cups to attach
electrodes and keep them in place d. Most medical offices today use metal disks, rubber
bands, and suction cups to attach electrodes and keep them in place
1. The PCT who is teaching her patient about an event recorder realizes that the patient needs
further instruction when he states
a. "This is a small, portable monitor that I can wear around my neck or put in my shirt pocket."
b. "I will have two electrodes on my chest that I can activate if I feel any symptoms."
c. "This device will send an electric shock to my heart if I need it."
d. "I should only have to wear this device for 24 hours." c. "this device will send an
electric shock to my heart if I need it"
1. The PCT who is teaching her patient about a Holter monitor realizes that the patient needs
further instruction when he states:
a. "I will wear this device for up to 48 hours."
b. "I must keep a journal of my activities and any symptoms I have."
c. "I can shower or bathe as I normally do while wearing this monitor."
d. "A cardiologist will review and interpret the results of this test." c. I can shower or
bathe as I normally do while wearing this monitor?