PMED 130- FISDAP TRAUMA UNIT COMPLETE STUDY
GUIDE 2023
An adult cardiac arrest patient remains in ventricular fibrillation after two
minutes of CPR, one shock and 1 mg epinephrine 1:10,000 IV. You should
administer. - ,,,correct answer,,,.Amiodarone, 300mg IV
- A patient just received an accidental overdose of atenolol. Which of the
following should be used to reverse the effects of this drug? - ,,,correct
answer,,,.Glucagon
- Which of the following causes congestive heart failure? - ,,,correct
answer,,,.Poorly functioning left ventricle
A 40 year old female is complaining of nausea after several episodes of
vomiting. Pulse matches the ECG shown.
https://o.quizlet.com/KfOCtGtN8p3cN7eeTl1sQA.jpg Vital signs are BP
130/60, R14, SpO2 98%. You should - ,,,correct answer,,,.administer atropine
intravenous
Which blood vessels are primarily responsible for the regulation of blood
pressure? - ,,,correct answer,,,.Arterioles
A patient's chest discomfort has decreased from 8/10 to 2/10 after
nitroglycerin. Which action of nitroglycerin best explains this decrease? -
,,,correct answer,,,.Vasodilation of coronary arteries
A patient presents with confused verbal responses. A radial pulse is not
palpable. ECG shows a wide complex tachycardic rhythm. You should -
,,,correct answer,,,.perform synchronized cardioversion
What concept does Starling's Law explain? - ,,,correct answer,,,.Heart rate
increases when cardiac workload increases
- What is the intrinsic pacemaker rate of the Purkinje fibers? - ,,,correct
answer,,,.20-40 times per minute
,You are called for a man with a facial laceration. His wife says he was shaving
when he suddenly started talking incoherently and lost his balance. By the
time you arrive, his symptoms have resolved. His wife says he has no
pertinent past medical history. You should suspect a - ,,,correct answer,,,.TIA
A 45 year old male complains of weakness. Vital signs are BP 90/60, P 40 and
irregular. The monitor shows a narrow complex rhythm with a constant PRI
for conducted beats. Every second P wave occurs without a QRS complex. You
should suspect - ,,,correct answer,,,.second degree type II AV block.
- A 74 year old female complains of shortness of breath. She has a history of
coronary artery disease but is otherwise healthy. She takes 325 mg aspirin
daily and nitrostat as needed. Vital signs are BP 109/50, P 132 and weak, R 36
with coarse rales in the base of her lungs. What should you suspect? - ,,,correct
answer,,,.Congestive heart failure
- An 80 year old male is sitting upright and gasping for each breath. Vital signs
are BP 170/70, P 72 and irregular, R 40 and extremely labored, skin warm
and diaphoretic. Upon auscultation, you hear diffuse bilateral crackles and
wheezing. He coughs up blood-tinged sputum. You should suspect - ,,,correct
answer,,,.pulmonary edema
What is your interpretation of the following
rhythm?https://o.quizlet.com/J5FP.kiNQE6KlDGWby6mZg.jpg - ,,,correct
answer,,,.Atrial flutter
What type of medication is propranolol (Inderal)? - ,,,correct answer,,,.Beta-
blocker
During the relative refractory period of the action potential - ,,,correct
answer,,,.the cell is unable to depolarize
The first component of the ECG corresponding to atrial depolarization is the -
,,,correct answer,,,.P wave
- Which condition is associated with tall peaked T waves? - ,,,correct
answer,,,.Hyperkalemia
,You have acquired the following 12 lead on a patient complaining of chest
pain and shortness of breath. What should you suspect? - ,,,correct
answer,,,.Inferior myocardial injury
- A 54 year old female is acting anxious and using odd words to describe
common things. She answers yes/no questions appropriately. You should
suspect - ,,,correct answer,,,.delirium tremens
- A submersion patient complains of chest pain and palpitations. You note
gastric distention and aspiration. Based on assessment findings, which system
has been affected? - ,,,correct answer,,,.Cardiovascular
In the prehospital setting, which vasopressor is most commonly used in adult
cardiogenic shock? - ,,,correct answer,,,.Dopamine
A 74 year old female complains of excruciating chest pain. The 12 lead ECG
shows an inferior wall injury with right-sided involvement. Vital signs are BP
118/92, P 60, R 24. You should administer - ,,,correct answer,,,.Morphine
sulfate
Perfusion to the coronary arteries occurs during - ,,,correct answer,,,.diastole
A 62 year old female is alert and oriented. Her husband describes an episode
of slurred speech and left-sided facial drooping that lasted ten minutes and
resolved just before your arrival. Vital signs are BP 134/78, P 78, R 12, SpO2
99%. You should suspect - ,,,correct answer,,,.Transient ischemic attack
You are preparing to cardiovert a patient who has a perfusing ventricular
tachyarrhythmia and hypotension. Why is it important to turn on the
synchronizing circuit of the defibrillator? - ,,,correct answer,,,.The vulnerable
period of the action potential will be avoided
The monitor shows an atrial rate of 60, a ventricular rate of 46. There is no
relationship between the P waves and the QRS complexes. What type of heart
block is this? - ,,,correct answer,,,.Third degree block
You are treating an unconscious 65 year old male. He recently had bypass
surgery and called 911 complaining of chest pain. He is taking digitalis,
potassium, and Plavix. Vital signs are BP 70/40 and R 22. Pulse matches the
, ECG. you should
administer?https://o.quizlet.com/BHyXJvKvGjj5aTSP6E7Hew.png - ,,,correct
answer,,,.Dopamine IV Infusion)
- Which is the MOST effective way to terminate ventricular fibrillation? -
,,,correct answer,,,.Electrical defibrillation
A 55 year old male is pulseless and apneic. Bystander CPR has been in
progress for 5 minutes. His ECG is below. What is your initial treatment?
https://o.quizlet.com/hOIKoMLWpfu3X15FRbOTHA.png - ,,,correct
answer,,,.Administer 1g of magnesium IV
A 62 year old female complains of calf pain when she flexes her foot. She is
recovering from a knee surgery and has a history of cardiac bypass surgery.
Her calf is swollen and warm. What should you suspect? - ,,,correct
answer,,,.Deep vein thrombosis
Which is the initial treatment of asystole? - ,,,correct answer,,,.High quality
CPR
You have been running a cardiac arrest for about 30 minutes. Medical control
orders sodium bicarbonate. What is the appropriate dose and route for this
medication? - ,,,correct answer,,,.1 mEq/kg IV
A patient complains of respiratory distress. Their ECG is below. What should
you suspect? https://o.quizlet.com/XF2NLh5UpV45--YHVAxh6g.png -
,,,correct answer,,,.Sinus arrhythmia
Your patient presents with bilateral leg and presacral edema. You should
suspect - ,,,correct answer,,,.Congestive heart failure (RHF)
Which of the following refers to the volume of blood pumped by the heart in
each minute? - ,,,correct answer,,,.Cardiac output (stroke volume x HR)
In lead II you notice inverted P waves with shortened P-R Intervals. The QRS
complex is normal. What type of dysrhythmia should you suspect? - ,,,correct
answer,,,.Junctional
GUIDE 2023
An adult cardiac arrest patient remains in ventricular fibrillation after two
minutes of CPR, one shock and 1 mg epinephrine 1:10,000 IV. You should
administer. - ,,,correct answer,,,.Amiodarone, 300mg IV
- A patient just received an accidental overdose of atenolol. Which of the
following should be used to reverse the effects of this drug? - ,,,correct
answer,,,.Glucagon
- Which of the following causes congestive heart failure? - ,,,correct
answer,,,.Poorly functioning left ventricle
A 40 year old female is complaining of nausea after several episodes of
vomiting. Pulse matches the ECG shown.
https://o.quizlet.com/KfOCtGtN8p3cN7eeTl1sQA.jpg Vital signs are BP
130/60, R14, SpO2 98%. You should - ,,,correct answer,,,.administer atropine
intravenous
Which blood vessels are primarily responsible for the regulation of blood
pressure? - ,,,correct answer,,,.Arterioles
A patient's chest discomfort has decreased from 8/10 to 2/10 after
nitroglycerin. Which action of nitroglycerin best explains this decrease? -
,,,correct answer,,,.Vasodilation of coronary arteries
A patient presents with confused verbal responses. A radial pulse is not
palpable. ECG shows a wide complex tachycardic rhythm. You should -
,,,correct answer,,,.perform synchronized cardioversion
What concept does Starling's Law explain? - ,,,correct answer,,,.Heart rate
increases when cardiac workload increases
- What is the intrinsic pacemaker rate of the Purkinje fibers? - ,,,correct
answer,,,.20-40 times per minute
,You are called for a man with a facial laceration. His wife says he was shaving
when he suddenly started talking incoherently and lost his balance. By the
time you arrive, his symptoms have resolved. His wife says he has no
pertinent past medical history. You should suspect a - ,,,correct answer,,,.TIA
A 45 year old male complains of weakness. Vital signs are BP 90/60, P 40 and
irregular. The monitor shows a narrow complex rhythm with a constant PRI
for conducted beats. Every second P wave occurs without a QRS complex. You
should suspect - ,,,correct answer,,,.second degree type II AV block.
- A 74 year old female complains of shortness of breath. She has a history of
coronary artery disease but is otherwise healthy. She takes 325 mg aspirin
daily and nitrostat as needed. Vital signs are BP 109/50, P 132 and weak, R 36
with coarse rales in the base of her lungs. What should you suspect? - ,,,correct
answer,,,.Congestive heart failure
- An 80 year old male is sitting upright and gasping for each breath. Vital signs
are BP 170/70, P 72 and irregular, R 40 and extremely labored, skin warm
and diaphoretic. Upon auscultation, you hear diffuse bilateral crackles and
wheezing. He coughs up blood-tinged sputum. You should suspect - ,,,correct
answer,,,.pulmonary edema
What is your interpretation of the following
rhythm?https://o.quizlet.com/J5FP.kiNQE6KlDGWby6mZg.jpg - ,,,correct
answer,,,.Atrial flutter
What type of medication is propranolol (Inderal)? - ,,,correct answer,,,.Beta-
blocker
During the relative refractory period of the action potential - ,,,correct
answer,,,.the cell is unable to depolarize
The first component of the ECG corresponding to atrial depolarization is the -
,,,correct answer,,,.P wave
- Which condition is associated with tall peaked T waves? - ,,,correct
answer,,,.Hyperkalemia
,You have acquired the following 12 lead on a patient complaining of chest
pain and shortness of breath. What should you suspect? - ,,,correct
answer,,,.Inferior myocardial injury
- A 54 year old female is acting anxious and using odd words to describe
common things. She answers yes/no questions appropriately. You should
suspect - ,,,correct answer,,,.delirium tremens
- A submersion patient complains of chest pain and palpitations. You note
gastric distention and aspiration. Based on assessment findings, which system
has been affected? - ,,,correct answer,,,.Cardiovascular
In the prehospital setting, which vasopressor is most commonly used in adult
cardiogenic shock? - ,,,correct answer,,,.Dopamine
A 74 year old female complains of excruciating chest pain. The 12 lead ECG
shows an inferior wall injury with right-sided involvement. Vital signs are BP
118/92, P 60, R 24. You should administer - ,,,correct answer,,,.Morphine
sulfate
Perfusion to the coronary arteries occurs during - ,,,correct answer,,,.diastole
A 62 year old female is alert and oriented. Her husband describes an episode
of slurred speech and left-sided facial drooping that lasted ten minutes and
resolved just before your arrival. Vital signs are BP 134/78, P 78, R 12, SpO2
99%. You should suspect - ,,,correct answer,,,.Transient ischemic attack
You are preparing to cardiovert a patient who has a perfusing ventricular
tachyarrhythmia and hypotension. Why is it important to turn on the
synchronizing circuit of the defibrillator? - ,,,correct answer,,,.The vulnerable
period of the action potential will be avoided
The monitor shows an atrial rate of 60, a ventricular rate of 46. There is no
relationship between the P waves and the QRS complexes. What type of heart
block is this? - ,,,correct answer,,,.Third degree block
You are treating an unconscious 65 year old male. He recently had bypass
surgery and called 911 complaining of chest pain. He is taking digitalis,
potassium, and Plavix. Vital signs are BP 70/40 and R 22. Pulse matches the
, ECG. you should
administer?https://o.quizlet.com/BHyXJvKvGjj5aTSP6E7Hew.png - ,,,correct
answer,,,.Dopamine IV Infusion)
- Which is the MOST effective way to terminate ventricular fibrillation? -
,,,correct answer,,,.Electrical defibrillation
A 55 year old male is pulseless and apneic. Bystander CPR has been in
progress for 5 minutes. His ECG is below. What is your initial treatment?
https://o.quizlet.com/hOIKoMLWpfu3X15FRbOTHA.png - ,,,correct
answer,,,.Administer 1g of magnesium IV
A 62 year old female complains of calf pain when she flexes her foot. She is
recovering from a knee surgery and has a history of cardiac bypass surgery.
Her calf is swollen and warm. What should you suspect? - ,,,correct
answer,,,.Deep vein thrombosis
Which is the initial treatment of asystole? - ,,,correct answer,,,.High quality
CPR
You have been running a cardiac arrest for about 30 minutes. Medical control
orders sodium bicarbonate. What is the appropriate dose and route for this
medication? - ,,,correct answer,,,.1 mEq/kg IV
A patient complains of respiratory distress. Their ECG is below. What should
you suspect? https://o.quizlet.com/XF2NLh5UpV45--YHVAxh6g.png -
,,,correct answer,,,.Sinus arrhythmia
Your patient presents with bilateral leg and presacral edema. You should
suspect - ,,,correct answer,,,.Congestive heart failure (RHF)
Which of the following refers to the volume of blood pumped by the heart in
each minute? - ,,,correct answer,,,.Cardiac output (stroke volume x HR)
In lead II you notice inverted P waves with shortened P-R Intervals. The QRS
complex is normal. What type of dysrhythmia should you suspect? - ,,,correct
answer,,,.Junctional
