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Question 1
What is the most likely condition for a 54-year-old male with chest tightness after raking leaves,
relieved by rest and two nitroglycerin doses?
Answer: Angina pectoris
Rationale: Chest tightness triggered by exertion and relieved by rest and nitroglycerin suggests
angina pectoris, where the heart’s oxygen demand exceeds supply.
Question 2
What is the appropriate CPR rate for a single rescuer on a 17-year-old female?
Answer: 120 per minute
Rationale: AHA guidelines recommend a CPR compression rate of 100–120 per minute for
adults and adolescents to optimize circulation.
Question 3
What should you do for an adult in cardiac arrest with bystander CPR in progress?
Answer: Continue CPR while partner applies AED
Rationale: Continuing CPR minimizes interruptions, and applying an AED promptly is critical
for early defibrillation in cardiac arrest.
Question 4
What condition results when the heart lacks power to pump blood effectively?
Answer: Cardiogenic shock
Rationale: Cardiogenic shock occurs when the heart fails to pump adequately, leading to poor
tissue perfusion.
,Question 5
What should you do for a 67-year-old male with chest pain, shortness of breath, nausea, BP
90/60, pulse 148, and respirations 34?
Answer: Place in supine position
Rationale: Hypotension (BP 90/60) suggests cardiogenic shock; the supine position optimizes
preload and perfusion.
Question 6
What should you do for a child in cardiac arrest with unknown downtime?
Answer: Perform CPR while attaching AED
Rationale: Immediate CPR and AED use are critical in pediatric cardiac arrest to restore
circulation and assess rhythm.
Question 7
When do coronary arteries fill with blood?
Answer: Diastole
Rationale: Coronary arteries fill during diastole when the heart is relaxed, allowing blood flow
to the myocardium.
Question 8
What condition should you suspect in a 36-year-old female with congenital heart defects, pale,
cool, clammy skin, BP 68/30, pulse 128, and respirations 26?
Answer: Cardiogenic shock
Rationale: Severe hypotension and symptoms suggest cardiogenic shock, especially with a
history of heart defects.
Question 9
What is the most likely cause of chest pain and shortness of breath with bilateral crackles in a 73-
year-old female with BP 80/40, pulse 112, and respirations 22?
Answer: Cardiogenic shock
Rationale: Crackles and hypotension indicate heart failure leading to cardiogenic shock.
Question 10
What should you suspect in a 65-year-old male with weakness, indigestion, BP 150/90, pulse
116, and respirations 24?
Answer: Myocardial infarction
,Rationale: Atypical symptoms like indigestion with elevated vitals suggest a possible
myocardial infarction (MI).
Question 11
What is the primary action of nitroglycerin?
Answer: Dilates coronary arteries
Rationale: Nitroglycerin is a vasodilator, primarily dilating coronary arteries to improve
myocardial oxygen supply.
Question 12
What should you suspect in a 78-year-old female with indigestion, pale, moist skin, BP 180/90,
irregular pulse 116, and respirations 24?
Answer: Myocardial infarction
Rationale: Atypical MI symptoms (indigestion) with hypertension and irregular pulse are
concerning for MI in the elderly.
Question 13
What condition should you suspect in a patient with sudden tearing chest pain, absent radial
pulse on one arm, and a history of hypertension?
Answer: Aortic dissection
Rationale: Tearing pain and pulse deficit are hallmark signs of aortic dissection, often linked to
hypertension.
Question 14
How is nitroglycerin typically administered?
Answer: Sublingually
Rationale: Sublingual nitroglycerin is rapidly absorbed for quick relief of angina symptoms.
Question 15
What should you suspect in a patient struck by lightning?
Answer: Irregular heartbeat
Rationale: Lightning can disrupt cardiac electrical activity, causing arrhythmias.
, Question 16
What is most important during CPR?
Answer: Minimal interruptions during compressions
Rationale: Continuous compressions maximize perfusion; interruptions reduce efficacy.
Question 17
What is the most likely cause of plaque buildup in a blood vessel?
Answer: Atherosclerosis
Rationale: Atherosclerosis involves cholesterol and calcium deposits forming plaques,
narrowing arteries.
Question 18
What should you do during the primary assessment of a 57-year-old female with epigastric chest
pain?
Answer: Obtain vital signs
Rationale: Vital signs provide critical data to assess the severity of potential cardiac issues.
Question 19
What is the primary cause of heart failure?
Answer: Inadequate ejection of blood from the ventricles
Rationale: Heart failure results from the heart’s inability to pump sufficient blood, reducing
cardiac output.
Question 20
What should you do for a cardiac arrest patient down for 6 minutes without care?
Answer: Start compressions
Rationale: Immediate CPR is critical to restore circulation in unwitnessed cardiac arrest.
Question 21
What is the initial dose and rate of amiodarone for refractory ventricular fibrillation?
Answer: 300 mg rapid IV or IO push
Rationale: ACLS guidelines recommend 300 mg amiodarone via rapid IV/IO push for refractory
V-Fib.